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The study analyzes the quality control system of nursing care of the obstetric and gynecological department of the Republic Clinical Hospital of the Ministry of Health of the Republic of Tatarstan. The technology quality and the result of the nurses’ activities in obstetrics and gynecology were assessed; recommendations and measures were developed to improve the quality of nursing care in the Perinatal Center of a large multidisciplinary hospital. Assessment of the technology quality of the nursing staff activity was carried out using a formalized card for assessing the quality of nursing medical care. The quality of the result of nursing activity was assessed by studying patient satisfaction with the nursing staff work quality.

Within the framework of the study, based on a review of literary sources, lean production technologies in healthcare and the main approaches to their implementation are studied; the principles, methods and tools of lean production in the consultative and diagnostic polyclinic of the Republic Clinical Hospital of the Ministry of Health of the Republic of Tatarstan are analyzed, including from the standpoint of the paramedical personnel participation in their implementation; with the help of a specially designed questionnaire, the opinion of the nursing staff of consultative and diagnostic polyclinic on the work organization and the nursing staff role in the implementation of the lean production concept was studied; recommendations were made for the development of the concept of lean production in the polyclinic of a large multidisciplinary hospital.