A manifesto of care
Safety you can feel
True medicine begins not with a diagnosis but with the feeling of complete protection. When you walk through our doors, you trust us with the most precious thing — your life and health. We answer that trust with a safety system we do not merely declare, but let you feel in every detail.
For us, safety is not the dry figures in reports — it is the calm gaze of a patient who knows they were cared for in advance. As the clinic's leadership, we personally guarantee that every protocol — from sterilising an instrument to protecting your data — is followed without fail.
We have built a multi-layered system of protection in which every process has its owner — a professional who answers for the result in their own name.
Layer 01
Infection safety: WHO and CDC standards are met
You feel it in the cleanliness of the air and see it in the sterility indicators on every instrument pack. We have implemented WHO and CDC standards that reduce infection risk by 50 percent.
Process owner
The operating-room nurse and the central sterilisation department nurse control every processing cycle against strict checklists.
Process control
Head nurse of the clinic.
Elena Sokolova
Head nurse
Layer 02
Medication safety: the rule of five rights
The right patient, the right drug, the right route, the right dose and the right time. We rule out the human factor: a double check of high-risk drugs and the involvement of a general practitioner let us account for your somatic status, kidney and liver function, and prevent adverse reactions and drug interactions.
Process owner
The head nurse and procedure nurses carry out and verify prescriptions, guaranteeing the pharmacological safety of your treatment.
Process control
Quality officer, deputy chief physician for clinical and expert work, general practitioner.
Andrey Lebedev
Deputy chief physician
Layer 03
Surgical safety: control in every second
The WHO surgical checklist in the operating room is mandatory. The time-out before a procedure, when the whole team pauses for a final verification, is a moment of full focus on your safety. Below is our checklist for ENT and dental surgery.
Sign In — before anaesthesia induction
- Confirm patient identity, procedure, surgical site and consent
- Mark the surgical field (for lateralised procedures)
- Check anaesthesia equipment and safety
- Assess allergies (critical for dentistry and maxillofacial surgery)
- Assess airway and aspiration risk
- Assess blood-loss risk above 500 ml (or above 7 ml per kg in children)
Time Out — before the procedure begins
- Introduce all team members (name and role)
- Confirm: patient, procedure, position, side
- Antibiotic prophylaxis: indicated, given, drug, dose, route, time — or not indicated
- Critical steps, duration, expected blood loss
- ENT and maxillofacial specifics: eye protection, head position, need for neuromonitoring
- Equipment sterility confirmed
Sign Out — before leaving the operating room
- Confirm the procedure performed
- Count instruments, needles and gauze (critical for intraoral procedures)
- Label specimens with the patient's name
- Equipment issues that need resolving
- Post-operative care and recovery plan
Proven effectiveness
Adopting the WHO checklist is associated with a 41 percent drop in complications and a 43 percent drop in infections. The effect depends on the quality of use — a checklist that merely exists, without proper application, guarantees no improvement.
Process owner
The head nurse coordinates the operating block, ensuring the team and equipment work as one.
Process control
Chief physician.
Dmitry Orlov
Chief physician
Layer 04
Information safety
Your data is protected. Before the appointment we sign all informed-consent forms. The clinic runs electronic document workflow: consent forms and records can be signed electronically — for your convenience and ours. Photo and video documentation follow internal regulations and federal law.
You can review the documents in the online-services section. Open the licence
Process owner
The service manager ensures your stay is not only safe but also convenient.
Process control
General director.
Pavel Volkov
General director
Layer 05
Radiation safety
Radiation safety in dentistry and ENT diagnostics is backed by a broad evidence base: doses in dental imaging range from ultra-low to low, and ultrasound is entirely free of ionising radiation. In its 2024 guidance the American Dental Association (ADA) systematised effective-dose data. For context, doses are compared with natural background radiation (about 3.1 mSv per year, or roughly 8.5 μSv per day).
- 1.2–2.5 μSv
- Intraoral images with digital detectors — 3–4 times lower than film (3.5–8.2 μSv)
- 22.9 μSv
- Average dose of a panoramic image
- 530.6 μSv
- CBCT dose — half that of multi-slice CT at the same field of view
- 1 : 24,500
- Highest lifetime radiation-induced cancer risk from CBCT (40.8 × 10⁻⁶, women aged 20–24)
Process owner
Deputy chief physician for dental care and CBCT imaging.
Process control
General director.
Pavel Volkov
General director
Why it matters to you
Safety at MediLavia is not a constraint but a freedom. Freedom for the doctor — to treat, knowing their flank is covered. Freedom for you — to simply close your eyes in any doctor's chair and know you are in safe hands. We do not just treat — we create a space where safety becomes tangible.
Sources
- Optimizing Radiation Safety in Dentistry: Clinical Recommendations and Regulatory Considerations.Journal of the American Dental Association. 2024. Benavides E, Krecioch JR, Connolly RT, et al.
- Effective Doses and Radiation Risks From Common Dental Radiographic, Panoramic and CBCT Examinations.Radiation Protection Dosimetry. 2021. Shatskiy I.
- Dose Measurements for Dental Cone-Beam CT: A Comparison With MSCT and Panoramic Imaging.Physics in Medicine and Biology. 2014. Deman P, Atwal P, Duzenli C, Thakur Y, Ford NL.
- A Systematic Review Comparing the Effective Radiation Dose of Musculoskeletal Cone Beam Computed Tomography to Other Diagnostic Imaging Modalities.European Journal of Radiology. 2024. Mason K, Iball G, Hinchcliffe D, Snaith B.
- Clinical Application of Radiation Dose Reduction for Head and Neck CT.European Journal of Radiology. 2018. Yabuuchi H, Kamitani T, Sagiyama K, et al.
- Evaluation of Radiation Dose in Multi-Slice Computed Tomography Protocols of Head and Neck Regions.Radiation Protection Dosimetry. 2023. Jeyasugiththan J, Karunarathna S, Satharasinghe D, Hishaam U, Pallewatte A.
- Clinical Consensus Statement: Appropriate Use of Computed Tomography for Paranasal Sinus Disease.Otolaryngology–Head and Neck Surgery. 2012. Setzen G, Ferguson BJ, Han JK, et al.
- Clinical Practice Guideline: Surgical Management of Chronic Rhinosinusitis.Otolaryngology–Head and Neck Surgery. 2025. Shin JJ, Wilson M, McKenna M, et al.
- Doses, Benefits, Safety, and Risks in Oral and Maxillofacial Diagnostic Imaging.Health Physics. 2019. Lurie AG.
- CT Radiation: Key Concepts for Gentle and Wise Use.Radiographics. 2015. Kalra MK, Sodickson AD, Mayo-Smith WW.
- Image Gently: A Campaign to Reduce Children's and Adolescents' Risk for Cancer During Adulthood.The Journal of Adolescent Health. 2013. Applegate KE, Cost NG.
- The Use of Computed Tomography in Pediatrics and the Associated Radiation Exposure and Estimated Cancer Risk.JAMA Pediatrics. 2013. Miglioretti DL, Johnson E, Williams A, et al.
- CT Dose Optimization in Pediatric Radiology: A Multiyear Effort to Preserve the Benefits of Imaging While Reducing the Risks.Radiographics. 2015. Greenwood TJ, Lopez-Costa RI, Rhoades PD, et al.
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