Экспертная оценка случаев оказания медицинской помощи с острым коронарным синдромом без подъема сегмента ST

Expert opinions to examine the quality of medical care in cases of provision of specialized medical care for patients with acute coronary syndromes without ST-segment elevation (ACS without ST-segment elevation) were analyzed to identify the typical defects and study their impact of the outcome. Defects of performing biochemical blood analysis, endovascular procedures, direct anticoagulants and nitrates administration have an impact on the formation of an unfavorable outcome no matter whether it is a single or a complex defect. We developed a method for assessing the consequences for the patient's health in providing health care with a variety of defects with the use of accumulated informative indicators in every single case in comparison with its intervals, which are characterized by different probabilities of unfavorable outcomes: if the values ​​of the accumulated event information content are over 0.311 and 1.104 the risks of adverse outcome can be >20.0% and >80.0% respectively. The use of the proposed method in the examination of the quality of medical care for patients with ACS without ST-segment elevation allows to confirm cases of subjective assessment of an expert by objective data.