The reasons for diagnostic pardons are active and sub'active. About the active and sub-active causes of the licars' pardons

About the active causes of diagnostic pardons

1. The shortness of the transfer of the sick person to the hospital.

2. The importance of becoming sick, but not allowing them to carry out folding diagnostics until the end of the day (according to the principle - not our own), before the hour of some wines can die.

3.Individual objectival difficult diagnostics (inconsistency in diagnostics at the time of pre-diagnosis, atypical or erase the manifestation of symptoms in malaise, extreme nosological form for this region, for example, for Moscow - opisthorchiasis or ailment Kawasaki) etc. In other words, boules vikoristani all diagnostic possibilities of the given medical mortgage, ale correct diagnosis stand up without reaching.

1. Lack of care for the sick.

2. Pomodki in the collection of anamnesis, underestimation or reevaluation of anamnestic tributes.

3. Invalid interpretation of key tributes, or underestimation or reobligation.

4. Underrequalification or reevaluation of laboratory, electrocardiographic, ultrasonic, radiological, endoscopic and other additional, incl. and instrumental methods of advancement.

5. Inadequacy or re-evaluation of the consultant's visibility (here it is necessary to remember, but for a sick person you do not know the specificity of a car).

6. Incorrectly inducing or formalizing the final clinical diagnosis (including the visibility of the headings, the expansion in the headings of the main disability, etc.).

In case of post-mortem lethality - for those who died at home and for those who were rapist death) With the establishment of the cause of death, the imprisonment of the prisoner (written in the card of the outpatient sick letter of the posthumous episode) has a number of its own peculiarities. At the same time, the patient goes to the clinic for a medical aid, he doesn’t know the recommendations of the doctor and the patient. There are drops, if the patient for the medical aid is not vicious and formulate the conclusions of the clinical diagnosis does not seem to be feasible. In such situations, the diagnosis is not made.

The visitor needs to be aware of his own thoughts about the categories and reasons of diagnostics problems, as well as about the problems of early diagnoses and those who were important to the patient, who were caught by the pathologist, the pathologist Pіslya-approved of zavіduvachem vіddіlennyam, tse sudzhennya Vinos pathologists on zasіdannya pіdkomіsії of vivchennya lethality vipadkіv (PILI) abo Dali - on zasіdannya lіkuvalno-kontrolnoї komіsії (LRC) abo klіnіko-anatomіchnu konferentsіyu lіkarnі (UC), de lіkar pathologist abo zavіduvach patologoanatomіchnim vіddіlennyam reasoned to bring the presented point of view.

The residual clinical-expert examination for a specific lethal skin result is accepted only collectively, comic or conference (PILI, LKK, YK). If the doctor-pathologist is not happy with the visnovka, it is necessary to register in the protocol of the commission and the food to be passed on to the main organisation according to the normative documents.

1. Avtandilov G.G., O.V. Zayratyants, L.V. Kaktursky.- Making diagnostics.- Moscow .- "Medicine" .- 2004.- 304 p.

2. Zayratyants O.V., Kaktursky, L.V., Avtandilov G.G. - Formulation and registration of the final clinical and pathological diagnostics. -Methodical recommendations Moscow .- "Max Pres".-2003.-44 p.

3. International statistical classification of ailments and health problems. - Ten revisions. - Volume 2. - Methodical instructions. - Geneva. - WHO. - 1995. - 180 p.

4. Order of the Ministry of Health of the Russian Federation dated 27.05.1997. No. 170. About the transition of organs and health protection pledges Russian Federation on the ICD-10.

5. Rikov V.A. - Fundamentals of medical law. - Information-pre-informational book of Novokuznetsk - 2003. - 336 p.

Knowing the reasons why diagnostics grants to non-flexible mill It is also possible to help a friend in the designation of the standards and the selection of the correct tactics for dealing with ailments. Diagnostic pardons are divided into active and sub-active. To ob'ktivnyh should be:
- the increasing rate of death of the sick person, the appearance of pathognomonic signs of sickness;
- Do not bend key picture getting sick;
- obmezhennya in chasі for obmezhennya sick;
- the inability to carry out the necessary conditions for diagnostics;
- the visibility of minds for the care of the sick;
- lack practical preparation lykarya.

On the skin stages of diagnostics and additional help(at home, shvidka help, Stationary) re-insured cause to lose their meaning, to play their role. In the minds of the stationary, the woman is not guilty of producing diagnostic pardons before the appearance of diagnostic pardons for guiding reasons.

