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МЕДИЦИНА КАТАСТРОФ №4(104)•2018



ОПЫТ РЕСПУБЛИКИ МОЛДОВА ПО ОЦЕНКЕ И УКРЕПЛЕНИЮ БЕЗОПАСНОСТИ БОЛЬНИЦ В ЧРЕЗВЫЧАЙНЫХ СИТУАЦИЯХ  
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Пысла М.С. 

Клиническая больница Министерства здравоохранения, труда и социальной защиты, Кишинев, Республика Молдова 

УДК 614.2 (478) 
С. 58–61 

Отмечено, что проблема безопасности медицинских учреждений в чрезвычайных ситуациях (ЧС) очень актуальна для Республики Молдова, территория которой подвержена риску воздействия ряда разрушительных природных и техногенных факторов. В связи с этим в 2010 г. была выполнена оценка уровня безопасности больниц в Республике Молдова с применением новой на тот период методологии «Индекс безопасности больницы». Результаты оценки послужили основой для разработки и реализации Программы по укреплению безопасности больниц Республики Молдова на период 2012–2016 гг. В 2016 г. в связи с истечением сроков реализации Программы, а также для более объективной оценки её эффективности была проведена повторная оценка безопасности больниц Республики Молдова с применением усовершенствованной версии методологии «Индекс безопасности больницы», результаты которой представлены в статье. 

Ключевые слова: больницы, методология «Индекс безопасности больницы», оценка, уровень безопасности, чрезвычайные ситуации 

Для цитирования: Пысла М.С. Опыт Республики Молдова по оценке и укреплению безопасности больниц в чрезвычайных ситуациях. Медицина катастроф. 2018; 4(104): 58–61. 

СПИСОК ЛИТЕРАТУРЫ 
1. United Nations International Strategy for Disaster Reduction. Sendai Framework for Disaster Risk Reduction 2015–2030. http://www.preventionweb.net/files/43291_sendaiframeworkfordrren.pdf (accessed on August 16, 2018). 
2. World Disaster Reduction 2008-2009 Campaign. Hospitals Safe from Disasters. https://www.unisdr.org/2009/campaign/pdf/wdrc-2008-2009-information-kit.pdf (accessed on August 16, 2018). 
3. World Health Organization. Sixty-Fourth World Health Assembly WHA64.10. Strengthening national health emergency and disaster management capacities and resilience of health systems http://apps.who.int/gb/ebwha/pdf_files/WHA64/A64_R10-en.pdf (accessed on August 16, 2018). 
4. World Health Organization. World Health Day 2009 “Save Lives. Make hospitals safe in emergencies.” http://www.who.int/world-health-day/2009/whd2009_brochure_en.pdf?ua=1 (accessed on August 16, 2018). 
5. World Health Organization. Hospital Safety Index Guide for Evaluators – 2nd Edition. 2015 http://www.who.int/hac/techguidance/hospital_safety_index_evaluators.pdf (accessed on August 16, 2018). 
6. World Health Organization. Comprehensive safe hospital framework. 2015 http://www.who.int/hac/techguidance/comprehensive_safe_hospital_framework.pdf?ua=1 (accessed on August 16, 2018). 
7. World Health Organization Regional Office for Europe. New assessment of all public hospitals in the Republic of Moldova shows improved hospital resilience to natural disasters. http://www.euro.who.int/en/countries/republic-of-moldova/news/news/2016/11/new-assessment-of-all-public-hospitals-in-the-republic-of-moldova-shows-improved-hospital-resilience-to-natural-disasters (accessed on August 16, 2018). 
8. Pisla M., Domente S., Chetraru L., Ostaficiuc R. Republic of Moldova hospital safety assessment report. 2010. http://www.old2.ms.gov.md/sites/default/files/evaluation_of_hospital_safety_in_the_republic_of_moldova.pdf (accessed on August 16, 2018). 
9. Пысла М.С. Оценка безопасности больниц Республики Молдова с применением методологии «Индекс безопасности больницы» // Медицина катастроф. 2012. №2. С. 54–56. 
10. Пысла М.С. Безопасность при чрезвычайных ситуациях и бедствиях больниц Республики Молдова. Суммарный отчет. 2016 http://old2.ms.gov.md/sites/default/files/situatii_exceptionale/ibb_moldova_summarnyy_otchyot.pdf (accessed on August 16, 2018).


