{"id":446,"date":"2016-06-06T14:02:55","date_gmt":"2016-06-06T12:02:55","guid":{"rendered":"http:\/\/dev.m-q.ch\/?p=446"},"modified":"2017-03-01T13:34:21","modified_gmt":"2017-03-01T12:34:21","slug":"swiss-quality-award-2016-quand-linnovation-prend-le-dessus","status":"publish","type":"post","link":"https:\/\/www.m-q.ch\/fr\/swiss-quality-award-2016-wenn-innovation-greift\/","title":{"rendered":"Prix suisse de la qualit\u00e9 2016 : Quand l'innovation fonctionne"},"content":{"rendered":"

<\/a><\/p>\n

Danse comme pr\u00e9vention des chutes en ambulatoire, moins de transfusions sanguines gr\u00e2ce au suivi et au retour d'information, comp\u00e9tence diagnostique accrue du personnel param\u00e9dical et construction hospitali\u00e8re efficace : parmi pr\u00e8s de 40 projets de qualit\u00e9 admis au concours, quatre innovations test\u00e9es dans la r\u00e9alit\u00e9 ont \u00e9t\u00e9 s\u00e9lectionn\u00e9es, qui font progresser la qualit\u00e9 du syst\u00e8me de sant\u00e9 suisse. Le Swiss Quality Award a donc r\u00e9ussi une fois de plus \u00e0 rendre accessible \u00e0 un large public un travail de qualit\u00e9 exemplaire, \u00e0 stimuler la discussion scientifique, \u00e0 donner des impulsions \u00e0 la recherche et \u00e0 mettre les chercheurs en r\u00e9seau. En 2016, le prix suisse de la qualit\u00e9 a \u00e9t\u00e9 d\u00e9cern\u00e9 aux projets laur\u00e9ats suivants :<\/p>\n

Cat\u00e9gorie \"Secteur ambulatoire<\/strong><\/p>\n

Pr\u00e9vention des chutes chez les personnes \u00e2g\u00e9es : la station de danse<\/strong><\/p>\n

En Suisse, 70 % des personnes \u00e2g\u00e9es r\u00e9sidant en maison de retraite tombent au moins une fois par an et les fractures osseuses li\u00e9es \u00e0 l'ost\u00e9oporose entra\u00eenent chaque ann\u00e9e plus de 350 millions de francs suisses de co\u00fbts de soins de sant\u00e9. La moiti\u00e9 des chutes peuvent \u00eatre \u00e9vit\u00e9es par un entra\u00eenement conscient de la danse. Parce que les partenaires de danse et les stations de danse adapt\u00e9es font souvent d\u00e9faut aux personnes \u00e2g\u00e9es, la soci\u00e9t\u00e9 REDANCE a mis au point la station de danse pour les danseurs seuls. Il se compose d'un \u00e9cran \u00e0 hauteur des yeux, de 25 morceaux de musique chor\u00e9graphi\u00e9s (musique originale des ann\u00e9es 50 et 60) et d'une plaque de base sensible \u00e0 la pression. Les fl\u00e8ches qui apparaissent sur l'\u00e9cran indiquent au danseur o\u00f9 placer ses pieds.<\/p>\n

Les tests pilotes effectu\u00e9s dans les foyers de personnes \u00e2g\u00e9es ont suscit\u00e9 l'enthousiasme et ont permis d'am\u00e9liorer la descente des escaliers, le temps de r\u00e9action et l'\u00e9quilibre. Une station de danse est d\u00e9j\u00e0 rentable si elle permet d'\u00e9viter deux fractures osseuses par an. Par cons\u00e9quent, la station de danse comme moyen de pr\u00e9vention des chutes augmente consid\u00e9rablement la s\u00e9curit\u00e9 des patients.<\/p>\n

Cat\u00e9gorie \"secteur stationnaire<\/strong><\/p>\n

Programme de suivi et de retour d'information sur la gestion du sang des patients<\/strong><\/p>\n

Les transfusions sanguines ne sont pas sans risque pour les patients et sont \u00e9galement co\u00fbteuses. Malgr\u00e9 l'introduction de directives en mati\u00e8re de transfusion en 2012, le nombre de transfusions \u00e0 l'h\u00f4pital universitaire de Zurich n'a pas diminu\u00e9. Seul le programme de suivi et de retour d'information sur la gestion du sang des patients, qui a \u00e9t\u00e9 mis en \u0153uvre en \u00e9troite coordination avec les directeurs d'h\u00f4pitaux et en collaboration avec l'informatique, a permis de r\u00e9duire le nombre de transfusions sanguines pour 1 000 patients de plus de 25 % en un an. Ainsi, des d\u00e9penses d'environ 2 millions de francs suisses pourraient \u00eatre \u00e9vit\u00e9es.<\/p>\n

