Annals of the Russian academy of medical sciencesAnnals of the Russian academy of medical sciences0869-60472414-3545"Paediatrician" Publishers LLC32510.15690/vramn.v67i3.178ORGANIZATIONAL AND MANAGERIAL PROBLEMS OF THE RISKS IN THE HEALTH SERVICE SYSTEM AND THE SAFE MEDICAL PRACTICEKucherenkoV. Z.niilan@yandex.ruEkkertN. V.natekk@mail.ruI.M. Sechenov First Moscow State Medical University230320126734907082015Copyright © 2012, "Paediatrician" Publishers LLC2012<em>For the creation of the safety of the medical aid it is necessary to make a complex systems efforts, which includes a lot of professional, organizational, juridical and psychological actions for the improvement of the treatment and diagnostic process, the promotion of the real conditions for the risk management in the organizational and clinic practice.</em><br /><br />safetymedical aidrisk-managementбезопасностьмедицинская помощьриск-менеджмент[1. Upravlenie zdravookhraneniem. Uchebnoe posobie / pod red. V.Z. Kucherenko [Health Care Management. Guidelone. Edited by V.Z. Kucherenko]. Moscow, TEIS, 2004. 448 p.][2. Klinicheskii menedzhment / pod red. A.I. Vyalkova, V.Z.Kucherenko [Clinical Management. Edited by A.I. Vyalkov, V.Z. Kucherenko]. Moscow, Meditsina, 2006. 304 p.][3. Organizatsiya i otsenka kachestva lechebno-profilakticheskoi pomoshchi naseleniyu: uchebnoe posobie / pod red. V.Z. Kucherenko [Management and Evaluation of the Quality of Treatment and Preventive Care: Guideline. Edited by V.Z. Kucherenko]. Moscow, GEOTAR-Media, 2008. 560 p.][4. Nepreryvnoe sovershenstvovanie lechebno-diagnosticheskogo protsessa i obespechenie bezopasnosti patsienta v usloviyakh industrial'noi modeli upravleniya kachestvom meditsinskoi pomoshchi v statsionare. Metodicheskie rekomendatsii / pod nauchnoi red. V.Z. Kucherenko [Continuous Improvement of Diagnostic and Treatment Process and Ensuring Patient Safety in Terms of the Industrial Model of Quality Management of Medical Care in the Hospital. Guidelines. Edited by V.Z. Kucherenko]. Moscow, 2004. 24 p.][5. Shishkina I.B., Vardosanidze S.L., Voskanyan Yu.E., Sorokina N.V. Problemy bezopasnosti patsientov v sovremennom zdravookhranenii [Patient Safety in Health Care Today]. Moscow, 2006. 336 p.][6. Kunpan I.A., Vardosanidze S.L., Voskanyan Yu.E. Obespechenie bezopasnosti patsientov v khirurgicheskom otdelenii mnogoprofil'noi bol'nitsy [Patient Safety in the Surgical Department of a City Hospital.]. Stavropol, 2004. 153 p.][7. Vlasov V.V. Vvedenie v dokazatel'nuyu meditsinu [Introduction to Evidence-based Medicine]. Moscow, 2001. 392 p.]