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Channel

💉 Качество в медицине. СМК. Внутренний контроль качества.

@vkk381n

On this record: Topic · Growth · Engagement · Advertising · Posts · Citations · Telegram's recommendations · Cite this entry

8,235subscribers

+40 since we began measuring on 7 August 2026

Risers and fallers across the register · movement among entries of 3,162–10,000.

Register entry

Telegram ID-1001371287096
TypeChannel
Username@vkk381n
CreatedBetween 1 April 2018 and 31 August 2021 — estimated from Telegram’s id allocation, not measured. How this range is calculated.
First recorded7 August 2026
Last confirmed live16 September 2026
Measurements held14
Confirmed unchanged1 time, most recently 16 September 2026
On Telegramt.me/vkk381n

Topic

Education — a classification, not a measurement. An on-box language model (Qwen3.6-35B-A3B-FP8, prompt version 1) read this channel’s own recent posts on 12 September 2026 and assigned it the closest of 31 fixed categories, at 78% confidence. This is a model’s judgement about what the channel is likely to be about, not a fact this register measured the way a subscriber count or a view count is measured — it can be revised on a later pass, and it carries no weight anywhere else on this page. How this classification works, and why it has no browse page of its own yet.

Growth

8,1928,2358,213.57 August 2026 — 8,195 subscribers7 August 2026 — 8,195 subscribers10 August 2026 — 8,192 subscribers13 August 2026 — 8,219 subscribers16 August 2026 — 8,214 subscribers19 August 2026 — 8,216 subscribers22 August 2026 — 8,218 subscribers25 August 2026 — 8,216 subscribers28 August 2026 — 8,220 subscribers31 August 2026 — 8,218 subscribers3 September 2026 — 8,212 subscribers9 September 2026 — 8,216 subscribers12 September 2026 — 8,232 subscribers16 September 2026 — 8,235 subscribers7 August 202616 September 2026
14 measurements spanning 41 days, net +40. Dots are measurements; the straight line between them is drawn to join them, not to claim we know the path taken in between — snapshots are recorded only when a count changes, so gaps mean “no change observed”, never “interpolated”. The vertical axis spans 8,186–8,241 and does not start at zero.
Measurement log — every subscribers count we have recorded
Measured (UTC)SubscribersChange
16 Sept 2026, 16:378,235+3
12 Sept 2026, 19:398,232+16
9 Sept 2026, 02:158,216+4
3 Sept 2026, 23:378,212-6
31 Aug 2026, 07:358,218-2
28 Aug 2026, 14:198,220+4
25 Aug 2026, 05:478,216-2
22 Aug 2026, 15:348,218+2
19 Aug 2026, 14:168,216+2
16 Aug 2026, 20:048,214-5
13 Aug 2026, 09:188,219+27
10 Aug 2026, 05:168,192-3
7 Aug 2026, 01:008,195no change
7 Aug 2026, 00:598,195first reading

Engagement

37 posts held, back to 31 July 2026the reader has not yet reached the start of this channel’s public history, so older posts may sit further back, unread. Read across 23 pages of Telegram’s post history, 20 posts per page.

ERR · 30 days
4.56%
avg views ÷ 8,235 subscribers
Avg views / post
376
9 posts measured
Reaction rate
this channel exposes no reaction counts
Posts in window
9
of 37 held

ERR is average views per post over the last 30 days divided by subscribers, the definition TGStat uses, so this figure is comparable with the one you will see elsewhere. It falls structurally as a channel grows: a high ERR on a small channel and a low one on a large channel describe reach mathematics, not quality. We publish the figure and the sample it came from and pass no verdict on it.

ER is defined industry-wide as (forwards + reactions + comments) ÷ views — note the denominator is views, not subscribers. Telegram’s public web preview carries views and reactions but not forward or comment counts, so the reaction rate above is the reactions term only and is therefore a floor: the true ER for this channel is higher by an amount we have not measured and will not estimate.

What these figures were computed from
WindowRolling 30 days · latest post in window 26 August 2026
Posts held37 (31 July 202626 August 2026)
Views total3,383
Reactions total
Forwards / commentsnot exposed by the public surface — not measured, not estimated
Readings taken28 Aug 2026, 19:32 UTC

Views are a single reading per post, taken at the time above. A post published in the last day or two is still accumulating views, which pulls the 30-day average down slightly. That is a property of the standard definition rather than a fault in it, so we keep the definition rather than “correcting” the number into something nobody can reproduce.