Evidence of active difficulties diagnostics of non-slip mill in case of caution of ailments in outpatient minds, to rob with a primed and necessary more early hospitalization of ailments who are not clear in the diagnostic diagnosis.

To sub-active the reasons for diagnostics of pardons for an unavailable mill refer to:
- underestimation of the sick person's scarg and the history of the disease;
- grasses for the physical conditioning of the sick;
- underestimation (for not knowing) key manifestations ailments;
- incorrect interpretation of laboratory results and instrumental methods doslіdzhennya, or їkh reevaluation;
- characterological specialties of the doctor's specialties.

Usunennya tsikh reasons can be deprived of shlyakh bilsh active promotion of the qualifications of the doctor outpatient polyclinic and hospitalization, a wide distribution of information and knowledge of senior colleagues.

In case of failure in the diagnosis of that chi іnshiy non-slip mill, We will be built, let’s more allow їх hyperdiagnostics, we don’t care, we don’t need hypodiagnostics to start and tactics of dealing with a sick person.

More important than preventive maintenance of licars we need a dynamic warning for ailments.

Stretch myocardial infarction- it can be quick and easy to develop. In the first case of the EHC, the picture is demonstrative and manifests itself immediately. In another way - the EKG picture will be remembered, but it can be brought to the hospitalization of a sick person with a further fatal myocardial infarction. In such cases, the very knowledge of the tactics of leading a sick person can guard the drug against a diagnostic pardon.

knowledge tactics of leading a sick person a change in or out of diagnostics and dispensaries.

Reasonably all the cleverness of the schemes, recommendations, mi spodivamosya, scho we have promoted the tactics of a large group of sick people can help a doctor in his practical activity.

The most difficult in vibration of clinical and diagnostic tactics to be arranged at home, with a whole mind, to look around the sick person, they are not very important (foldable). With a short change in the correct assessment of the sick person in such a way (and not only!) Usunennya tsikh bureaucrats can be done when the offensive minds are caught:
- it is necessary to enter into a bezposredn_y contact with the ailment, having deprived no more than one relative, who can help in the cure of the ailment;
- as much as possible to take care of all the necessary thoughts for a general look around and the care of the sick, unaffected by the severity of their camp;
- we will take care in our courts and at the most urgent need surgical engagement for the ambiguity of the hospitalization of the sick person, and the advice of a senior colleague, the first person.

Until the pardons are given inconvenient help It was accepted that it was wrong, or the lack of medical personnel, because they could be victorious, or they could be killed, or the death of a sick person.

Lіkarska pomilka yak Yurydychna kategorіya - tse sumlіnne Oman without lіkarya Find our zlochinnoї neoberezhnostі: zlochinnoї nedbalostі (znevagi vidimoї abo vіdomoї nebezpekoyu) zlochinnoї samovpevnenostі (not obgruntovanoyu of Hope uniknuti uskladnen) abo zlochinnogo nevіglastva (nestachі profesіynih knowledge in mozhlivostі їh otrimannya) [Zіlber A. P., 1994]. To that, for mercy, right from the inheritance, the licar cannot bear criminal, discipline or insight. Vidpovidality insisted in quietly, if, in the middle of the reasons, they called for a pardon, signs of negligence, malignant negligence or violation of the lawful legislation of the Russian Federation appear.

One of the peculiarities of Likarsky pardons when the cardiological camps of the field are not open is that, in the case of a high degree of rapidity, I will not be able to spend an hour for these changes.

Pardons can be distributed for diagnostics, treatment, tactful and deontay logical.

diagnostics grants

Diagnostic pomodki glade in the fact that the main ailments, And also the acceleration of the establishment is incorrectly or incorrectly, and the formulation of the diagnosis is not categorized, nor does it appear to the 10th glance of the International Statistical Classification of ailments and health problems of the ICD.

For R. Hegglin (1993), the following officials can lead to an incorrect diagnosis:

a) ignorance;

b) lack of provision through:

Lack of abilities;

I don't have an hour;

Forsaken technology;

c) pardons in judgments:

Atypical perebіgu sickness;

Formed stereotypes;

Lack of constructive mission;

Settings for the bezopomilkovost of their diagnosis;

Leading thoughts;

Self-love and Marnoslourism;

The inconsistencies of the visnovkiv;

Non-funky character;

Pragnennya to put especially "tsikavi" diagnostics;

Pragnennya does not go beyond the framework of "beaten" diagnoses;

Іnhhh rice character, such as a smartness to pesimism or optimism,

Dodamo, which is one of the reasons for diagnostic pardons є ignoring the presence of a necessary (or obvious) symptom.

