THE EXPERIENCE OF IMPLEMENTING CLINICAL GUIDELINES REQUIREMENTS IN THE PRACTICE OF A MEDICAL ORGANIZATION

Medical care in the Russian Federation is organized and provided in accordance with the procedures and standards for the provision of medical care, which are obligatory throughout the Russian Federation. Each healthcare organization is required to follow approved clinical guidelines in its activities. However, the clinical guidelines need to be revised to suit the conditions of each healthcare organization, taking into account available resources, infrastructure, qualified specialists, etc. The Regional Clinical Hospital develops institutional standards (IS) based on approved clinical guidelines. The article provides an example of the development of a regional clinical hospital standard «Procedure for medical care for gastroduodenal bleeding» based on the clinical guidelines. All doctors are well aware of and comply with the institutional standards. As a result, compliance with stricter time limits than those set out in Order 203n, as well as providing care in full compliance with clinical guidelines, can be ensured.