{"id":40731,"date":"2019-12-01T14:18:49","date_gmt":"2019-12-01T13:18:49","guid":{"rendered":"https:\/\/gestions-hospitalieres.fr\/?p=40731"},"modified":"2019-12-20T10:48:24","modified_gmt":"2019-12-20T09:48:24","slug":"dispositifs-medicaux-steriles-un-circuit-optimise","status":"publish","type":"post","link":"https:\/\/www.ricom-web8.com\/gestions\/dispositifs-medicaux-steriles-un-circuit-optimise\/","title":{"rendered":"Dispositifs m\u00e9dicaux st\u00e9riles\u2009: un circuit optimis\u00e9"},"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\"> 3<\/span> <span class=\"rt-label rt-postfix\">minutes<\/span><\/span><p>Le centre hospitalo-universitaire Paul-Brousse fait partie du groupement des h\u00f4pitaux universitaires Paris Saclay. L\u2019\u00e9tablissement comprend 55\u00a0places d\u2019h\u00f4pital de jour et 701 lits de court s\u00e9jour, soin de suite, long s\u00e9jour et psychiatrie.<span class=\"Apple-converted-space\">\u00a0<\/span><\/p>\n<p>Sa pharmacie \u00e0 usage int\u00e9rieur (PUI) assure la gestion et la dispensation des m\u00e9dicaments et des dispositifs m\u00e9dicaux st\u00e9riles (DMS) ainsi que la fabrication des pr\u00e9parations d\u2019anticanc\u00e9reux. La gestion du stock des DMS est g\u00e9r\u00e9e par informatique dans une unit\u00e9 appel\u00e9e \u00ab\u2009magasin m\u00e9dical\u2009\u00bb. Les d\u00e9penses annuelles des DMS g\u00e9r\u00e9s par le magasin m\u00e9dical sont d\u2019environ 1 million d\u2019euros, sans compter le \u00ab\u00a0hors stock\u00a0\u00bb et les DM implantables.<\/p>\n<p>Plusieurs acteurs interviennent dans le circuit des DMS\u2009: d\u2019un c\u00f4t\u00e9 le magasin m\u00e9dical pour la gestion, de l\u2019autre les services cliniques pour les commandes au magasin m\u00e9dical et le rangement dans les unit\u00e9s de soins.<span class=\"Apple-converted-space\">\u00a0<\/span><\/p>\n<p>Le personnel du service clinique est multit\u00e2che et la logistique ne fait pas partie de son c\u0153ur de m\u00e9tier. Le manque de temps et de comp\u00e9tence entra\u00eene des commandes de DMS aupr\u00e8s du magasin m\u00e9dical, r\u00e9alis\u00e9es sans respect des quantit\u00e9s d\u00e9finies dans la dotation. Les r\u00e9serves sont souvent mal rang\u00e9es, avec un surstock parfois tr\u00e8s important en valeur et en volume ainsi que de nombreux p\u00e9rim\u00e9s.<\/p>\n<p>Le centre hospitalier doit conduire un programme de ma\u00eetrise des d\u00e9penses<sup class=\"appel\" data-toggle=\"modal\" data-target=\"#notes\">(1)<\/sup>. Un projet nomm\u00e9 Graine a \u00e9t\u00e9 propos\u00e9 par le directeur de la direction \u00e9conomique, logistique et qualit\u00e9 h\u00f4teli\u00e8re (Delqh) et une \u00e9quipe projet a \u00e9t\u00e9 mont\u00e9e entre le magasin h\u00f4telier et le magasin m\u00e9dical. Une compl\u00e9mentation concernant les DMS et les produits h\u00f4teliers a donc \u00e9t\u00e9 mise en place en avril 2018 dans quelques services de soins (dix r\u00e9serves en g\u00e9riatrie, une en r\u00e9animation et une dans l\u2019unit\u00e9 de soins palliatifs), afin de mieux g\u00e9rer les stocks dans les unit\u00e9s de soins et compl\u00e9ter ce qui a \u00e9t\u00e9 r\u00e9ellement consomm\u00e9<sup class=\"appel\" data-toggle=\"modal\" data-target=\"#notes\">(2)<\/sup>.