In an unadvisable cardiology, diagnostic pardons are given to the grave camp of the sick, to the minds of the day, and to the smut - an hour for regularity, consultation and dynamic caution.

Do not be aware of the lack of equipment with diagnostic equipment (for emergency ultrasound,

roentgenologic, laboratory dosage) Maє virіshalne meaning.

Most often, the reason for diagnostic pardons is that it is inadmissible that it is straightforward and that the information about the patient is correctly evaluated and the information available about the patient is correct: scargias, anamnesis of illness, anamnesis of life, data of a preliminarily all-physical, perstructive

lіkuvalnі pomilki

Punishments in the implementation of an inconspicuous treatment are manifested by significant and unprinted views from explicit local, regional, or national standards, or formed unspoken principles of overhaul extra help... On the thought of V.F.Chavpetsov and spivavt. (1989), lіkuvalny grave viyavlyayutsya in the offensive:

Chi is not recognized lіkuvalny drugs and political manipulations, which are shown;

The indication of the drug is due to or of the drug manipulation to become stagnant (untimely, the wrong dose, the method, the speed, the multiplicity of the introduced or the technology of the test);

Inappropriate drug preparations or drug manipulation are meant;

Vikoristovuyutsya unreasonable day lykarsky zasobiv abo drug management;

Stagnate against indications of drug preparations or drug management.

The main reasons for pardons in inadvertently- sub'-active. The meaning can be found in the number of necessary licenses, solutions, equipment or tools. True, it also reduces the aggressiveness of the disease and the threat to the life and health of a sick person, as a result of unjustifiably intensive therapy.

best frequent pardons in the presence of indiscriminate additional help, without question, є the sign of drug preparations or drug manipulations without sufficient evidence, poly-pragmas, victorious unfortunate licars "kok-Tyl.

Іnsha, not the least important group of pardons in lіkuvannі, including overwhelmingly internal introduction of potent drugs; Victory of such licars and methods of introduction, when it is important to manage the effect. A classic butt can serve an unacceptable shvidke internally introduced novokainamid. Vvazayut, so the speed of the internal infusion given to the drug not guilty of perevischuvati 30 mg / min. Call me, especially on pre-hospital stage The procedure does not take more than 5 min, i.e.

Another type i not without a pardon polyagaє in that, it is not possible to get lost in a flood of lykarsk zasobіv, such as ailments to catch up permanently, as in that they zastosovuvalis without prior assistance in front of a lot of uncomplicated help. For example, on the basis of planned treatment with blockers (3-adrenergic receptors to inject verapamil. Traces of such kind of pardon (arterial hypotension, important bradycardia), do not expect to go to sleep.

Seriously discerning pardon for respecting and not growing too much effective methods Providing extra medical help. In the morning, before such pardons, it is possible to bring an unprimed form of thrombolytic therapy for large-focal myocardial infarction (Chapter 6).

tactful pardons

Tactic pardons when given non-practical assistance - the price of pardons for the offensiveness of the treatment, that is, it’s not a good thing, because it’s not a matter of the transfer of sick people to the hospital.

Call tactful pardons to viplivayut from diagnostics, like, in your own heart, to produce to addicts. At the prehospital stage, tactful pardons, as a rule, lie at the unfortunate hospitalization of a sick person, earlier - in an unprecedented unprimed or non-professional wiklik of a special brigade. It is impossible not to mention, but the state of hospitalization can rarely be justified by the sickness of the stationary treatment, often - the price of legacies of deontological (it is impossible to know the contact with the patient) pardon.

deontological pardons

Deontological pardons are felt by those who are not aware (only because of the extra strength or lack of strength) because they know the contact with the sick and the sick, underestimation of those who are not careful, respect, the failure of psychotherapeutic methods of overcoming the lack of treatment. Rephrasing Confucius, it is possible to say, that one who does not know the power of words, one cannot know, or like a person.

Deontological pardons are encouraged to produce up to the wrong collection of information, and, therefore, to an inoperative diagnosis and loss of one of the main reasons for claims to the quality of medical aid.

