Suchergebnisse

RésuméObjectif : Presenter une approche processus aux equipes pluridisciplinaires participant a la securisation du circuit des medicaments.Description de la problématique : L'hopital se situe aujourd'hui face a une problematique complexe, associant des objectifs de securite des soins, de gestion des risques et de mise en conformite a differents referentiels visant a une plus grande efficience. L'industrie doit, elle aussi, resoudre ce type d'equation comprenant des objectifs de satisfaction, de reduction des risques et d'optimisation des budgets.Discussion : Il a semble pertinent d'utiliser les outils deployes en industrie et de les exploiter a l'hopital en s'appuyant sur la norme internationale de management de la qualite (ISO 9001:2008). Ceci donne les grands principes de l'approche processus et permet de cartographier les processus et de deployer des outils d'evaluation de la qualite, comme les audits et les indicateurs de pilotage. Un modele de processus a ete defini, l'ensemble des processus relatifs a la prise en charge medicamenteuse du patient a ete decrit, les outils permettant d'evaluer la conformite et l'efficacite de notre demarche ont ete mis en place. Des formations decrivant cette approche et destinees a l'ensemble du personnel hospitalier ont ete deployees.Conclusion : Les avantages apportes par la formalisation d'une organisation a travers la description des processus et leur pilotage par les indicateurs sont indeniables. Cependant, pour s'averer pertinente, cette demarche impose de developper certains moyens et de revoir la hierarchisation des objectifs actuels tres axes sur la conformite et peu tournes vers la mesure d'efficacite.AbstractObjective: To present a process approach to the pluridisciplinary teams involved in improving the safety of the medication use process.Problem Description: Hospitals are currently facing the complex set of challenges of focusing on safe delivery of care while managing risk and compliance with different standards in view of increasing efficacy. The industry must also resolve these problems while considering objectives of satisfaction, risk minimization, and budget optimization.Discussion: It seemed relevant to exploit industrydeveloped tools in a hospital-based setting by relying on the international standard for quality management (ISO 9001:2008). This provides the guiding principles for the process approach, allows processes to be mapped, and allows the use of quality evaluation tools such as audits and operational indicators. A process model was defined, the procedures involved in the pharmacological management of a patient were described, and the tools used to evaluated compliance and efficacy of our approach were implemented. Intended for hospital personnel, training sessions describing this approach were deployed.Conclusion: The benefits to formalizing an organization by means of process descriptions and their management by indicators are undeniable. However, in order to be useful, this approach requires the development of certain processes and the priorization of objectives that focus on compliance rather than on efficacy.