Articles
| Open Access |
https://doi.org/10.5281/zenodo.20035679
MODERNIZATION OF SPECIALIZED PEDIATRIC CARE IN UZBEKISTAN: INSTITUTIONAL TRANSFORMATION OF THE NATIONAL CHILDREN'S MEDICAL CENTER BASED ON JCI STANDARDS AND INNOVATIVE TECHNOLOGIES
Agzamova N.A.¹ʼ², Matnazarova G.S.¹, Umarov B.Ya.², Sabirov J.R.³ , National Children's Medical Center, UzbekistanAbstract
Objective: To evaluate the content and effectiveness of institutional transformation at the National Children's Medical Center during 2021–2025 through integration of Joint Commission International (JCI) standards, high-technology medical care, patient safety infrastructure, and scientific-educational capacity. Materials and Methods: A retrospective descriptive-analytical study was conducted using institutional annual reports for 2021–2025, JCI accreditation documentation, RIQAS external laboratory quality assessment data, and research performance metrics. Results: In 2025, the Center delivered 94,383 outpatient consultations and performed 6,404 surgical procedures, with more than 70% classified as high-technology interventions. Programs in bone marrow transplantation, kidney and liver transplantation, and congenital cardiac surgery demonstrated substantial expansion. JCI accreditation obtained in 2024 facilitated systematic implementation of the International Patient Safety Goals and strengthened clinical governance frameworks. Scientific productivity increased, with 18 publications indexed in Scopus and Web of Science databases during the first 11 months of 2025. Conclusion: The Center demonstrates a scalable institutional model for modernization of tertiary pediatric services in Uzbekistan.
Keywords
JCI accreditation, patient safety, clinical governance, high-technology surgery, transplantation, RIQAS, pediatrics, quality control, institutional transformation.
References
National Children's Medical Center. Annual Report 2025. [Болалар миллий тиббиёт маркази. 2025 йил фаолият ҳисоботи.]
Atajanova Yu.Yu., Umarov B.Ya., Salakhitdinov Sh.N. Implementation of Patient Safety and Quality Control Units in Compliance with International Accreditation Standards. Eurasian Journal of Medical and Natural Sciences. 2025.
Ergashov N.Sh. et al. Patient Safety for Medical Students as an Advanced Step Towards Improving Patient Safety. Herald of TMA. 2022.
Joint Commission International. Joint Commission International Accreditation Standards for Hospitals. 8th edition. 2024.
Ministry of Health of the Republic of Uzbekistan. Order No. 52 dated February 23, 2024. [Ўзбекистон Республикаси Соғлиқни сақлаш вазирлигининг 2024 йил 23 февралдаги 52-сонли буйруғи.]
Asatullayev R.B., Rashidova O. Clinical Incident Reporting in Uzbekistan. Journal of International Scientific Research. 2025.
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