<span class=\"Apple-converted-space\">\u00a0<\/span><\/p>\n<p>Les int\u00e9r\u00eats de cette compl\u00e9mentation sont nombreux, le but principal \u00e9tant d\u2019all\u00e9ger les t\u00e2ches logistiques des cadres des services et des soignants, afin qu\u2019ils se recentrent sur leurs missions respectives.<span class=\"Apple-converted-space\">\u00a0<\/span><\/p>\n<p>La mise en place d\u2019une compl\u00e9mentation permet ainsi\u2009:<\/p>\n<ul>\n<li>de ma\u00eetriser le co\u00fbt d\u2019immobilisation des produits stock\u00e9s via la mise en place d\u2019une dotation \u00e0 la semaine\u2009;<\/li>\n<li>d\u2019impl\u00e9menter une r\u00e9serve par service. Chaque DMS est identifi\u00e9 par une \u00e9tiquette \u00e0 code-barres\u2009;<\/li>\n<li>de contr\u00f4ler les p\u00e9rim\u00e9s en installant un rangement FEFO (<i>first-expired-first-out<\/i>, \u00ab\u2009premier p\u00e9rim\u00e9 premier sorti\u2009\u00bb)\u2009;<\/li>\n<li>de diminuer les interruptions de t\u00e2ches pour les soignants.<\/li>\n<\/ul>\n<p>Dans ce but, quatre postes de logisticien ont \u00e9t\u00e9 identifi\u00e9s. Le logisticien intervient dans le circuit des DMS pour les \u00e9tapes de commande, de pr\u00e9paration, de livraison et de rangement dans le service clinique.<\/p>\n<p>Pour pallier le manque de connaissances techniques sur les DMS et afin d\u2019\u00e9viter tout dysfonctionnement, des actions pour s\u00e9curiser le circuit des DMS ont \u00e9t\u00e9 mises en place\u2009:<\/p>\n<ul>\n<li>un document de formation interne a \u00e9t\u00e9 \u00e9labor\u00e9 pour \u00e9viter les erreurs lors de la pr\u00e9paration des commandes et\/ou du rangement. Ce document<span class=\"Apple-converted-space\">\u00a0 <\/span>pr\u00e9sente l\u2019organisation du magasin m\u00e9dical ainsi que les DMS pour lesquels un risque de confusion est possible (<i>figure\u00a01<\/i>)\u2009;<\/li>\n<\/ul>\n<button data-toggle=\"collapse\" data-target=\"#enc_2019_608_01\">Figure 1<\/button><div id=\"enc_2019_608_01\" class=\"encadre collapse\"><p><span class=\"surtitre_enc\">Figure 1<\/span><\/p>\n<h2>Formation \u00e0 destination des logisticiens (extrait)<\/h2>\n<h3>Exemple du transfuseur perfuseur<\/h3>\n<p><img decoding=\"async\" class=\"alignnone size-full wp-image-40740\" src=\"https:\/\/gestions-hospitalieres.fr\/wp-content\/uploads\/2019\/12\/Capture-d\u2019\u00e9cran-2019-12-18-\u00e0-14.34.50.png\" alt=\"\" width=\"2368\" height=\"998\" srcset=\"https:\/\/www.ricom-web8.com\/gestions\/wp-content\/uploads\/2019\/12\/Capture-d\u2019\u00e9cran-2019-12-18-\u00e0-14.34.50.png 1500w, https:\/\/www.ricom-web8.com\/gestions\/wp-content\/uploads\/2019\/12\/Capture-d\u2019\u00e9cran-2019-12-18-\u00e0-14.34.50-300x126.png 300w, https:\/\/www.ricom-web8.com\/gestions\/wp-content\/uploads\/2019\/12\/Capture-d\u2019\u00e9cran-2019-12-18-\u00e0-14.34.50-768x324.png 768w, https:\/\/www.ricom-web8.com\/gestions\/wp-content\/uploads\/2019\/12\/Capture-d\u2019\u00e9cran-2019-12-18-\u00e0-14.34.50-1024x432.png 1024w\" sizes=\"(max-width: 2368px) 100vw, 2368px\" \/><\/p>\n<\/div>\n<ul>\n<li>chaque semaine selon un planning pr\u00e9\u00e9tabli, un logisticien intervient dans une r\u00e9serve pour relever les besoins en DMS du service via un lecteur radio fr\u00e9quence qui transmet en temps r\u00e9el les donn\u00e9es au logiciel. Des \u00e9tiquettes ont \u00e9t\u00e9 cr\u00e9\u00e9es via un tableur (<i>figure 2<\/i>) pour chaque DMS r\u00e9f\u00e9renc\u00e9. Elles comportent la d\u00e9nomination du produit, la r\u00e9f\u00e9rence, le code informatique, la dotation (pour \u00e9viter le surstockage) et le code-barres.