EVALUATION OF THE QUALITY OF EXAMINATION OF PATIENTS WHO HAVE DIED FROM THE NOVEL CORONAVIRUS INFECTION

The aim of the research: To study the structure of the outstanding recommendations for the examination of patients with coronavirus infection COVID-19, to identify the causes of their occurrence and to conduct a clinical assessment of the quality of the examination.

Materials and methods. The article presents an analysis of the quality of examination of 55 patients with severe and extremely severe COVID-19 with laboratory-confirmed COVID-19 (the presence of SARS-CoV-2 RNA using nucleic acid amplification methods) who died from the novel coronavirus infection COVID-19 in intensive care units of district hospitals.

The results. A total of 306 outstanding recommendations were identified to screen patients with novel coronavirus infection COVID19 in the ICU in 84% (46/55) of patients. The main reasons for the failure to implement  the  recommendations  for  the  examination  of  patients  with  COVID-19  have  been  identified: shortcomings  of  the  organization,  the  human  factor,  resource  limitations  extremely  severe  course  of coronavirus infection.  The  disadvantages  of the  organization  were  the lack  of  equipment  for  radiation diagnostics and laboratory examination. The limitation of resources was the lack of places in the ICU with a mass  influx  of  patients.  The  extremely  serious  condition  of  the  patients  did  not  allow  for  computed tomography of the lungs with intravenous contrast in order to timely diagnose and treat PE.

Conclusion. The main recommendations for the examination of patients with the new coronavirus infection COVID19 were implemented in 16% of cases, non-compliance with the recommendations did not affect the outcome of the disease in 13%, non-compliance with the recommendations could lead to causing preventable harm to the patient's health in 71%.

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