Obviously, both diagnostic, therapeutic, tactful and deontological pardons are interconnected, not often amused by the same reasons, and one of the reasons. It is significant that a number of pardons lie in sub-active factors, and a lot of new ones are found through the lack of professional assessment of the elderly.

redeeming pardons

Skinny times, nadayuchi nevіdkladnu help, slіd vrahovuvati:

The importance of a sick person (steps of a sickly damaged blood circulation);

Immovability of the verdict of those who are not safe for life (the manifestation of direct contamination of the hospitable deterioration of blood circulation);

Mainly і companions become ill and їх accelerated;

Bezposrednyu reason and mechanism of determination of the non-flexible mill;

Accept and accept non-slip mill factor;

Vіk sickly;

Prior to treatment and reaction to drugs in the past;

Possibility of storing general recommendations for non-practical cardiological assistance;

Features of the non-slip mill;

If necessary, it is necessary to educate the steps of imaging diagnostics (singing, fortune-telling), as well as direct differential diagnostics (with some trapped ones, among others).

6. Assessment of the clinical situation:

I will become important;

The severity of the hostile deterioration of blood circulation, or the direct problem of its failure;

Lead (s) syndrome (s);

Features of the non-slip mill;

Ymovirny forecast;

Necessity and possibility of extravagant rejection of additional information, additional help to faculty members.

7. Invisible additional help:

Likarski zasobi: hour (ear, end, speed of introduction), dose, method of consumption, reaction to consumption, side effects;

Likuvalnі manіpulyatsії: hour spent (ear, end), how the hardware, technical difficulties, reaction to the held, accelerated.

8. Signs of self-esteem and a sick person (skargi, clinical, instrumental, laboratory data, the results of my life important functions etc.) in the dynamism (for an hour and according to the stages of the necessary additional help).

9. Pidtrimu lіkuvannya, proіlactichnі come in, recommendations for the sick.

10. The onset of a given medical aid (to whom, at any hour, at a certain stage of transmission of ailments).

In case of an extraordinary hospitalization, official forms are sent to the stationary registration. It is important to convey to the patient an extraordinary amount of information and information. It’s easy to rob, and I’m formalized a card of non-operational help from a copy. It is important not to forget to take to the hospital all the medical documentation that is relevant for the given vypadku, but at the sick home (outpatient card, dovidki, electrocardiograms, etc.).

On the current day, the problem of unreliable provision of medical aid is more and more urgent. Chastina 1 Art. 41 of the Constitution of the Russian Federation proclaims the right of skin people to protect their health and to receive medical assistance. Approved to the station. 10 The Law on the Basics of Protecting the Health of Huge People One of the main principles of protecting health in Russia is the availability and quality of medical assistance. Yakisna is a medical aid to be characterized by the fastness of health, the correct choice of methods of prevention, diagnostics, rehabilitation and rehabilitation, by the step of reaching the planned result (clause 21 of article 2 of the Law of Health on the Basics of Thunder Protection) However, due to new circumstances, both active and sub-active, there are a few medical pardons for drug users.

Ponyattya "Lykarska pomilka"

I am very understandable, that all generations do not bully and will not be insured from their pardons, often referred to as "licars pomp" lykarska pomilka- a pardon for a drug worker at the time of his professional duties, as it became a very good pardon, could not be transferred and approved, i.e. V. about. not burdensome with discipline, administrative or criminal punishment.

You can feel that lіkarska pomilka - tse is not malicious negligence, but a mistake in the professional activities of a lіkar, wіll wіll hаve for the benefit of the sick man. A number of ship doctors (M.I. Avdov, N.V. Popov, V.M.Smolyaninov and I.) lykarskoy mercy slid of intelligence the sum of the oman of the doctor in his professional activity, Iakshcho viklyuchenі nadbalіst, nedalіst, it is unlawful to experiment on ailments. In the first place, there will be no likars' pardon, but a bit of money, for which the law is not given to the court by our legislation.

Likarsk pomki are divided into three groups:

1) pomilki diagnostics - non-recognition or pomilkov's diagnosis of ailments;

2) tactful pardons - an incorrect indication before the operation, a pardon vibration for the hour of the operation, її obsyagu, etc .;

3) technical pardons - incorrect registration of medical technology, storage of unsuitable medications and diagnostics, etc. Klava B., 1 roku 3 months, died before an hour of sleep in a nursery on September 29, 1998. From 5 to 17 won, she suffered a respiratory infection from the drive of a nursery. Likar yassel took the child 18 sichnya with overwhelming symptoms of the transferred catary verkhnykh dikhalnyh nobles(Clearly mucous vision from the nose, one heard one dry wheezing in the legends), in the fake little child the bully was looked at by a liche on the 26th day. The diagnosis of pneumonia was not established, but it was indicated that the catarrh of the upper dichny paths was trimmed, but the temperature of the baby was normal. Likuvannya was trivial in the nursery (mixura - as a cough, drops in nis - as an undead). Ditina gazed up nasty, buv blasphemed, drowsy, without appetite, coughing.

