{"id":40165,"date":"2019-07-01T14:54:58","date_gmt":"2019-07-01T12:54:58","guid":{"rendered":"https:\/\/gestions-hospitalieres.fr\/?p=40165"},"modified":"2019-07-02T12:10:50","modified_gmt":"2019-07-02T10:10:50","slug":"lidentito-vigilance","status":"publish","type":"post","link":"https:\/\/www.ricom-web8.com\/gestions\/lidentito-vigilance\/","title":{"rendered":"L\u2019identito-vigilance"},"content":{"rendered":"<span class=\"span-reading-time rt-reading-time\" style=\"display: block;\"><span class=\"rt-label rt-prefix\">Temps de lecture\u00a0: <\/span> <span class=\"rt-time\"> 2<\/span> <span class=\"rt-label rt-postfix\">minutes<\/span><\/span><p>Les outils pour collecter les donn\u00e9es de notre \u00e9tude ont \u00e9t\u00e9 \u00e9labor\u00e9s en vue de v\u00e9rifier la conformit\u00e9 du respect des proc\u00e9dures en vigueur au sein de l\u2019\u00e9tablissement. Ces donn\u00e9es, trait\u00e9es ensuite via un tableur, ont \u00e9t\u00e9 recueillies aupr\u00e8s de 205 patients, sur un total de 358 admis pendant nos journ\u00e9es d\u2019audit dans les 16\u00a0services de consultation et d\u2019admission consid\u00e9r\u00e9s, et dont la majorit\u00e9 \u00e9tait pr\u00e9sente physiquement.<span class=\"Apple-converted-space\">\u00a0<\/span><\/p>\n<p>Un effectif de 49 secr\u00e9taires m\u00e9dicales et agents d\u2019admission, sur un total de 66 dans l\u2019\u00e9tablissement, a rejoint l\u2019\u00e9tude, avec un taux de participation de 74,24\u2009%. Ces agents, dans la majorit\u00e9 des cas, respectent les proc\u00e9dures en ce qui concerne la demande de pi\u00e8ce d\u2019identit\u00e9, la recherche d\u2019ant\u00e9riorit\u00e9, les questions sur une pr\u00e9c\u00e9dente admission, la saisie d\u2019identit\u00e9, les patients arrivant sans pi\u00e8ce d\u2019identit\u00e9\u2026 Mais force est de constater que d\u2019autres n\u00e9gligent leur travail, ne demandant aucune pi\u00e8ce d\u2019identit\u00e9 ou omettant d\u2019en demander. Un probl\u00e8me d\u00fb \u00e0 un manque de formation ou de responsabilisation, une constatation relev\u00e9e entre autres par une \u00e9tude sur l\u2019enregistrement des patients au CHU Johns Hopkins, aux \u00c9tats-Unis<sup class=\"appel\" data-toggle=\"modal\" data-target=\"#notes\">(1)<\/sup>. De m\u00eame, dans le cadre du projet d\u2019am\u00e9lioration de l\u2019identification du patient (Perils) lanc\u00e9 par le Comit\u00e9 de coordination de l\u2019\u00e9valuation clinique et de la qualit\u00e9 en Aquitaine (Ccecqa) en 2011, une analyse approfondie de 55\u00a0erreurs d\u2019identit\u00e9 sur un an a mis en \u00e9vidence un r\u00e9el manque de formation<sup class=\"appel\" data-toggle=\"modal\" data-target=\"#notes\">(2)<\/sup> pouvant conduire \u00e0 des pr\u00e9judices plus ou moins importants<sup class=\"appel\" data-toggle=\"modal\" data-target=\"#notes\">(3)<\/sup>.<span class=\"Apple-converted-space\">\u00a0<\/span><\/p>\n<p>Quand des agents d\u2019admission n\u00e9gligent la recherche d\u2019ant\u00e9riorit\u00e9, ils augmentent le risque de doublons, ce qui peut expliquer les 3,58\u2009% et 1,60\u2009% de doublons relev\u00e9s respectivement en juillet et en ao\u00fbt 2018 au sein du HUICK, d\u2019apr\u00e8s l\u2019analyse des erreurs d\u2019admission du comit\u00e9 d\u2019identito-vigilance.