<\/li>\n<\/ul>\n<button data-toggle=\"collapse\" data-target=\"#enc_2019_608_02\">Figure 2<\/button><div id=\"enc_2019_608_02\" class=\"encadre collapse\"><p><span class=\"surtitre_enc\">Figure 2<\/span><\/p>\n<h2>Mod\u00e8le d\u2019\u00e9tiquette en service de soin<\/h2>\n<p><img decoding=\"async\" class=\"alignnone size-full wp-image-40741\" src=\"https:\/\/gestions-hospitalieres.fr\/wp-content\/uploads\/2019\/12\/Capture-d\u2019\u00e9cran-2019-12-18-\u00e0-14.36.14.png\" alt=\"\" width=\"2154\" height=\"768\" srcset=\"https:\/\/www.ricom-web8.com\/gestions\/wp-content\/uploads\/2019\/12\/Capture-d\u2019\u00e9cran-2019-12-18-\u00e0-14.36.14.png 2154w, https:\/\/www.ricom-web8.com\/gestions\/wp-content\/uploads\/2019\/12\/Capture-d\u2019\u00e9cran-2019-12-18-\u00e0-14.36.14-300x107.png 300w, https:\/\/www.ricom-web8.com\/gestions\/wp-content\/uploads\/2019\/12\/Capture-d\u2019\u00e9cran-2019-12-18-\u00e0-14.36.14-768x274.png 768w, https:\/\/www.ricom-web8.com\/gestions\/wp-content\/uploads\/2019\/12\/Capture-d\u2019\u00e9cran-2019-12-18-\u00e0-14.36.14-1024x365.png 1024w\" sizes=\"(max-width: 2154px) 100vw, 2154px\" \/><\/p>\n<p>Le chiffre 25 repr\u00e9sente la quantit\u00e9 minimale livrable,<br \/>\nle chiffre 500 la dotation du service.<span class=\"Apple-converted-space\">\u00a0<\/span><\/p>\n<\/div>\n<h1>R\u00e9assort de la r\u00e9serve &#8211; \u00c9tapes<span class=\"Apple-converted-space\">\u00a0<\/span><\/h1>\n<ul>\n<li>Le logisticien scanne les codes-barres, saisit les quantit\u00e9s n\u00e9cessaires, afin de \u00ab\u2009recompl\u00e9ter\u2009\u00bb ce qui a \u00e9t\u00e9 r\u00e9ellement consomm\u00e9 selon la dotation puis valide sa \u00ab\u2009r\u00e9servation\u2009\u00bb, terme technique pour d\u00e9signer une commande.<\/li>\n<li>Les agents du magasin m\u00e9dical impriment le bon de r\u00e9servation transmis via le logiciel.<span class=\"Apple-converted-space\">\u00a0<\/span><\/li>\n<li>Avant la pr\u00e9paration de la commande, un pr\u00e9parateur en pharmacie hospitali\u00e8re ou un pharmacien valide le bon de r\u00e9servation afin d\u2019\u00e9valuer les pertinences qualitatives et quantitatives en fonction des dotations et des consommations.<\/li>\n<li>Lors de la pr\u00e9paration au sein du magasin m\u00e9dical, local sous responsabilit\u00e9 pharmaceutique<sup>\u2009(3)<\/sup>, est indiqu\u00e9 un emplacement de pr\u00e9l\u00e8vement d\u00e9fini pour chaque article (zones A, B\u2026 K, subdivisions de 1 \u00e0 6) pour aider le logisticien. Chaque article de la r\u00e9servation est class\u00e9 pour respecter une marche en avant.<\/li>\n<li>Une fois la r\u00e9servation pr\u00e9par\u00e9e, un double contr\u00f4le pharmaceutique est effectu\u00e9 avant toute livraison dans le service.