ABOUT RATIO OF CLINICAL AND ORGANISATIONAL PARTS OF INTERPRETATION OF DATA WITHIN AN EXPERT ESTIMATION OF QUALITY OF ACUTE SURGICAL CARE PERFORMANCE IN CASES OF PATIENTS HAVING PERITONITIS WITH SEVERE COMORBIDE STATUS

Clinical specialists of health care statements as leaders of healthcare have, in lethal cases, always have questions about causal relationship of defects of the performance and about ratings in distribution the disease, which can be the reasons of patient illness. With comorbid statement, as a rule, the atypical competing and related manifestation illnesses could be stated, and there are features of their diagnostics and ambiguity of making tactical decisions, which could be explained as errors (like technological, as an organizational) in treatment and diagnostics. In this article the data of the medical performing case of patient with chronic perforative ulcer and, consequently, peritonitis, is discussed on the polymorbid statement. It is shown, that censure of medical care quality should have arguments not only in clinical manners, but also in organizational meaning, and in taken (in case of inadequate level of examination and treatment) managerial decision, the actions, which can guarantee the excision of errors of medical treatment in future should be taken into account.

medical care quality, acute surgical diseases of abdominal cavity organs, perforative gastroduodenal ulcer, peritonitis, management in acute surgery, safety in medical activity

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