<\/p>\n<p>Quand des agents ne respectent pas la saisie de l\u2019identit\u00e9 des patients (cas du bureau d\u2019admission et de facturation des urgences) via la carte nationale d\u2019identit\u00e9, il y a erreur sur les nom, pr\u00e9nom et date de naissance\u2009; l\u2019analyse par le comit\u00e9 d\u2019identito-vigilance des erreurs d\u2019admission rel\u00e8ve ainsi, en juillet 2018, 58,86\u2009% erreurs\u2009 li\u00e9es \u00e0 la carte d\u2019identit\u00e9\u2009; 7,17\u2009% sur les nom\/pr\u00e9nom, 1,43\u2009% sur la date de naissance\u2009; en ao\u00fbt 2018, 44,40\u2009%, dont 14,40\u2009% sur les nom\/pr\u00e9nom et 1,60\u2009% sur la date de naissance.<span class=\"Apple-converted-space\">\u00a0<\/span><\/p>\n<p>Ces causes d\u2019erreurs sont confirm\u00e9es dans deux \u00e9tudes\u2009:<\/p>\n<ul>\n<li>au GH du Havre, sur 380\u00a0erreurs d\u2019identit\u00e9 li\u00e9es aux \u00e9tiquettes informatiques survenues de juin \u00e0 d\u00e9cembre 2004, les plus fr\u00e9quentes concernent l\u2019orthographe du nom (25\u2009%), un changement de nom marital, par exemple apr\u00e8s un divorce (21\u2009%) et la date de naissance (15\u2009%)<sup class=\"appel\" data-toggle=\"modal\" data-target=\"#notes\">(4)<\/sup>\u2009;<span class=\"Apple-converted-space\">\u00a0<\/span><\/li>\n<li>dans un service d\u2019archives, 14 des erreurs (soit 1\u2009%) relev\u00e9es sur le pr\u00e9nom \u00e9taient, pour la plupart, dues \u00e0 une inversion des deux premiers pr\u00e9noms<sup class=\"appel\" data-toggle=\"modal\" data-target=\"#notes\">(5)<\/sup>.<span class=\"Apple-converted-space\">\u00a0<\/span><\/li>\n<\/ul>\n<p>La pratique de l\u2019identito-vigilance, bien que globalement ma\u00eetris\u00e9e par l\u2019ensemble du personnel de l\u2019HUICK, reste \u00e0 am\u00e9liorer. Bien que les sources multiples d\u2019erreurs d\u2019identification des patients soient connues, l\u2019\u00e9tablissement doit poursuivre l\u2019enseignement des proc\u00e9dures au personnel concern\u00e9, en formant celui-ci et surtout en le responsabilisant.<\/p>\n<script>function PlayerjsAsync(){} if(window[\"Playerjs\"]){PlayerjsAsync();}<\/script>","protected":false},"excerpt":{"rendered":"<p><span class=\"span-reading-time rt-reading-time\" style=\"display: block;\"><span class=\"rt-label rt-prefix\">Temps de lecture\u00a0: <\/span> <span class=\"rt-time\"> 2<\/span> <span class=\"rt-label rt-postfix\">minutes<\/span><\/span>Les outils pour collecter les donn\u00e9es de notre \u00e9tude ont \u00e9t\u00e9 \u00e9labor\u00e9s en vue de v\u00e9rifier la conformit\u00e9 du respect des proc\u00e9dures en vigueur au sein de l\u2019\u00e9tablissement. Ces donn\u00e9es, trait\u00e9es ensuite via un tableur, ont \u00e9t\u00e9 recueillies aupr\u00e8s de 205 patients, sur un total de 358 admis pendant nos journ\u00e9es d\u2019audit dans les 16\u00a0services de consultation et d\u2019admission consid\u00e9r\u00e9s, et dont la majorit\u00e9 \u00e9tait pr\u00e9sente physiquement.\u00a0 Un effectif de&hellip; <\/p>\n","protected":false},"author":23133,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[26,2],"tags":[317,7412,7411,7410,329],"class_list":["post-40165","post","type-post","status-publish","format-standard","hentry","category-dossier","category-gestions-hospitalieres","tag-admission","tag-huick","tag-identification-patient","tag-identito-vigilance","tag-maroc"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.8.