<\/li>\n<li>La livraison et le rangement des DMS, dans la r\u00e9serve, sont effectu\u00e9s par le m\u00eame logisticien qui a relev\u00e9 les besoins. Il range selon la m\u00e9thode FEFO, afin d\u2019\u00e9liminer les risques de perte en DMS ou de rangement inad\u00e9quat.<\/li>\n<li>Un document tra\u00e7ant les diff\u00e9rentes \u00e9tapes de contr\u00f4le d\u2019un bon de r\u00e9servation est archiv\u00e9 (<i>figure 3<\/i>).<\/li>\n<\/ul>\n<button data-toggle=\"collapse\" data-target=\"#enc_2019_608_03\">Figure 3<\/button><div id=\"enc_2019_608_03\" class=\"encadre collapse\"><p><span class=\"surtitre_enc\">Figure 3<\/span><\/p>\n<h2>Pr\u00e9paration de la r\u00e9servation<\/h2>\n<h3>Le formulaire de validation pharmaceutique<\/h3>\n<p><img decoding=\"async\" class=\"alignnone size-full wp-image-40742\" src=\"https:\/\/gestions-hospitalieres.fr\/wp-content\/uploads\/2019\/12\/Capture-d\u2019\u00e9cran-2019-12-18-\u00e0-14.37.19.png\" alt=\"\" width=\"1470\" height=\"1402\" srcset=\"https:\/\/www.ricom-web8.com\/gestions\/wp-content\/uploads\/2019\/12\/Capture-d\u2019\u00e9cran-2019-12-18-\u00e0-14.37.19.png 1470w, https:\/\/www.ricom-web8.com\/gestions\/wp-content\/uploads\/2019\/12\/Capture-d\u2019\u00e9cran-2019-12-18-\u00e0-14.37.19-300x286.png 300w, https:\/\/www.ricom-web8.com\/gestions\/wp-content\/uploads\/2019\/12\/Capture-d\u2019\u00e9cran-2019-12-18-\u00e0-14.37.19-768x732.png 768w, https:\/\/www.ricom-web8.com\/gestions\/wp-content\/uploads\/2019\/12\/Capture-d\u2019\u00e9cran-2019-12-18-\u00e0-14.37.19-1024x977.png 1024w\" sizes=\"(max-width: 1470px) 100vw, 1470px\" \/><\/p>\n<\/div>\n<ul>\n<li>En cas de doute sur l\u2019emplacement d\u2019un produit, le logisticien peut consulter le document, mis \u00e0 disposition des soignants, qui mentionne l\u2019emplacement exact du produit (zonage alphanum\u00e9rique).<\/li>\n<\/ul>\n<h1>Discussion<\/h1>\n<p>Depuis cinq mois, dans le service de r\u00e9animation chirurgicale, il n\u2019y a pas eu de bons d\u2019urgence. L\u2019objectif 0\u2009% de charge logistique pour le service clinique est atteint. Le personnel param\u00e9dical, clinique et pharmaceutique est satisfait.<span class=\"Apple-converted-space\">\u00a0<\/span><\/p>\n<p>Forts de ce succ\u00e8s, nous voulons poursuivre l\u2019exp\u00e9rience dans d\u2019autres services cliniques.<span class=\"Apple-converted-space\">\u00a0<\/span><\/p>\n<p>Afin de p\u00e9renniser cette organisation, nous proposons d\u2019instaurer des petites r\u00e9unions sous forme de \u00ab\u2009flash\u00a05\u2009\u00bb, pour parler des changements de march\u00e9 avec le service clinique.<\/p>\n<script>function PlayerjsAsync(){} if(window[\"Playerjs\"]){PlayerjsAsync();}<\/script>","protected":false},"excerpt":{"rendered":"<p>Le centre hospitalo-universitaire Paul-Brousse fait partie du groupement des h\u00f4pitaux universitaires Paris Saclay. L\u2019\u00e9tablissement comprend 55\u00a0places d\u2019h\u00f4pital de jour et 701 lits de court s\u00e9jour, soin de suite, long s\u00e9jour et psychiatrie.