Precision. Telegram publishes view counts on its public widget in short form — 8.12K, 3.7M — so any reading at or above 1,000 reaches us rounded to three significant figures, and only counts below 1,000 are exact. Averages and rates derived from them are shown to the same precision rather than to the unit: a figure like 3,701,250 would assert digits nobody measured.

Reaction counts are published per emoji and rounded the same way, so a total below 1,000 is exact and a larger one is a sum that may carry a rounded component from each emoji above 1,000. Because it is a sum, it does not look rounded — read a large reaction total as three significant figures per contributing emoji rather than as the figure it prints.

Advertising

Ad load
8.11%
3 of 37 posts carry an ad marker
Regulatory tokens
3
posts carrying an erid · 3 distinct tokens
Median views · ads
685
over 3 measured posts
Median views · rest
549
over 34 measured posts

An ad marker, not a judgement about a post. A post is counted here because it carries one of two explicit markings: an erid token, which Russian law has required on paid placements since 2022 and which is issued against a specific advertising contract, or a #реклама / #ad hashtag in the body, which is the channel declaring it itself. The first is documentary; the second is a self-declaration and is weaker. No classifier reads the text and decides — nothing on this site guesses that a post is an advertisement.

This is a floor, and it can only ever be a floor. A channel that runs paid placements without marking them produces no marker for us to count, and an unmarked ad is indistinguishable from an ordinary post on the public surface. The ad load above therefore means “the share of posts that declared themselves”, never “the share of posts that were paid for”. A low figure is not evidence of a channel that runs few ads.

Both figures are medians, and no ratio between them is published. Each is a view reading that actually occurred on a post, picked by percentile_disc rather than averaged, so one viral post cannot move it and no interpolated value is invented between two readings. The sample on one side is under five posts, which is too thin to compare. The two figures are shown side by side with the count behind each, and deliberately not divided into a headline like “ads get x% fewer views” — an arithmetic that is easy to print and, at this sample size, means nothing.

Advertising tokens recorded on this entry
eridPostsFirst seenLast seen
CQH36pWzJqM2YXy43bhrAynbQM6ZBcmuNy3wAtGefdy1fg118 August 202618 August 2026
CQH36pWzJqM2YXy4KciRQTr2q8QWaLrJW7Z2XcxzTEkGk713 August 20263 August 2026
CQH36pWzJqM2YXy4KuW5Wgskximwy7UrsXLxACztgp9cWR124 August 202624 August 2026

A token repeated across several posts is one advertising contract placed more than once, which is what the identifier is for. The strings are reproduced exactly as they appeared in the post or in its click-through URL and are not validated against any registry — we record the marker a channel published, and whether it resolves to a real contract is a question for the register that issued it.

Measured over the 37 most recent posts we hold, published 31 July 2026 to 26 August 2026. Views are the latest single reading held for each post, and any reading at or above 1,000 is rounded by Telegram to three significant figures.

Recent posts

26 Aug 2026, 04:57 UTC468 viewsread 28 August 2026

❓ Вопрос 5. Есть ли у МО право на адаптацию требований - с учётом своего профиля и рисков? Да, и более того - это правильный подход. Обязательными являются только требования приказа №785н. Практические рекомендации РЗН показывают эталонный способ их выполнения, но не обязывают воспроизвести конкретный порядок дословно. Медицинская организация вправе выстроить процесс иначе - при двух условиях. 🔵Первое: итоговый ре

Signed Дмитрий Владимирович Лядов Эксперт ФГБУ "НИК" Росздравнадзора

26 Aug 2026, 04:44 UTC325 viewsread 28 August 2026

❓ Вопрос 4. Терминологическая путаница: как разговаривать с командой и с проверяющими? Проблема реальна. В обиход одновременно вошли термины из ИСО-стандартов (процессный подход, менеджмент качества, культура безопасности, риск-ориентированное мышление), из российских НПА (внутренний контроль, критерии оценки, лицензионные требования), из международных систем аккредитации (JCI, CoP). Использование терминологии ИСО

