Checklist for the Head Physician When Auditing a Constructed (Reconstructed) Building at the Stage of Its Commissioning as a Tool for Managing the Risks of Developing the Material and Technical Base of a Medical Organization

Significance. The material and technical base of a medical organization must be complete and updated in a timely manner so that buildings, utilities and medical equipment meet modern technical requirements and medical standards necessary to provide affordable and high-quality medical care. At the stage of commissioning of a constructed (reconstructed) medical organization building, the head physician acts as the person responsible for the future operation of the facility and must be able to assess the factors (risks) associated with the low level of preparation of the facility for medical activities, as well as use effective risk management tools. It is advisable for the head physician and his team to assess the condition of constructed (reconstructed) buildings before starting their operation based on the audit method using checklists, which are lists of inconsistencies and failures in management and are formed based on the identification of previously occurring risks in providing medical organizations with logistical resources. Checklists allow the head physician to check the availability of a full-fledged set of offices, premises, medical devices, assess the operability of equipment, serviceability of engineering communications, landscaping, accessibility for low-mobility citizens of a constructed (reconstructed) building, availability of technical documentation for its operation, as well as other aspects of ensuring the appropriate level of material and technical base necessary for timely implementation of licensing processes and quality provision of medical services. The audit based on the use of checklists identifies defects (risks) occurred during the construction (reconstruction) of healthcare facilities. This allows the head physician to send relevant information about risks to the developer (technical customer) in order to correct them in a timely manner and thereby help reduce the impact of possible risks on the development of the material and technical base of the medical organization. The purpose of the study: to develop an audit checklist at the stage of commissioning a new or reconstructed building, which will allow the head physician to effectively manage the risks of developing the material and technical base of a medical organization. Materials and methods: analytical, content analysis, expert assessments. Results. In the course of the study, an audit checklist was developed containing control questions and evaluation criteria that allow the chief physician to systematically and consistently check all aspects necessary to ensure safe and efficient operation of the medical organization building. This helps to reduce the risks associated with poor-quality work, non-compliance with safety requirements, and insufficient preparation of the healthcare facility for medical care. Discussion. The use of the checklist method is appropriate in the audit of resource provision of a medical organization conducted by the chief physician and his team, including at the stage of commissioning of a constructed, reconstructed building, as a risk management tool that hinders the development and maintenance of the material and technical base at the level necessary for the provision of quality medical services. Interpretation of the stated facts of the study fully fits into the existing theory of risk management on the issues of using the method of checklists for risk assessment. Conclusion. The audit conducted by the head physician and his team during the commissioning of the created healthcare facilities, using a checklist, is a necessary risk management tool for the development of the material and technical base of a medical organization. It allows you to identify and promptly eliminate inconsistencies and defects made during the construction (reconstruction) of facilities, ensure that buildings meet the requirements of safety, accessibility, functionality, and also contributes to improving the efficiency of the medical organization as a whole.