\u00a0 Sa pharmacie \u00e0 usage int\u00e9rieur (PUI) assure la gestion et la dispensation des m\u00e9dicaments et des dispositifs m\u00e9dicaux st\u00e9riles (DMS) ainsi que la fabrication des pr\u00e9parations d\u2019anticanc\u00e9reux. La gestion du stock des DMS est g\u00e9r\u00e9e par informatique dans&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":[3,2],"tags":[7605,7606,469,7604,5363,247],"class_list":["post-40731","post","type-post","status-publish","format-standard","hentry","category-experience","category-gestions-hospitalieres","tag-complementation","tag-dispositif-medicaux-steriles","tag-formation","tag-logisticien","tag-pharmacie-a-usage-interieur","tag-securisation"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.8.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Dispositifs m\u00e9dicaux st\u00e9riles\u2009: un circuit optimis\u00e9 - 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\/dispositifs-medicaux-steriles-un-circuit-optimise\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Dispositifs m\u00e9dicaux st\u00e9riles\u2009: un circuit optimis\u00e9 - Gestions hospitali\u00e8res\" \/>\n<meta property=\"og:description\" content=\"Le centre hospitalo-universitaire Paul-Brousse fait partie du groupement des h\u00f4pitaux universitaires Paris Saclay. L\u2019\u00e9tablissement comprend 55\u00a0places d\u2019h\u00f4pital de jour et 701 lits de court s\u00e9jour, soin de suite, long s\u00e9jour et psychiatrie.\u00a0 Sa pharmacie \u00e0 usage int\u00e9rieur (PUI) assure la gestion et la dispensation des m\u00e9dicaments et des dispositifs m\u00e9dicaux st\u00e9riles (DMS) ainsi que la fabrication des pr\u00e9parations d\u2019anticanc\u00e9reux. La gestion du stock des DMS est g\u00e9r\u00e9e par informatique dans&hellip;\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.ricom-web8.com\/gestions\/dispositifs-medicaux-steriles-un-circuit-optimise\/\" \/>\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=\"2019-12-01T13:18:49+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2019-12-20T09:48:24+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=\"5 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\/dispositifs-medicaux-steriles-un-circuit-optimise\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/www.ricom-web8.com\/gestions\/dispositifs-medicaux-steriles-un-circuit-optimise\/\"},\"author\":{\"name\":\"Gestions hospitali\u00e8res\",\"@id\":\"https:\/\/www.ricom-web8.com\/gestions\/#\/schema\/person\/3ba9fe913190dfe9507feb621e902c1f\"},\"headline\":\"Dispositifs m\u00e9dicaux st\u00e9riles\u2009: un circuit optimis\u00e9\",\"datePublished\":\"2019-12-01T13:18:49+00:00\",\"dateModified\":\"2019-12-20T09:48:24+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/www.ricom-web8.com\/gestions\/dispositifs-medicaux-steriles-un-circuit-optimise\/\"},\"wordCount\":1034,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\/\/www.ricom-web8.com\/gestions\/#organization\"},\"keywords\":[\"compl\u00e9mentation\",\"dispositif m\u00e9dicaux st\u00e9riles\",\"formation\",\"logisticien\",\"pharmacie \u00e0 usage int\u00e9rieur\",\"s\u00e9curisation\"],\"articleSection\":[\"exp\u00e9rience\",\"Gestions Hospitali\u00e8res\"],\"inLanguage\":\"fr-FR\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\/\/www.ricom-web8.com\/gestions\/dispositifs-medicaux-steriles-un-circuit-optimise\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.ricom-web8.com\/gestions\/dispositifs-medicaux-steriles-un-circuit-optimise\/\",\"url\":\"https:\/\/www.ricom-web8.com\/gestions\/dispositifs-medicaux-steriles-un-circuit-optimise\/\",\"name\":\"Dispositifs