Management du risque à l'hôpital : évaluation d'une nouvelle méthode d'analyse du risque appliquée à la prise en charge du patient par chimiothérapie

Abstract : Health sector in France was recently the subject of major reforms with the aim to optimize the management of patients by both improving performance and securing the health system. However, it is only recently, many years after the United States, that a real awareness has taken place for various actors, now positioning patient safety as a national priority. The efforts focus on reducing preventable serious adverse events, which one of the main sources is represented by the drug therapy. In hospitals, many methods of risk management are validated and their use is recommended by the French National Authority for Health. They have various limits, barely taking into account organizational or human factors although they are significantly involved in the occurrence of incidents. Meanwhile, several methodologies including organizational and human factors exist and are beginning to be used in different sectors, but have not yet been evaluated in the field of health. The objective of this thesis is to provide original and pertinent answers to the current priorities of decision-makers and health professionals, notably in health facilities. We propose to evaluate a new a priori risk analysis method, called Functional Resonance Analysis Method (FRAM) versus a reference method, the Failure Modes and Effects Analysis (FMEA) and to suggest a potential position at the institutional level as part of a comprehensive risk management. The evaluation field in the context of this thesis is on the chemotherapy circuit.
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Cécile Cridelich. Management du risque à l'hôpital : évaluation d'une nouvelle méthode d'analyse du risque appliquée à la prise en charge du patient par chimiothérapie. Gestion et management. École Nationale Supérieure des Mines de Paris, 2011. Français. ⟨NNT : 2011ENMP0106⟩. ⟨pastel-00732215⟩

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