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>L\u2019identito-vigilance - Gestions hospitali\u00e8res<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.ricom-web8.com\/gestions\/lidentito-vigilance\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"L\u2019identito-vigilance - Gestions hospitali\u00e8res\" \/>\n<meta property=\"og:description\" content=\"Temps de lecture\u00a0:  2 minutesLes outils pour collecter les donn\u00e9es de notre \u00e9tude ont \u00e9t\u00e9 \u00e9labor\u00e9s en vue de v\u00e9rifier la conformit\u00e9 du respect des proc\u00e9dures en vigueur au sein de l\u2019\u00e9tablissement. Ces donn\u00e9es, trait\u00e9es ensuite via un tableur, ont \u00e9t\u00e9 recueillies aupr\u00e8s de 205 patients, sur un total de 358 admis pendant nos journ\u00e9es d\u2019audit dans les 16\u00a0services de consultation et d\u2019admission consid\u00e9r\u00e9s, et dont la majorit\u00e9 \u00e9tait pr\u00e9sente physiquement.\u00a0 Un effectif de&hellip;\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.ricom-web8.com\/gestions\/lidentito-vigilance\/\" \/>\n<meta property=\"og:site_name\" content=\"Gestions hospitali\u00e8res\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/gestionshospitalieres\/\" \/>\n<meta property=\"article:published_time\" content=\"2019-07-01T12:54:58+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2019-07-02T10:10:50+00:00\" \/>\n<meta name=\"author\" content=\"Gestions hospitali\u00e8res\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@revue_GH\" \/>\n<meta name=\"twitter:site\" content=\"@revue_GH\" \/>\n<meta name=\"twitter:label1\" content=\"\u00c9crit par\" \/>\n\t<meta name=\"twitter:data1\" content=\"Gestions hospitali\u00e8res\" \/>\n\t<meta name=\"twitter:label2\" content=\"Dur\u00e9e de lecture estim\u00e9e\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/www.ricom-web8.com\/gestions\/lidentito-vigilance\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/www.ricom-web8.com\/gestions\/lidentito-vigilance\/\"},\"author\":{\"name\":\"Gestions hospitali\u00e8res\",\"@id\":\"https:\/\/www.ricom-web8.com\/gestions\/#\/schema\/person\/3ba9fe913190dfe9507feb621e902c1f\"},\"headline\":\"L\u2019identito-vigilance\",\"datePublished\":\"2019-07-01T12:54:58+00:00\",\"dateModified\":\"2019-07-02T10:10:50+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/www.ricom-web8.com\/gestions\/lidentito-vigilance\/\"},\"wordCount\":551,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\/\/www.ricom-web8.com\/gestions\/#organization\"},\"keywords\":[\"admission\",\"HUICK\",\"identification patient\",\"identito-vigilance\",\"Maroc\"],\"articleSection\":[\"dossier\",\"Gestions Hospitali\u00e8res\"],\"inLanguage\":\"fr-FR\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\/\/www.ricom-web8.com\/gestions\/lidentito-vigilance\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.ricom-web8.com\/gestions\/lidentito-vigilance\/\",\"url\":\"https:\/\/www.ricom-web8.com\/gestions\/lidentito-vigilance\/\",\"name\":\"L\u2019identito-vigilance - 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