m\u00e9dicaux st\u00e9riles\u2009: un circuit optimis\u00e9 - Gestions hospitali\u00e8res\",\"isPartOf\":{\"@id\":\"https:\/\/www.ricom-web8.com\/gestions\/#website\"},\"datePublished\":\"2019-12-01T13:18:49+00:00\",\"dateModified\":\"2019-12-20T09:48:24+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/www.ricom-web8.com\/gestions\/dispositifs-medicaux-steriles-un-circuit-optimise\/#breadcrumb\"},\"inLanguage\":\"fr-FR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.ricom-web8.com\/gestions\/dispositifs-medicaux-steriles-un-circuit-optimise\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.ricom-web8.com\/gestions\/dispositifs-medicaux-steriles-un-circuit-optimise\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Accueil\",\"item\":\"https:\/\/www.ricom-web8.com\/gestions\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Dispositifs m\u00e9dicaux st\u00e9riles\u2009: un circuit optimis\u00e9\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/www.ricom-web8.com\/gestions\/#website\",\"url\":\"https:\/\/www.ricom-web8.com\/gestions\/\",\"name\":\"Gestions hospitali\u00e8res\",\"description\":\"la revue des d\u00e9cideurs hospitaliers\",\"publisher\":{\"@id\":\"https:\/\/www.ricom-web8.com\/gestions\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/www.ricom-web8.com\/gestions\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"fr-FR\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/www.ricom-web8.com\/gestions\/#organization\",\"name\":\"Gestions hospitali\u00e8res\",\"url\":\"https:\/\/www.ricom-web8.com\/gestions\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@id\":\"https:\/\/www.ricom-web8.com\/gestions\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/gestions-hospitalieres.fr\/wp-content\/uploads\/2017\/02\/picto_Gif-GH-trans.png\",\"contentUrl\":\"https:\/\/gestions-hospitalieres.fr\/wp-content\/uploads\/2017\/02\/picto_Gif-GH-trans.png\",\"width\":512,\"height\":512,\"caption\":\"Gestions hospitali\u00e8res\"},\"image\":{\"@id\":\"https:\/\/www.ricom-web8.com\/gestions\/#\/schema\/logo\/image\/\"},\"sameAs\":[\"https:\/\/www.facebook.com\/gestionshospitalieres\/\",\"https:\/\/x.com\/revue_GH\",\"https:\/\/www.linkedin.com\/company\/gestions-hospitalieres?trk=top_nav_home\"]},{\"@type\":\"Person\",\"@id\":\"https:\/\/www.ricom-web8.com\/gestions\/#\/schema\/person\/3ba9fe913190dfe9507feb621e902c1f\",\"name\":\"Gestions hospitali\u00e8res\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@id\":\"https:\/\/www.ricom-web8.com\/gestions\/#\/schema\/person\/image\/\",\"url\":\"https:\/\/secure.gravatar.com\/avatar\/1a0d93e6db5dbe7dac96bae4757d256f?s=96&d=mm&r=g\",\"contentUrl\":\"https:\/\/secure.gravatar.com\/avatar\/1a0d93e6db5dbe7dac96bae4757d256f?s=96&d=mm&r=g\",\"caption\":\"Gestions hospitali\u00e8res\"},\"url\":\"https:\/\/www.ricom-web8.com\/gestions\/author\/benjamin\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Dispositifs m\u00e9dicaux st\u00e9riles\u2009: un circuit optimis\u00e9 - Gestions hospitali\u00e8res","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.ricom-web8.com\/gestions\/dispositifs-medicaux-steriles-un-circuit-optimise\/","og_locale":"fr_FR","og_type":"article","og_title":"Dispositifs m\u00e9dicaux st\u00e9riles\u2009: un circuit optimis\u00e9 - Gestions hospitali\u00e8res","og_description":"Le centre hospitalo-universitaire Paul-Brousse fait partie du groupement des h\u00f4pitaux universitaires Paris Saclay. L\u2019\u00e9tablissement comprend 55\u00a0places d\u2019h\u00f4pital de jour et 701 lits de court s\u00e9jour, soin de suite, long s\u00e9jour et psychiatrie.