September 29, 1998 at 1 pm Klava B. was sent to sleep at once with the other children in the bedroom. Ditina slept calmly, without screaming. When the children were coming at 15 o'clock, Klava B. did not give a sign of life, it was a little warm. The older sister of the nursery innocently became a robust piece of food, gave two shots of coffee, and the little child was given gristles. We will add a doctor of a shvidkoy medical aid, a piece-by-piece mouth-to-mouth massage and indirect massage of the heart were carried out. However, revive the child without reaching.

During the ship's medical examination of the corpse, Klavi B. buli revealed: catarrhal bronchitis, widened serous-catarrhal pneumonia, interstitial pneumonia, many focuses of blood in the tissue of the legene, which caused death and was the cause.

On the thought of the expert committee, the pardon of dyi likariv in this vipad was in the fact that the child of writing in the nursery did not see it, because of the surplus manifestations of respiratory infection. Likar yassel is guilty of being guilty of actively guarding the child, to carry out additional pre-screening (fluoroscopy, blood analysis). This would give the opportunity to more correctly assess the health of a sick child and to spend more actively come in... It is more correct to spend a child's love not in the minds of a healthy collective of children in a nursery, but in a child's bed.

Taking into account the nutrition of the organs of the family, the expert committee stated that the defect in the treatment of the sick child in the world is difficult for diagnostics of interstitial pneumonia, as well as for the progression of normal temperature Pneumonia could develop in the last days of the child's life. The death of children with pneumonia can occur and without any swelling signs of illness.

The practice is to show that the majority of licars' pardons are tied to the lack of knowledge and insignificant approval of the licar. At the same time from the time of pardon, for example, diagnostics, it is not only at the ears of the ears, but at the older ones.

Before the pardon was given to the lack of sophistication of the established methods of advancement, due to the lack of necessary equipment and technical shortcomings in the process of the Victory Day.

Classification of licars' pardons The classification of licars' pardons is assigned to a number of robots, which, by itself, is indicative of the super-specific complexity of the problem. Most popular such classifications.

Professor Yu. Ya. Gritsman (1981), having passed a series of pardons for:

diagnostics

likuvalny

politically and tactfully

technical and technical

organizing

pardons tied to incorrect documentation and behavior of medical personnel.

We are empowered to classify the reasons for pardons for academic oncologist M.M. Petrov:

1) stale due to the incompleteness of our knowledge on happy step – 19%;

2) fallow lands due to the lack of control of the rules of the classroom maintenance - 50%;

3) to lie down in the camp of the sick - 30% (1956).

Likarska pomilka in medical practice є a non-malicious act. However, it is not often the case for the lack of good judgment and bad faith in the profession of a doctor. And in such surroundings, the likarska pomilka becomes a criminal evil, and the licar does not have a certainty.

Understanding and statistics of licars' pomp in Russia

• So, it is often given a pardon to see vipadkovo and maє to respect the work without bad intentions, the visibility from the side of the liquor will be remembered. In order for the schob to be serious, it is necessary to bring, what a pity the bully was evil.
• The active reasons for the likarsky pardon are the lack of care, lack of importance and lack of information. Stink vrahovoyatsya for pom'yakshennya viroku.
• The sub-active reasons for the politician's pardon are the lack of equanimity in the course of medical diy, Nehtuvannya with frequent medical care, etc. Sub'active reasons for being vicious in legal practice for making it possible for viroku.

• In 2015, 712 children, including 317 children, suffered from the licars' pardons and the lack of medical assistance.
• In 2016, there were 352 patients, and 142 children were lost. At the same time, in the UK it was over 2,500 times about the mischief that was tied up with likarskoy negligence. At the last week of the exhibition, 400 critical references were received.

Installed on the current day, the exact date of the license is not clear. The very fact of the pardon is necessary to bring the very fact of the pardon.

Classification of licars' pardons

• diagnostics... This kind of pardon is found on the stage of diagnostics and є by extensions.
• organizing... To be drunk with a lack of abnormal organization of medical assistance, as well as with a lack of medical service.
• Likuvalno-tactful... As a rule, they are considered for diagnostics. To be sure, pardons are allowed in the diagnosis and repair of the patient, according to the diagnosis.
• deontological... The psychological character and behavior of the drug user during spilkuvanny with sportsmen, patients and relatives of the patient is worthy of it.
• Technical... The paperwork robots are the most successful. It may be that the card of the patient, vipisk is incorrectly stored, whether it is medical documentation, etc.
• Pharmaceutical... May it be easy to get in situations, if the pharmacist does not seem to be showing any indications, as well as the confusion with other drugs.

