Management of the activity of the Moscow pathology and anatomical service in the context of a pandemic of a new coronavirus infection in 2020–2022

Author:

Kanibolotskiy Aleksandr A.1ORCID,Zayratyants Oleg V.2ORCID

Affiliation:

1. N.V. Sklifosovsky Research Institute of Emergency Medicine of the Moscow Healthcare Department; Research Institute for Healthcare Organization and Medical Management of Moscow Healthcare Department

2. A.E. Evdokmov Moscow State University of Medicine and Dentistry Moscow

Abstract

The management of the activity of the pathology and anatomical service (PAS) of the Moscow Healthcare Department (DZM) in the context of the COVID-19 pandemic and the provision of timely and accurate pathological diagnostics, as well as the receipt of reliable statistics on mortality rate, made it possible to provide timely management decisions to combat the pandemic. Purpose. To present the successful experience of managing the activities of the Moscow Pathoanatomic Service of DZM in the conditions of a pandemic of a new coronavirus infection. Methods. The paper analyzes and summarizes the features of the activity of PAS of DZM in the conditions of the COVID-19 pandemic, presents the main activities carried out to ensure timely and accurate diagnostics in anatomical pathology, and obtaining reliable statistical data on mortality, demonstrates the most important management decisions for organizing work aimed at combating the pandemic. Analytical, organizational, and statistical research methods are used in the work. Results. In order to improve the organization of the work of PAS of DZM in the context of the COVID-19 pandemic and ensure timely and accurate pathological diagnostics, and obtaining reliable statistics on mortality from it, a number of important activities were carried out including reprofilation of the PAS and reorganization of the work of PAS of DZM, reorganization and optimization of the work of the organizational and methodological department for pathological anatomy (OMO PA) of the Research Institute for Healthcare Organization and Medical Management of Moscow Healthcare Department, carrying out activities to establish interaction between the chief specialist in pathological anatomy and OMO PA with the DZM, the Rosstat and the egistry Office in Multiple functional Centres, connection of all Departments of Pathology by the new laboratory information system «LABFORS», development of continuing medical education. Limitations. Limited time period for description; there is no comparison with other subjects; conditions of the COVID-19 epidemic. Conclusions. Thus, the PAS of DZM, under the guidance of the chief specialist in pathological anatomy of DZM and OMO PA, showed its efficiency and effectiveness in the context of a pandemic of a new coronavirus infection, successfully implemented new technologies and organizational principles, improved the organization of its work, developed both post-mortem and intravital diagnostics of diseases in anatomical pathology.

Publisher

Federal Scientific Center for Hygiene F.F.Erisman

Subject

Public Health, Environmental and Occupational Health,Health Policy

Reference10 articles.

1. Kanibolotskiy A.A., Zayrat’yants O.V., Krasnenkova S.F. Work experience of the Moscow city pathology service during the pandemic of the new coronavirus infection Covid-19. In: Metropolitan Healthcare in the Prism of Global Leadership. Collection of Reports of the II Scientific and Methodological Forum of Health Care Organizers with International Participation [Stolichnoe zdravookhranenie v prizme global’nogo liderstva. Sbornik dokladov II nauchno-metodicheskogo foruma organizatorov zdravookhraneniya s mezhdunarodnym uchastiem]. Moscow; 2020: 124–6. (in Russian)

2. Zayrat’yants O.V., Kanibolotskiy A.A. Achievements of the Moscow pathoanatomic Service in 2021. In: Aksenova E.I., ed. Proceedings of the Scientific Research Institute of Healthcare Organization and Medical Management: Collection of Scientific Papers [Trudy nauchno-issledovatel’skogo instituta organizatsii zdravookhraneniya i meditsinskogo menedzhmenta: Sbornik nauchnykh trudov]. Moscow; 2021: 175–80. (in Russian)

3. Zayrat’yants O.V., Polyanko N.I., Kanibolotskiy A.A. Providing reliable statistical data on mortality in Moscow in connection with a new coronavirus infection. In: Health Statistics of Modern Times: Materials of the Second Congress of Medical Statisticians of Moscow [Statistika zdravookhraneniya novogo vremeni: Materialy Vtorogo s”ezda meditsinskikh statistikov Moskvy]. Moscow; 2020: 28–9. (in Russian)

4. Polyanko N.I., Kanibolotskiy A.A., Zayrat’yants O.V. Organization of the pathology service during the Covid-19 pandemic. In: Improvement of the Public Health System of the Metropolis: The Best Moscow Practices. Abstract Collection of Works by Employees of Organizational and Methodological Departments of GBU «NIIOZMM DZM» [Sovershenstvovanie gosudarstvennoy sistemy zdravookhraneniya megapolisa: luchshie moskovskie praktiki. Referativnyy sbornik rabot sotrudnikov organizatsionno-metodicheskikh otdelov GBU «NIIOZMM DZM»]. Moscow; 2021: 50–2. (in Russian)

5. Zayrat’yants O.V., Polyanko N.I., Kanibolotskiy A.A. Comorbid diseases (including BSC) in those who died from coronavirus infection. In: Proceedings of the Scientific Research Institute of Health Organization and Medical Management. Collection of Scientific Papers [Sbornik: Trudy nauchno-issledovatel’skogo instituta organizatsii zdravookhraneniya i meditsinskogo menedzhmenta. Sbornik nauchnykh trudov]. Moscow; 2020: 137–41. (in Russian)

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