DISASTER MEDICINE No. 4 •2025

https://doi.org/10.33266/2070-1004-2025-4

Original article

Issues of Maintaining and Evaluating Medical Documentation During the Assessment of the Quality of Medical Care Provided to the Wounded (Sick) during an Armed (Military) Conflict

Kuptsov S.A. 1, Naumov P.Yu. 1, Baranova N.N. 2,3

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1 Main Military Clinical Hospital of the Troops of the National Guard of the Russian Federation, Balashikha, Moscow Region, Russian Federation

2 State Research Center – Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency, Moscow, Russian Federation

3 Russian Medical Academy of Continuous Professional Education of the Ministry of Health of the Russian Federation, Moscow, Russian Federation

UDC 614.2:355.1

Р. 39-44

 

Summary. The objective of the study is to improve the quality of medical care, master the methods of assessing the appropriateness of medical prescriptions, reduce the risks in providing medical care to patients and significantly increase the efficiency of using modern resources when preparing medical documentation. Timely assessment of patient satisfaction with the medical care provided and practical application of quality control cards for medical care is one of the practical ways to improve medical activities.

Research materials and methods. The objects of the study were case histories prepared and filled in when providing specialized medical care in inpatient settings of military medical organizations. The parameters for determining the quality coefficient of medical care were determined as the subject of the study.

To achieve the goal and solve the problems of the study, the dichotomous evaluation principle was used in the work, as well as the ideas of a systemic, integrated approach, functional and comparative analysis, deductive and inductive methods for studying objective phenomena, theoretical generalizations, abstract and practical analogies.

Research results and their analysis. It was revealed that the largest share of violations committed in medical documentation and established as a result of the examination falls on the execution of medical examinations and conclusions when providing medical care.

Thus, the main violations identified by the experts are related to the execution of medical documentation and do not affect the patient’s health, but create a risk of complications of the disease, or extend the treatment period and increase the state’s costs for treatment.

Key words: armed (military) conflict, combat operations, patients, military medical examination, medical documentation, medical examination, quality of medical care, Special military operation, wounded

For citation: Kuptsov S.A., Naumov P.Yu., Baranova N.N. Issues of Maintaining and Evaluating Medical Documentation During the Assessment of the Quality of Medical Care Provided to the Wounded (Sick) during an Armed (Military) Conflict. Meditsina Katastrof = Disaster Medicine. 2025;4:39-44 (In Russ.). https://doi.org/10.33266/2070-1004-2025-4-39-44

 

References

  1. Naumov P.Yu., Bol’shakova V.M., Zemlin A.I., Kholikov I.V. Conceptual Aspects of the Production of Medical Examinations when Appealing in Court Against Conclusions Based on the Results of a Military Medical Examination. Siberian Journal of Life Sciences and Agriculture. 2021;13;6:283-306 (In Russ.). doi 10.12731/2658-6649-2021-13-6-283-306.
  2. Baranova N.N., Isayeva I.V., Kachanova N.A. Methodological Approaches to Determining the Volume of Annual Need for Medical and Aviation Evacuations in a Constituent Entity of the Russian Federation. Meditsina Katastrof = Disaster Medicine. 2020;1:43-53 (In Russ.). doi 10.33266/2070-1004-2020-1-43-53.
  3. Akhmetov I.R. Expertise of the Quality of Medical Care in the System of State Control Over the Quality of Medical Care. Yuridicheskiye Nauki, Pravovoye Gosudarstvo i Sovremennoye Zakonodatel’stvo = Legal Sciences, Legal State and Modern Legislation. Collection of Articles of the XIII International Scientific and Practical Conference, Penza, December 5, 2020. Penza, Nauka i Prosveshcheniye Publ., 2020. P. 184-186 (In Russ.).
  4. Tayevskiy B.V., Tayevskiy A.B., Knyazev Ye.G. Metodika Ekspertizy Kachestva Meditsinskoy Pomoshchi = Methodology for Assessing the Quality of Medical care. A Tutorial for Doctors. Irkutsk, Irkutskaya Gosudarstvennaya Meditsinskaya Akademiya Poslediplomnogo Obrazovaniya Publ., 2018. 123 p. (In Russ.).
  5. Pashinyan G.A., Barinov Ye.X., Romodanovskiy P.O., Cherkalina Ye.N. Historical Aspects of Doctors’ Attitudes Towards their Professional Mistakes. Sudebno-Meditsinskaya Ekspertiza = Forensic Medical Examination. 2008;51;5:44-46 (In Russ.).
  6. Sharabchiyev Yu.T. Medical Errors and Defects in Medical Care: Socio-Economic Aspects and Losses of Public Health. Mezhdunarodnyye Obzory: Klinicheskaya Praktika i Zdorov’ye = International Reviews: Clinical Practice and Health. 2013;6;6:14-31 (In Russ.).
  7. Akopov V.I. Meditsinskoye Pravo = Medical Law. Textbook and Workshop for Universities. Moscow, Yurayt Publ., 2019. 287 p. (In Russ.).
  8. Vinokurova M.A. Provision of Medical Care of Inadequate Quality: Scientific and Legal Content of the Concept. Vestnik Nizhegorodskogo Universiteta Im. N.I. Lobachevskogo = Bulletin of the Nizhny Novgorod University named after N.I.Lobachevsky. 2017;5:79-84 (In Russ.).
  9. Stetsenko S.G., Pishchita A.N., Goncharov N.G. Ocherki Meditsinskogo Prava = Essays on Medical Law. Moscow, Tsentral’naya Klinicheskaya Bol’nitsa Rossiyskoy Akademii Nauk Publ., 2004. 570 p. (In Russ.).

 

The material was received 16.12.25; the article after peer review procedure 17.11.25; the Editorial Board accepted the article for publication 12.12.25