черепно-мозговая травма, качество медицинской помощи, дефекты медицинской помощи, медицинская карта стационарного больного, история болезни, craniocerebral trauma, medical care quality, defects of medical care, medical records of inpatient treatment, medical history, Surgery, RD1-811

An analysis of 658 medical records of inpatient treatment from 15 hospitals of St. Petersburg was made using a computer-aided technology of the assessment of medical care quality. It was revealed that a proper quality of medical care in craniocerebral trauma was only in 52,9% cases. Different defects of medical care were noted in the rest of observations. It influenced on the condition of the patients (1,0%), the delivery and assessment of health care (40% and 38%, respectively), health resources (18%), social resources (1,0%). Defects of medical records were indicated in 38% patients. It caused a reduction of medical care. Risks of occurrence of medical care defects are low in children hospitals in the case of combined craniocerebral trauma.