Loban I V, Isakov V D, Lavrentyuk G P, Pavlova G V
Saint-Petersburg state budgetary institution 'Bureau of Forensic Medical Expertise', Saint-Petersburg, Russia, 195067; Department of Forensic Medicine, I.I. Mechnikov North-Western State Medical University, Ministry of Health of the Russian Federation, Saint-Petersburg, Russia, 195067.
Sud Med Ekspert. 2018;61(5):4-13. doi: 10.17116/sudmed2018610514.
The Saint-Petersburg Bureau of Forensic Medical Expertise has created the universal system of the internal quality control oriented toward the more rational exploitation of the available resources, material and technical facilities, and systemic management of the quality of forensic medical activities. The system serves as a basis for the timely identification of undesirable problematic situations, efficiently predict and/or prevent them and the resulting deterioration of the quality of expert work leading to the inadequate provision of finance and resources. Moreover, the system makes it possible to optimize and correct the operational management of the Bureau activities and develop programs for successful carrying them out in the future. The results of the evaluation of all forms of control are used to work out the modern technologies for the management of forensic medical expertise activities together with the final concluding reports and analytical reviews of the positive experience and of the typical imperfections in forensic medical expertise operations are distributed among the structural departments of the Bureau. These materials are used as a basis for the development of the measures and recommendations for the improvement of forensic medical expert activities of the Bureau, compilation of analytical reviews, specification of the criteria for the effectiveness of the forensic medical expertise, improvement of the procedures for the specialist screening studies (in conformity with the internal standards adopted by the Bureau), the subject matter and the schedule of advanced expert training, contents and procedures of instructions, the systems of delegation of authorities and empowerment with responsibilities, provision of economic incentives for the staff members, etc.
圣彼得堡法医鉴定局创建了一个内部质量控制通用系统，旨在更合理地利用现有资源、物质技术设施，并对法医活动质量进行系统管理。该系统为及时识别不良问题情况、有效预测和/或预防这些情况以及专家工作质量由此恶化（导致资金和资源供应不足）奠定了基础。此外，该系统能够优化和纠正该局活动的运营管理，并制定未来成功开展这些活动的计划。所有控制形式的评估结果用于制定法医鉴定活动管理的现代技术，同时最终结论报告以及对法医鉴定操作中积极经验和典型缺陷的分析审查会分发给该局的各结构部门。这些材料被用作制定改进该局法医鉴定活动的措施和建议、编写分析审查报告、明确法医鉴定有效性标准、改进专家筛选研究程序（符合该局采用的内部标准）、确定高级专家培训的主题和时间表、说明的内容和程序、权力下放和责任赋予制度、为工作人员提供经济激励等的基础。