\u00a0 Sa pharmacie \u00e0 usage int\u00e9rieur (PUI) assure la gestion et la dispensation des m\u00e9dicaments et des dispositifs m\u00e9dicaux st\u00e9riles (DMS) ainsi que la fabrication des pr\u00e9parations d\u2019anticanc\u00e9reux. La gestion du stock des DMS est g\u00e9r\u00e9e par informatique dans&hellip;","og_url":"https:\/\/www.ricom-web8.com\/gestions\/dispositifs-medicaux-steriles-un-circuit-optimise\/","og_site_name":"Gestions hospitali\u00e8res","article_publisher":"https:\/\/www.facebook.com\/gestionshospitalieres\/","article_published_time":"2019-12-01T13:18:49+00:00","article_modified_time":"2019-12-20T09:48:24+00:00","author":"Gestions hospitali\u00e8res","twitter_card":"summary_large_image","twitter_creator":"@revue_GH","twitter_site":"@revue_GH","twitter_misc":{"\u00c9crit par":"Gestions hospitali\u00e8res","Dur\u00e9e de lecture estim\u00e9e":"5 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/www.ricom-web8.com\/gestions\/dispositifs-medicaux-steriles-un-circuit-optimise\/#article","isPartOf":{"@id":"https:\/\/www.ricom-web8.com\/gestions\/dispositifs-medicaux-steriles-un-circuit-optimise\/"},"author":{"name":"Gestions hospitali\u00e8res","@id":"https:\/\/www.ricom-web8.com\/gestions\/#\/schema\/person\/3ba9fe913190dfe9507feb621e902c1f"},"headline":"Dispositifs m\u00e9dicaux st\u00e9riles\u2009: un circuit optimis\u00e9","datePublished":"2019-12-01T13:18:49+00:00","dateModified":"2019-12-20T09:48:24+00:00","mainEntityOfPage":{"@id":"https:\/\/www.ricom-web8.com\/gestions\/dispositifs-medicaux-steriles-un-circuit-optimise\/"},"wordCount":1034,"commentCount":0,"publisher":{"@id":"https:\/\/www.ricom-web8.com\/gestions\/#organization"},"keywords":["compl\u00e9mentation","dispositif m\u00e9dicaux st\u00e9riles","formation","logisticien","pharmacie \u00e0 usage int\u00e9rieur","s\u00e9curisation"],"articleSection":["exp\u00e9rience","Gestions Hospitali\u00e8res"],"inLanguage":"fr-FR","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/www.ricom-web8.com\/gestions\/dispositifs-medicaux-steriles-un-circuit-optimise\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/www.ricom-web8.com\/gestions\/dispositifs-medicaux-steriles-un-circuit-optimise\/","url":"https:\/\/www.ricom-web8.com\/gestions\/dispositifs-medicaux-steriles-un-circuit-optimise\/","name":"Dispositifs m\u00e9dicaux st\u00e9riles\u2009: un circuit optimis\u00e9 - Gestions