Cabinet of Ministers Regulations No. 862 in 2016 (20 December. No 69 70) amendments to the Cabinet of Ministers of 20 January 2009 the Regulation No 60 "provisions concerning minimum requirements for medical institutions and their departments ' Issued in accordance with article 55 of the law of treatment, the second part 1. make the Cabinet of 20 January 2009 the Regulation No 60" provisions concerning minimum requirements for medical institutions and their departments "(Latvian journal, 2009, 2010, 23 No; 41, 206. no; 2012 85., no; 250. no 2013; 138.2014, no; 2015, 192.252., no.) the following amendments: 1. Express 17 the following: "17. to ensure high-quality and safe treatment options to patients, the medical establishment shall take the following measures: 17.1. introduction and provide unambiguous identification of the patient throughout the treatment process, using at least two identifiers (such as the patient's name and ID number); 17.2. ensure effective communication between the patient's healing process involved in healing people and patients, including providing: 17.2.1. timely critical examination (a diagnostic study of anomalies that will most likely show a serious risk to patient health) reporting results in the patient's treatment process involved in the treatment or the patient; 17.2.2. the necessary medical records in accordance with the medical record management of documents regulating the procedure of legislation, where the patient is engaged in medical treatment of persons in certain stages of the treatment or the patient when sending or transferring between departments within the same treatment, or by sending or transferring the patient to another hospital; 17.3. provides risk mitigation measures and anesthesia in surgery; 17.4. provides risk mitigation measures for high risk patients or patient groups related to patient age, medical condition and need special care (e.g., risk of falling, the risk of suicide, sudden health deterioration risk depending on the manipulation or illness); 17.5. implement and maintain patient identifiable internal reporting of patient safety-learning system that supports the collection and analysis of information on cases which occurred or could occur in health care related injury patient (patient safety), and risk mitigation measures to reduce the recurrence of cases and provide a link back to patient safety issues involved medical treatment; 10.9. implement and maintain safe movement of medicinal products in accordance with the laws and regulations on the acquisition, storage, use, and disposal procedures of accounting treatment and social care institutions; 17.7. ensuring the patient's healthcare associated infection risk mitigation measures in accordance with the legislation on hygiene and pretepidēmisk in essential medical institution; 11.1. implement and maintain patient complaints and suggestion analysis system; 11.1. provides treatment services provided in the analysis of the results; 17.10. regular patient survey on the health services. "; 1.2. the deletion of the words in paragraph 16.6. "(except dental office)"; 1.3. the deletion of the words in subparagraph 26.10. "(except dental office)"; 1.4. to supplement the rules by 26.1 and 26.2 points as follows: 26.1 26.7. These regulations "and CB 26.10. does not apply to dental office. 26.2 26.3 26.5 These rules.,.,., 16.6 16.5 16.7, and 26.9.26.10. subparagraph shall not apply to the psychotherapist's Office. "; 1.5. to replace the introductory paragraph of paragraph 27, the words "(except dental office)" with the words "(except dental suite and a psychotherapist's Office)"; 1.6. to supplement the provisions of the following paragraph 139.1: "maternity section 139.1 24-hour on-call provides onsite: 139.1 1. gynecologist, birth; 139.1 2. obstetrician; 3-139.1. anaesthetist, visit his acquaintance Peteris Klava; 4. operation 139.1 sister; 139.1 5. pediatrician or onatolog, where the annual number of birth greater than 1000. "; 1.7. to supplement the provisions of this subsection 5.6.13: "5.6.13. stroke unit stroke unit patient 164.1 provides: 1.164.1 Visual diagnostic examinations (brain computed tomography or magnetic resonance imaging) 24 hours a day, seven days a week; 164.1 2. CT or magnetic resonance of kontrastangiogrāfij 24 hours a day, seven days a week; 164.1 3. ultrasonoloģisk (transtorakāl, ehokardiogrāfij ekstrakraniāl doplerogrāfij of the) investigation; 164.1 4. laboratory investigations (including koagulogramm) 24 hours a day, seven days a week; 164.1 5. continuous vital signs (arterial pressure, ECG, respiratory function, oxygen saturācij) and blood Glycemic, body temperature monitoring of the patient's bed; 164.1 6. medical rehabilitation and early selection for further rehabilitation. 164.2 stroke patient health assessment, treatment and early rehabilitation is provided by a multidisciplinary team (neurologist, nurse, physical and rehabilitation medicine doctor, functional experts). 164.3 Stroke unit supports this provision in paragraph 130. 164.4 Stroke unit patient beds provides a central oxygen supply system and has the following medical device medical activities: 1. oxygen inhalation 164.4 (medical device is a flow meter and a moisturizer); 164.4 2. lasting precisely metered dose medication and solution for parenteral injection (perfuzor, infusion pumps). "; 1.8. replace paragraph 185, the number and the word "2016" with a number and the word "of" in 2017; 1.9. to supplement the provisions of this paragraph 189: "189 these provisions. 2. section 164.1 shall enter into force on 1 January 2019." 2. the rules shall enter into force on January 1, 2017. 3. This provision 1.1. shall enter into force on October 1, 2017. Prime Minister Māris kučinskis, Minister of health of the Andean Čakš