[Describing and disseminating organizational innovation in public health DINOSP ; guide (Description of Organizational Innovations in Public Health)]. / Décrire l'innovation organisationnelle en santé publique pour favoriser sa dissémination ; guide DINOSP (Description des innovations organisationnelles en santé publique).

OBJECTIVES: The transition from experimentation to the scaling up of organizational innovations in public health is arduous. The innovation process requires back-up in view of enhancing the chances of success and generalization. The aim of this article is to present the development of a guide to support the description and analysis of organizational innovations in public health. METHOD: The mobilization of two analysis and description tools, ASTAIRE and TIDIeR, made it possible to select the innovation criteria to be considered for generalization. Collective discussions between actors, decision-makers and researchers and individual interviews with the latter refined and completed the proposed guide, which was reread by experts and tested by project leaders, thereby improving its accuracy and usability. RESULTS: The guide puts forward a two-step approach: i) to describe innovation at two levels: on the one hand, intervention methods, and on the other hand, interventional, population or contextual components corresponding to 27 criteria and ii) to assess the transferability of the innovation by distinguishing its key functions, its formal elements and the margins of maneuver to be maintained. DISCUSSION: The guide presents a modular vision of innovations and leaves room for reflection on its mechanisms. It favors the synchronization of innovations with the existing system and their mutualization. CONCLUSIONS: By putting forward a standardised description of organizational innovations in health and analyzing their effectiveness, the tool can effectively contribute to the development of effective, adaptable and generalizable projects, and thereby contribute to progress in public health.

[One year implemention of the safe surgery checklist in France, what has been achieved so far, what could be improved?]. / Check-list "Sécurité du patient au bloc opératoire". Quels acquis, quelles perspectives, un an après son implantation en France.

Despite important advances accomplished during the last ten years, patient safety in the OR remains a subject high on everyone's priority list: healthcare professionals, organisations and of course, patients. In this setting, the French National Authority for Health (Haute Autorité de santé, HAS) conducted a study with the scientific societies of professionals working in the OR. This study resulted in the adaptation of a tool which has already demonstrated, in a convincing manner, its efficacy in reducing perioperative morbimortality: the World Health Organisation's (WHO) "Surgical Safety Surgery" checklist. In order to promote its, HAS integrated this important tool for improving patient safety into the framework of its certification process of health care organisations beginning in January 1, 2010. Additionally, the organisations receive HAS certification are partners for the programme's promotion. One year after its institution, HAS is undertaking its first evaluation of the lessons and perspectives from the checklist's utilisation.