hospitali\u00e8res","isPartOf":{"@id":"https:\/\/www.ricom-web8.com\/gestions\/#website"},"datePublished":"2019-12-01T13:18:49+00:00","dateModified":"2019-12-20T09:48:24+00:00","breadcrumb":{"@id":"https:\/\/www.ricom-web8.com\/gestions\/dispositifs-medicaux-steriles-un-circuit-optimise\/#breadcrumb"},"inLanguage":"fr-FR","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.ricom-web8.com\/gestions\/dispositifs-medicaux-steriles-un-circuit-optimise\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/www.ricom-web8.com\/gestions\/dispositifs-medicaux-steriles-un-circuit-optimise\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Accueil","item":"https:\/\/www.ricom-web8.com\/gestions\/"},{"@type":"ListItem","position":2,"name":"Dispositifs m\u00e9dicaux st\u00e9riles\u2009: un circuit optimis\u00e9"}]},{"@type":"WebSite","@id":"https:\/\/www.ricom-web8.com\/gestions\/#website","url":"https:\/\/www.ricom-web8.com\/gestions\/","name":"Gestions hospitali\u00e8res","description":"la revue des d\u00e9cideurs hospitaliers","publisher":{"@id":"https:\/\/www.ricom-web8.com\/gestions\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.ricom-web8.com\/gestions\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"fr-FR"},{"@type":"Organization","@id":"https:\/\/www.ricom-web8.com\/gestions\/#organization","name":"Gestions hospitali\u00e8res","url":"https:\/\/www.ricom-web8.com\/gestions\/","logo":{"@type":"ImageObject","inLanguage":"fr-FR","@id":"https:\/\/www.ricom-web8.com\/gestions\/#\/schema\/logo\/image\/","url":"https:\/\/gestions-hospitalieres.fr\/wp-content\/uploads\/2017\/02\/picto_Gif-GH-trans.png","contentUrl":"https:\/\/gestions-hospitalieres.fr\/wp-content\/uploads\/2017\/02\/picto_Gif-GH-trans.png","width":512,"height":512,"caption":"Gestions hospitali\u00e8res"},"image":{"@id":"https:\/\/www.ricom-web8.com\/gestions\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/gestionshospitalieres\/","https:\/\/x.com\/revue_GH","https:\/\/www.linkedin.com\/company\/gestions-hospitalieres?trk=top_nav_home"]},{"@type":"Person","@id":"https:\/\/www.ricom-web8.com\/gestions\/#\/schema\/person\/3ba9fe913190dfe9507feb621e902c1f","name":"Gestions hospitali\u00e8res","image":{"@type":"ImageObject","inLanguage":"fr-FR","@id":"https:\/\/www.ricom-web8.com\/gestions\/#\/schema\/person\/image\/","url":"https:\/\/secure.gravatar.com\/avatar\/1a0d93e6db5dbe7dac96bae4757d256f?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/1a0d93e6db5dbe7dac96bae4757d256f?s=96&d=mm&r=g","caption":"Gestions hospitali\u00e8res"},"url":"https:\/\/www.ricom-web8.com\/gestions\/author\/benjamin\/"}]}},"_links":{"self":[{"href":"https:\/\/www.ricom-web8.com\/gestions\/wp-json\/wp\/v2\/posts\/40731","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.ricom-web8.com\/gestions\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.ricom-web8.com\/gestions\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.ricom-web8.com\/gestions\/wp-json\/wp\/v2\/users\/23133"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ricom-web8.com\/gestions\/wp-json\/wp\/v2\/comments?post=40731"}],"version-history":[{"count":0,"href":"https:\/\/www.ricom-web8.com\/gestions\/wp-json\/wp\/v2\/posts\/40731\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.ricom-web8.com\/gestions\/wp-json\/wp\/v2\/media?parent=40731"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.ricom-web8.com\/gestions\/wp-json\/wp\/v2\/categories?post=40731"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.ricom-web8.com\/gestions\/wp-json\/wp\/v2\/tags?post=40731"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}