Monitoring incident report in the healthcare process to improve quality in hospitals.

Healthcare organizations are facing growing pressures to adopt intelligent technology to promote quality and safety care in public and private hospitals. In 2000, the Institute of Medicine report also indicated that an estimated 44,000 to 98,000 Americans die annually as a result of preventable medical errors and it appears that information management in hospitals can help the organization to improve the quality level. This paper aims to present an experience in the management of events not compliant with the best practice by monitoring these events in a hospital. We used ISO standard to implement general quality process and quality management. This project consists in proposing the possibility of declaring different dysfunctions and incidents by a simple form integrated into the intranet services of the hospital for the medical, nursing and administrative staff. This should lead to quality management of the medical units.

Tracing computerized incidents to manage and improve quality health care in hospitals.

The promotion of quality and safety care in public and private Hospitals has become a crucial stake. To succeed in this, a quality process is necessary for quality management. To set it up, it is necessary to have different piloting tools. Data collection of effective information is one of these tools. It is necessary to be able to process the data quickly in order to answer the various demands rapidly. This project consists in proposing the possibility of declaring different dysfunctions and incidents by a simple formula integrated into the intranet services of the hospital for the medical, nursing and administrative staff. This should lead to quality management of the medical units.

[The French and English health systems: compared evolution after the mid-1990s]. / Les systèmes de santé français et anglais: évolution comparée depuis le milieu des années 90.

In the recent past, the British and French health care systems have both undergone significant reforms, enveloped in a state of Urgency, resulting primarily in France from the increasing rate of growth in health expenditure and in England from malfunctioning procedures such as waiting lists. After describing current features of the National Health Service (NHS), this study extracts and considers the points of convergence and divergence in the respective policies of the two countries: similarities in the choice of priorities, decentralisation of decision-making, negotiation between actors at the local level, development of the quality concept, and the differences in formulating objectives and involving the system's users. The considerations provided here should allow for a better understanding of the developments of these respective health policies and their future evolution.