Signed Дмитрий Владимирович Лядов Эксперт ФГБУ "НИК" Росздравнадзора

26 Aug 2026, 04:33 UTC271 viewsread 28 August 2026

❓ Вопрос 3. Что конкретно должно быть сделано в МО в рамках региональной программы? Здесь важно преодолеть иллюзию «слишком длинной цепочки». Если смотреть на задачу через призму классической СМК - с политиками качества, целями в области качества, процессным подходом, аудитами, циклами PDCA - то путь от абстракции к операционной работе действительно кажется чрезмерно длинным и малопонятным для клинициста. Но если

Signed Дмитрий Владимирович Лядов Эксперт ФГБУ "НИК" Росздравнадзора

26 Aug 2026, 04:23 UTC267 viewsread 28 August 2026

❓ Вопрос 2. Практические рекомендации Росздравнадзора - это стандарт, обязательный документ или методичка? Практические рекомендации РЗН формально не являются нормативным правовым актом. Они не устанавливают самостоятельных обязательных требований и не являются стандартом в терминологии закона о стандартизации. Они не влекут за собой сертификации. Но это не означает, что их можно игнорировать. По своей сути ПР РЗН

Signed Дмитрий Владимирович Лядов Эксперт ФГБУ "НИК" Росздравнадзора

26 Aug 2026, 04:14 UTC293 viewsread 28 August 2026

❓ Вопрос 1. Обязаны ли мы теперь внедрять СМК и проходить её сертификацию? Короткий ответ: нет. Развернутый ответ требует разделить два понятия, которые в текущей дискуссии часто смешиваются. Система менеджмента качества (СМК) в её классическом понимании - это концепция, закреплённая в ГОСТ Р ИСО 9000-2015 и производных стандартах, включая специализированный ISO 7101:2023 для медицинских организаций. СМК - это до

Signed Дмитрий Владимирович Лядов Эксперт ФГБУ "НИК" Росздравнадзора

26 Aug 2026, 04:10 UTC395 viewsread 28 August 2026

Региональные программы СМК. Что на самом деле требуется от медицинских организаций Разбираем 5 ключевых вопросов, которые возникают у руководителей здравоохранения После решения Оперативного штаба Минздрава России от 11.12.2025 и последующих поручений о разработке региональных программ внедрения систем менеджмента качества (СМК) во всех подведомственных медицинских организациях до 31 декабря 2029 года в профессиона

Signed Дмитрий Владимирович Лядов Эксперт ФГБУ "НИК" Росздравнадзора

26 Aug 2026, 03:54 UTC409 viewsread 28 August 2026
Photo

Photo, posted without a caption

Signed Дмитрий Владимирович Лядов Эксперт ФГБУ "НИК" Росздравнадзора

26 Aug 2026, 03:54 UTC402 viewsread 28 August 2026
File

File, posted without a caption

Signed Дмитрий Владимирович Лядов Эксперт ФГБУ "НИК" Росздравнадзора

24 Aug 2026, 07:59 UTC553 viewsread 28 August 2026
Advertisementerid CQH36pWzJqM2YXy4KuW5Wgskximwy7UrsXLxACztgp9cWRPhoto

Плановые проверки (аудиты) Нашли нарушение - и что дальше? ☑️ Допустим, аудит проведён. Нарушения зафиксированы. Что происходит дальше? ☹️ В теории - определяется коренная причина, разрабатывается план корректирующих действий, назначаются ответственные и сроки. В теории всё красиво. ❗️На практике - начинается самый уязвимый этап всей системы ВКК. Типичная картина: после аудита проверяющий пишет акт. Акт обсуждает

Signed Дмитрий Владимирович Лядов Эксперт ФГБУ "НИК" Росздравнадзора

18 Aug 2026, 07:57 UTC892 viewsread 28 August 2026
Advertisementerid CQH36pWzJqM2YXy43bhrAynbQM6ZBcmuNy3wAtGefdy1fgPhoto

Плановые проверки (аудиты) - как не превратить годовой план в формальность В каждой клинике есть годовой план внутренних (проверок) аудитов. По крайней мере - должен быть. 👱‍♂️Но давайте честно: как он обычно живёт? В начале года составили, утвердили, положили в папку. Провели пару проверок по горячим следам. Потом - текучка, кадровые перестановки, проверка Росздравнадзора, отпуска. К октябрю выясняется, что полов