Likarski pomilki in dentistry

In order to avoid problems when looking at the client, the fahivtsya went back and forth clearly and intelligently to explain the scheme of the conversation, to be happy with the patient, to clarify with any other person. Inodi in dental clinics, especially when serous lіkuvannya, To settle the agreement, in which it is meant, that the patient knows about the sign of love and nothing else.

See the evidence for the license

As far as the mercy was revealed in the course of the latest investigation, it is cleverly possible to think of two types that can be easily understood:

• Civil and legal vidpovidality... As a rule, it’s worth a penny for showing a shkodi, which includes a moral school, for the service of a penny patient, the part of the yak bul will need to be looked at, the price for additional services, etc. Obviously, there is no clear algorithm for setting the size pennies You can squeeze a positive person. To that, I have the right to present the bag itself, which is required, ale in the clever fringes.
• CRIMINAL VIDEO... Resurrect for the life of the Skoda and death according to Likarsk pardon. At the same time, if the patient has recognized the lack of medical care, but his health has not been established, there is no good health, the criminal decision is not good. A ship medical examination is carried out.

It is not often that we are affected by the report of the singers in order to reject the moral shkodi;

Statutes of the RF CC of the Russian Federation about licenses and criminal information

So, as a result of the examination, it was established that the patient was pushed through the likarsku grave, h. 2 Art. 109 KK the doctor can shake the will up to 3 rock. Yaksho well buv zavdano grave shkodi health, vinny sued for lines up to 1 rock. It means that in the first place, and in another way, it is also possible to transfer the elimination of the rights to engage in medical activity.

• An unlawful abortion was carried out, and the patient died or had an important health condition. Look at part 3 of Art. 123 QC.
• The patient becomes infected with VIL-infection through the negligence of the doctor. Part 4 of Art. 122 KK transmission of willpower up to 5 rockets.
• As a result of the illegally carried out medical and pharmaceutical performance of the patient, having made an important health care, wine is punishable by Part 1 of Art. 235 QC. Vipadki with a lethal result are considered part 2 of Art. 235 QC.
• As a result, the patients did not receive medical assistance, as a result of which they had lost the Skoda of average or easy severity, and at the risk of getting up to Art. 124 QC. If the Skoda is more than one hundred percent or incorrect, then dіє h. 2 tbsp. 124 QC.
• As soon as the fact of medical non-baldness was established, the result of which - the loss of a serious child to the health of the people, or the death of a patient, then part 2 of Art. 293 cc.

If you have lost a criminal right before the ship's attendance, you can apply civil postures, but you can get rid of a fee for making a fortune. The right is recorded in Art. 44 PDA.

Kudi zvertatisya at the lykarsku pardon?

• Keruyuchі individuals of the lіkuvalnogo mortgage... Tse can be responsible for the change in / out / polyclinic / for head license... You need to clarify the situation in detail, so you have to submit and prove that the fact of the brutalization and politicization is effective. An hour of food to be given gratitude at the same stage. Vidpovidality of the drug, which has broken a pardon, may be at the viglyadi of the added bonus, the withdrawal from the salary, or a fine.
• Insurance company... Here, the patients will need to present all the proofs, as in the case of a new one, and also to clarify the situation in detail. The inspectors of the insurance service will be guilty of your right and conduct a detailed examination of the doctors. According to the results of the examination for a legal mortgage, de Bula was allowed a license, a fine will be imposed.
• ship organizations... Before the court, it will be necessary to bring not only all paperwork, prove, ale and poses, in which you write your report before the appeal. The judge on the right will be clearly visible. For tsyogo z a great part It will be necessary to see a number of court examinations, the result of which is better for everything, if the necessary compensation is rejected.
• prosecutor's office... People can get caught up in that vipadku, if you bazhaєte ruin the criminal right on a person, yaka made a likarsku pardon. Get ready for next glimpse serious heritage, Yaksho to appear, to prove the hibny.

Yak to bring likarsku pardon?

• medical card with vidpovidnymi records;
• document the results of analyzes;
• copies of documents with results;
• checks and receipts for payment of services;
• checks and receipts for the purchase of prescriptions for registration.