| Quality &
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Quality and security indicators
In addition to our certification process, our facility is annually assessed by means of indicators. They allow us to have dashboards for monitoring and piloting quality and security of care, and therefore modify our practices in the light of our results and our positionning with regard to the other facilities.
Here are the themes evaluated as well as our results for these indicators :
The indicators regarding actions against the risks of infections
It is one of the priorities of our facility.
The arisen of an infection depends on the fragility of the patient, on its age, on the complexity of the care which are delivered to him but also from the level of implication of the professionals of the medical centre.
OUR LATEST EVALUATION
| Type | Theme | Results | |
|
Global image of actions against nosocomial infections |
AGRAGATED SCORE |
92 / 100 |
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|
Organization, Resources, Actions, against nosocomail infections |
ICALIN |
99 / 100 |
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|
Hand hygiene |
ICSHA |
78 / 100 |
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|
Surveilliance of patients that had surgery |
SURVISO |
100 / 100 |
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|
Good use of antibiotics |
ICATB |
95 / 100 |
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|
Staphylocoque doré |
Indice Triennal de SRAM : - Taux triennal 2008-2010 / 1000 journées - Niveau de risque - Effort de l'établissement : tendance évolutive annuelle de 2005 à 2010 |
0,33 ««¶
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|
Grade A «««Grade B««¶Grade C«¶¶Grade D¶¶¶
1. AGRAGATED score
The results obtained for each of the following indicators are used to calculate the aggregated score.
2. ICALIN
It measures the global quality of the organization to fight against the infectious risks.
3. ICSHA
It measures the use of hydroalcoholic solutions by our professionals and patients.
4. SURVISO
It measures the surveillance of the patients after their surgical operation. Although very rare, infections of the operating room can arise.
5. ICATB
It measures the good use of antibiotics. Their excessive use increases the resistance of bacteria. We thus set up procedures to guarantee adapted prescriptions of antibiotics.
6. Staphylococcus aureus
This indicator measures, over the past 3 years, the number of hospitalized patients carrying a strain of Staphylococcus aureus resistant to methicillin reported over 1000 hospital days.
Up to date, the results of the facility show our commitment against the risk of infections, in particular through the work of the CLIN (Committee of Fight against the Nosocomial Infections), and the hygiene department.
Indicators of the improvement of quality and security of medical care
The coordination of the professionals
The good coordination of the professionals results from the sharing of patients’ information, orally and written. It is fundamental to have the good information relative to a patient to ensure the care delivered is appropriate.
The coverage care linked to the pain and to the nutrition
The coverage care linked to the pain and to the nutrition is a priority of public health, it is also ours. It is necessary to collect the good information on the needs of the patients in these domains to adapt at best our actions and treatments.
OUR LATEST EVALUATION
|
Type |
Theme |
Results |
|
|
Information share during hospitalization |
Patient medical record |
75 / 100 |
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|
Communication with general prationner |
Delay before sending medical record after hospitalisation |
26 / 100 |
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|
Pain evaluation |
Tarcability and evaluation of pain |
100 / 100 |
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Weight follow up |
Tracability and evaluation of nutritious problems |
94 / 100 |
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|
Information share for anesthesiology |
Anesthesiologic record |
83 / 100 |
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|
Medication and myocardial infarction |
Drugs prescription for myocardial infarction(BASI) |
83 / 100 |
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Grade A ««« Grade B««¶ Grade C«¶¶ Grade D¶¶¶
7. Patient medical record
This indicator measures the percentage of files which contain the written information necessary for the coverage care of the patient, during his admission, during his hospitalization and at his release. The quality of the writing of the prescriptions of medicines is also taken into account.
8. Patient medical record
This indicator measures the percentage of files which contain the written information necessary for the coverage care of the patient, during his admission, during his hospitalization and at his release. The quality of the writing of the prescriptions of medicines is also taken into account.
9. Anesthetic record
To manage the risk linked to the anaesthesia, we lean on several elements related to the patient (pathology, age).
10. Tarcability and evaluation of pain
This indicator measures the percentage of files which contain information written on the intensity of the pain felt by the patient. The treatment will so be adapted to mitigate the suffering of the patient.
11. Tracability and evaluation of nutritious problems
This indicator measures the percentage of files where are written the necessary information, in particular the weight, allowing to determine the patients who can suffer from nutritional problems. According to the obtained result, an adapted coverage care will be implemented.
12. Drugs prescription for myocardial infarction
Good practices concerning prescriptions when discharged from the facility for patients admittted for a myocardial infarction are evaluated through this indicator that mesures the quality of the follow up.It is the follow up of the medical treatment BASI (Beta-blocker, Antiplatelet, Statin, Inhibitor of converting enzyme), evaluated after discharge from the clinic.
Up to date, the national objective fixed of 80 %, is reached on 4 indicators out of 6. The professionals of the medical centre make every effort to reach this objective for all indicators.
You can also have access those results on the following site: http: // www.platines.sante.gouv.fr/