Signed Дмитрий Владимирович Лядов Эксперт ФГБУ "НИК" Росздравнадзора

15 Aug 2026, 06:36 UTC962 viewsread 28 August 2026

💎 Уровни проекта Sponsr "Медицина. Внутренний контроль" Краткий путеводитель 🥈 1. Серебряный уровень Для кого: Руководители рабочих групп, Уполномоченный по качеству Что на уровне: На Серебряном уровне публикуются материалы в соответствии с Практическими рекомендациями Росздравнадзора (стационар, поликлиника, скорая помощь, лаборатория и т.д) Пример (крайняя публикация) Тема №260 Управление качеством (1.8.3. Д

Signed Дмитрий Владимирович Лядов Эксперт ФГБУ "НИК" Росздравнадзора

12 Aug 2026, 07:05 UTC895 viewsread 28 August 2026
File

📁 Порядок внедрения локальных документов по внутреннему контролю качества и безопасности медицинской деятельности в медицинской организации (шаблон)

Signed Дмитрий Владимирович Лядов Эксперт ФГБУ "НИК" Росздравнадзора

Showing the 12 most recent of 37 posts we hold for @vkk381n. View and reaction counts are the latest single reading for each post, not a live figure, and a recent post is still accumulating both. A view count marked was rounded by Telegram before we ever saw it — t.me prints views in full below 1,000 and to three significant figures above, so ≈1,200,000 means somewhere between 1,150,000 and 1,249,999. Unmarked counts are exact. Text is reproduced from the public post preview and truncated for length.

Forward network

Republished by

Channels on the register that have forwarded this channel's posts into their own feed.

Built only from forwarded posts we have actually read, on both sides. Coverage is early and deliberately incomplete: a missing link means we have not read the post that would prove it, never that the relationship does not exist. Counts are distinct forwarded posts observed, so they only ever go up as we read more.

Appears in Telegram’s recommendations for other channels

The reverse of the list above, and a different kind of signal. This does not require this channel to have ever been asked about directly — each row below is a channel we DID ask Telegram about, whose Telegram-generated list happened to include this one. A channel can appear here with an empty list above it, because being named by someone else’s query is independent of having been queried itself.

Медсестра!
@msestra · 44,985
Telegram ranks this channel #26 of 94 here — alongside 93 others — read 27 August 2026
ЗдравКонтроль
@martynovevgueni · 218,393
Telegram ranks this channel #29 of 96 here — alongside 95 others — read 11 August 2026
Медицинская Россия
@mediamedics · 143,118
Telegram ranks this channel #52 of 95 here — alongside 94 others — read 13 August 2026
Минздрав России
@minzdrav_ru · 53,480
Telegram ranks this channel #59 of 94 here — alongside 93 others — read 24 August 2026
Юрист для врача Ангелина Романовская
@mfcexpert_news · 29,548
Telegram ranks this channel #78 of 96 here — alongside 95 others — read 8 September 2026
Мурашко по коже 🩺🏥
@murashko_med · 136,726
Telegram ranks this channel #78 of 96 here — alongside 95 others — read 13 August 2026
Поясни за мед
@poyasni_za_med · 22,289
Telegram ranks this channel #79 of 97 here — alongside 96 others — read 21 September 2026
ФМБА России
@fmba_of_russia · 24,838
Telegram ranks this channel #95 of 97 here — alongside 96 others — read 15 September 2026

This channel appears in 8 seed channels' Telegram-generated recommendation lists in total. Each is Telegram’s list for THAT channel, not this one — see how this is measured.

Cite this entry

A live page changes as we take new readings, so a citation should name the measurement it is based on, not just the URL. The line below cites the subscriber count as measured 16 September 2026 — this entry's latest reading, not the date you are reading this.

“💉 Качество в медицине. СМК. Внутренний контроль качества.” (@vkk381n), 8,235 subscribers as measured 16 September 2026. Telegram Register, tgregister.com/channel/vkk381n.

Full measurement history, CC BY 4.0. Every reading this register holds for this entry, not just the latest one, as a dated, downloadable record: CSV · JSON. Free to use with attribution to tgregister.com. Each file carries its own generation timestamp, which is the figure to cite for exactly when the data was retrieved.