Personnel Risks in Ensuring Safety of Medical Activity

Purpose: modern strategies of management of the organization require the formation of special management approaches based on the analysis of the mechanisms and processes of the organization of medical activities related to possible risks in activity of medical personnel. Based on international experience and own research the authors have identified features of a system of management of personnel risk in medical activities, examined approaches showing the sequence and contents of the main practical activities of the formation, maintenance and development of the system of management of personnel risks. Emphasized is the need for further research and implementation of the system of management of personnel risk in health care organizations. Study and assessment of personnel risks affecting the security of medical activities aimed at the development of the system of personnel risk management, development of a system of identification and monitoring of HR risk indicators with a purpose to improve institutional management and increase efficiency of activity of medical organizations. Methods: in the present study, the following methods were used: systemic approach, content analysis, methods of social diagnosis (questionnaires, interviews), comparative analysis, method of expert evaluations, method of statistical processing of information. Results: approaches to predict the occurrence and development of personnel risks have been reviewed and proposed. Conclusions and Relevance: patient safety is a global issue affecting countries at all levels of development. Each year, the WHO identifies a number of systemic and technical aspects and trends in the field of patient safety related to actions of medical workers. Existing imbalances in the staffing of the health system of the Russian Federation increase the probability of potential risks in medical practice. The personnel policy of healthcare of the Russian Federation requires further improvement and development. System of human resources risk management in the healthcare organization is an important management tool, which promotes social responsibility of medical institutions to the society and improves the safety of medical activity. The process of personnel risk management begins at the stage of development of strategy of management of medical organization applies to all levels of management and includes mechanisms for the identification, monitoring and controlling HR risks that could adversely affect the medical activities of the organization. The security system of medical practice is closely connected with the management of the quality of medical care, quality of resource provision of medical organization, quality of organizational and technological processes of medical activities and quality of performance - results of medical activities, reflecting the degree of satisfaction of the needs and requests of patients. Significant role in minimizing personnel risk is the system of motivation and stimulation of work of medical workers, taking into account the specifics of certain categories of workers.

1. Vincent Ch. Patient safety. 2nd edition. Published Online: 18 May 2010. DOI: https://doi. org/10.1002/9781444323856

2. Borzunov A.A. To the question about the nature of "human resource risk". Economics and modern management: theory and practice: Materials of XL international scientificpractical conference. Novosibirsk: SibAK. 2014. pp.124– 133. (In Russ.)

3. Burykin I.M., Aleeva G.N., Khafiz'yanova R.H. Risk Management in the health care system as the basis of safety of medical care. Modern problems of science and education. 2013; 1:98–107. (In Russ.).

4. Zharikov E.S., Paramonov A.A. Risks in personnel work: The Book for Manager and staff Manager. M.: MСFER. 2005. 288 p. (In Russ.)

5. Zadvornaya O.L., Alekseev V.A., Borisov K.N. The formation and development of corporate culture of the medical organizations. MIR (Modernizacija. Innovacii. Razvitie) = M.I.R. (Modernization. Innovation. Research). 2016; 7(3(27)):142–148. DOI: http://dx.doi. org/10.18184/2079-4665.2015.7.3.142.149 (In Russ.)

6. Zadvornaya O.L., Alekseev V.A., Borisov K.N. The use of design technology of training on cycles of training of managerial staff of health. Materials of scientific publications on the results of international scientific-practical conference "Topical issues and prospects of development of medicine". Omsk: Issue 3. (Innovative development center of education and science ). 2016. pp. 90–92. (In Russ.)

7. Ivanova L.L. Risks in the system of personnel security. State and municipal management. 2015; 3:26–29. (In Russ.)

8. Kagramanyan I. N., Semenova T. V. The Implementation of regional programs of personnel maintenance of the system of health of the Russian Federation. Federal reference book "Public Health of the Russian Federation". 2015; 16:306–312. (In Russ.)

9. Classic management// Trans. from English. / Edited by M. Warner. SPb. Peter, 2001. 1168 p.

10. Mitrofanova A.E. The Concept of risk management personnel to work with personnel organization. Expertise. 2013; 3:40–45. (In Russ.).

11. Moshetova L.K., Zadvornaya O.L., Astanina S.Y. Continuing professional education of doctors in Russian medical academy of postgraduate education. M.: Federal reference book "Health care of Russia". 2014; 15:288– 294. (In Russ.)

12. Nechaeva E.S. Analysis and forecasting of HR risks in organizations. Proceedings of the Tula state University. 2013; 1(1):145–153. (In Russ.)

13. Card A.J., Ward J., Clarkson P.J. Successful risk assessment may not always lead to successful risk control: A systematic literature review of risk control after root cause analysis. Journal of Healthcare Risk Management. 2012; 31(3):6–12. DOI: https://doi.org/10.1002/jhrm.20090

14. Donabedian A. The quality of medical care. Science. 1978; 200(4344):856–864. DOI: https://doi.org/10.1126/ science.417400