Interaction bloc opératoire – stérilisation : gestion partagée des non-conformités sur le logiciel métier de stérilisation

Hamel, Claire; Daupin, Johanne; Nasr, Nesrine Ben; Marcheix, Pierre-Antoine; Devocelle, Baptiste; Moreau, E.; Bézie, Yvonnick

doi:10.1016/j.phclin.2016.10.045

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“…f. Mettre en place une politique de suivi et évaluation de la gestion des risques et de la qualité au sein du processus. g. Mettre en place une politique d'actualisation et de formation continue du personnel pour une mise à jour des connaissances, h. Mettre en place une politique d'évaluation de la satisfaction de patient (le patient traceur) i. Instaurer une culture de partage des manquements aux tâches et erreurs commises dans les actes à tous les niveaux d'interventions sur la base de communication responsable et d'autocritique [14]. j. Créer un circuit à sens unique pour les linges et les instruments stériles et un autre pour les instruments et les linges souillés ou sale.…”

Section: Materiels Et Methodeunclassified

Evaluation of Risk and Quality Management in a Casablanca Operating Theatre

et al. 2020

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Risks at the level of the operating room are permanent and different from one surgical intervention to another. They have diverse sources, hence the importance of risk management concept for a good functioning of the operating room in order to enhance care quality.The recurrent absence of surgical instruments (surgery forceps and other instruments) in their box is still a major problem within the operating room. It often happens during the surgical interventions, whether are major or minor, that the surgical team uses many boxes to fill these lacks.The objective of this study is to help the clinic to establish an ongoing improvement dynamic of processes within the operating room. It is consisted of tracing the steps of management of the patient to be operated, from their first contact with the process staff to their exit from the operating room to the functional unit. With the help of cartography, the connections between the operating room process and the processes of support, the liaison between activities, fluxes and resources are easily understood.The analysis and the prioritization of dominant problems are done according to (SMART) indicators and QQQQCC methodology. The absence of surgical instruments (surgery forceps and other instruments) in their storing boxes was chosen as a dominant problem within this process in complicity with key persons of the operating room and the clinic managers through many meetings.Through the analysis of the causes effects or ishikawa diagram, the weak organizational culture, the competences insufficiency, unsuitable workforce, and the under motivation of staff sterilization service have been recognized as causes of the origin of the problem because it is at the equipment packaging step where the instruments are intertwined.In conclusion, an arsenal of solutions and actions are set up to overcome this problem and as the staff enhancement responsible for sorting and packaging boxes of sterilization (currently only the major is dedicated to these tasks, continuous staff training, a team in charge of monitoring and evaluation of risks and quality within the operating…

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Section: Materiels Et Methodeunclassified