DISASTER MEDICINE No. 4(104)•2018


EXPERIENCE OF REPUBLIC OF MOLDOVA IN ASSESSING AND STRENGTHENING OF HOSPITAL SAFETY IN EMERGENCIES  
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Pysla M.S. 

Clinical Hospital of the Ministry of Health Labor and Social Protection, Kishintv, Republic of Moldova 

UDK 614.2 (478) 
Pр. 58–61 

It is noted that the problem of safety of medical institutions in emergency situations is very relevant for the Republic of Moldova, the territory of which is exposed to the risk of a number of destructive natural and man-made factors. In this connection, an assessment of the level of hospital safety in the Republic of Moldova was carried out with the use of the new at that time methodology "Hospital Safety Index" in 2010. The results of the evaluation served the basis for the development and implementation of a program to strengthen the safety of hospitals in the Republic of Moldova for 2012–2016 period. Because of the expiration of the Program, as well as for the sake of a more objective assessment of its effectiveness, a re-assessment of the safety of hospitals in the Republic of Moldova was carried out in 2016 using an improved version of the methodology "Hospital Safety Index", the results of which are presented in the article. 

Key words: emergency situations, evaluation, hospitals, methodology "Hospital Safety Index", safety level 

For citation: Pysla M.S., (Experience of Republic of Moldova in Assessing and Strengthening of Hospital Safety in Emergencies), Disaster Medicine, 2018; 4(104): 58–61 (In Rus.) 

REFERENCES 
1. United Nations International Strategy for Disaster Reduction. Sendai Framework for Disaster Risk Reduction 2015-2030. http://www.preventionweb.net/files/43291_sendaiframeworkfordrren.pdf (accessed on August 16, 2018). 
2. World Disaster Reduction 2008-2009 Campaign. Hospitals Safe from Disasters. https://www.unisdr.org/2009/campaign/pdf/wdrc-2008-2009-information-kit.pdf (accessed on August 16, 2018). 
3. World Health Organization. Sixty-Fourth World Health Assembly WHA64.10. Strengthening national health emergency and disaster management capacities and resilience of health systems http://apps.who.int/gb/ebwha/pdf_files/WHA64/A64_R10-en.pdf (accessed on August 16, 2018). 
4. World Health Organization. World Health Day 2009 “Save Lives. Make hospitals safe in emergencies.” http://www.who.int/world-health-day/2009/whd2009_brochure_en.pdf?ua=1 (accessed on August 16, 2018). 
5. World Health Organization. Hospital Safety Index Guide for Evaluators – 2nd Edition. 2015 http://www.who.int/hac/techguidance/hospital_safety_index_evaluators.pdf (accessed on August 16, 2018). 
6. World Health Organization. Comprehensive safe hospital framework. 2015 http://www.who.int/hac/techguidance/comprehensive_safe_hospital_framework.pdf?ua=1 (accessed on August 16, 2018). 
7. World Health Organization Regional Office for Europe. New assessment of all public hospitals in the Republic of Moldova shows improved hospital resilience to natural disasters. http://www.euro.who.int/en/countries/republic-of-moldova/news/news/2016/11/new-assessment-of-all-public-hospitals-in-the-republic-of-moldova-shows-improved-hospital-resilience-to-natural-disasters (accessed on August 16, 2018). 
8. Pisla M, Domente S, Chetraru L, Ostaficiuc R. Republic of Moldova hospital safety assessment report. 2010. http://www.old2.ms.gov.md/sites/default/files/evaluation_of_hospital_safety_in_the_republic_of_moldova.pdf (accessed on August 16, 2018). 
9. Pysla M.S., (Evaluation of Republic of Moldova Hospitals Security with Use of “The Hospital Safety Index” Methodology), Medicina katastrof, (Disaster medicine), 2012; 2: 54-56 (In Rus.). 
10. Pysla M.S., Bezopasnost' pri chrezvychajnyh situaciyah i bedstviyah bol'nic Respubliki Moldova, Summarnyj otchet, 2016 http://old2.ms.gov.md/sites/default/files/situatii_exceptionale/ibb_moldova_summarnyy_otchyot.pdf (accessed on August 16, 2018).

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