Medical Documentation in the Endoscopy Department: The Necessity of Record-Keeping and Regulatory Framework

Goal: to demonstrate the necessity and importance of maintaining specialized medical documentation in the endoscopy department to ensure the safety of patients and medical staff, reduce the risk of healthcare-associated infections (HAIs), control the quality of medical services, optimize resources, and comply with the regulatory requirements of the Russian Federation legislation. To examine how systematic and accurate record-keeping contributes to improving the efficiency of the department’s operations and reducing the risk of issues during inspections by regulatory authorities. Materials and methods: the study is based on an analysis of the practice of maintaining medical documentation in the endoscopy department of a medical organization. Various types of registration logs (for procedures, disinfection, consumables accounting, staff training, etc.) and their functional purposes were reviewed. The research methods included systematization of regulatory requirements, comparative analysis of the content of logs, and assessment of their impact on enhancing the safety and quality of medical care.

endoscopy department, medical documentation, logs, patient safety, quality control, endoscope disinfection, staff training, regulatory requirements, resource management, occupational safety, sanitary standards, legal responsibility