ANALYSIS OF MORTALITY IN THE NEUROSURGICAL SERVICE IN SOME REGIONS OF KAZAKHSTAN

Abstract

Neurosurgery is one of the most complex and delicate fields of medicine. Errors in this specialty can lead to devastating consequences, including permanent disability or death. This work is based on the analysis of fatal outcomes according to the data from the Mandatory Health Insurance Fund (MHIF) of the Republic of Kazakhstan (RK). It examines the types of neurosurgical errors and possible solutions for preventing these errors. In everyday practice, the term "medical error" implies the absence of signs of intent and negligence, and instead refers to errors associated with various causes leading to adverse outcomes. The problem of adverse outcomes depends on the quality of the diagnostic and therapeutic process, as well as factors such as gender, age, nosological forms, timing of hospitalization, and more.
An analysis of fatal cases in certain regions of the RK regarding neurosurgical services was conducted. The sample was carried out comprehensively using data from the MHIF of the RK. The sample included fatal outcomes of patients with neurosurgical pathology who were treated in various clinics across the republic. The quality of treatment was assessed using the MHIF's tabular form, which includes passport data, objective status, clinical examination methods, and treatment methods. The treatment outcome was evaluated on a three-point scale of compliance or non-compliance with standards and treatment protocols. The analysis determined the presence of treatment defects, the presence or absence of "medical errors," and more. Conducting such studies will help prevent adverse outcomes in neurosurgery.