Le projet est un bon exemple du fait que seule l'introduction d'une mesure transparente des r\u00e9sultats et sa discussion dans un environnement coll\u00e9gial permettent de garantir la mise en \u0153uvre de lignes directrices convenues conjointement. Le programme de suivi et de retour d'information peut \u00e9galement \u00eatre appliqu\u00e9 \u00e0 d'autres domaines et institutions et pourrait accro\u00eetre consid\u00e9rablement la s\u00e9curit\u00e9 des patients au niveau national.<\/p>\n

Cat\u00e9gorie \"intersectoriel<\/strong><\/p>\n

D\u00e9tresse respiratoire - un projet de qualit\u00e9 de la pr\u00e9clinique<\/strong><\/p>\n

Le sympt\u00f4me principal de la d\u00e9tresse respiratoire est l'une des raisons fr\u00e9quentes des missions de sauvetage. Pour le personnel de rettung chur, le service de secours professionnel de l'h\u00f4pital cantonal des Grisons, il n'\u00e9tait souvent pas facile de distinguer sur place un essoufflement d'origine cardiaque ou pulmonaire. C'est pourquoi l'entreprise a lanc\u00e9 le projet de qualit\u00e9 \"D\u00e9tresse respiratoire\". Les patients pr\u00e9sentant une d\u00e9tresse respiratoire ont \u00e9t\u00e9 enregistr\u00e9s statistiquement, les diagnostics suspect\u00e9s ont \u00e9t\u00e9 compar\u00e9s aux diagnostics cliniques, un algorithme d'urgence pour la d\u00e9tresse respiratoire a \u00e9t\u00e9 revu et le personnel de secours a \u00e9t\u00e9 form\u00e9.<\/p>\n

L'analyse des protocoles d'examen sp\u00e9cialement \u00e9labor\u00e9s a permis d'apporter des am\u00e9liorations pr\u00e9cises, telles qu'une formation sp\u00e9cifique au diagnostic et de meilleurs st\u00e9thoscopes. Le projet de qualit\u00e9 \"d\u00e9tresse respiratoire\" a notamment permis d'accro\u00eetre l'expertise du personnel, et l'algorithme d'intervention en cas de d\u00e9tresse respiratoire a pu \u00eatre mis \u00e0 jour. La m\u00e9thodologie de l'\u00e9tude, avec une boucle de contr\u00f4le de qualit\u00e9 en six \u00e9tapes, est \u00e9galement adapt\u00e9e \u00e0 l'am\u00e9lioration d'autres diagnostics suspects. Enfin et surtout, le projet de qualit\u00e9 \"D\u00e9tresse respiratoire\" a pu \u00eatre mis en \u0153uvre sans co\u00fbts importants ni m\u00eame externes.<\/p>\n

Prix suisse du poster de qualit\u00e9<\/strong><\/p>\n

Le personnel sait comment faire : Kaizen pour une construction hospitali\u00e8re efficace<\/strong><\/p>\n

Les projets de construction d'h\u00f4pitaux sont tr\u00e8s complexes et co\u00fbteux. Dans le cas de la nouvelle construction d'un scanner \u00e0 r\u00e9sonance magn\u00e9tique dans la gare centrale de Lucerne, tous les employ\u00e9s ont \u00e9t\u00e9 impliqu\u00e9s dans la planification et leurs connaissances ont \u00e9t\u00e9 utilis\u00e9es avec grand succ\u00e8s. La m\u00e9thode japonaise Kaizen choisie pour cela signifie \"changer pour le mieux\". En plus des r\u00e9unions mensuelles du personnel de planification, tous les employ\u00e9s ont eu acc\u00e8s aux plans de construction et ont \u00e9t\u00e9 r\u00e9guli\u00e8rement invit\u00e9s \u00e0 donner leur avis et leurs id\u00e9es. Cela a suscit\u00e9 une grande compr\u00e9hension et un haut niveau de satisfaction \u00e0 l'\u00e9gard du nouveau b\u00e2timent. Les op\u00e9rations ont b\u00e9n\u00e9fici\u00e9 des corrections d'erreurs en cours ainsi que des \u00e9conomies r\u00e9alis\u00e9es sur les co\u00fbts de construction, d'infrastructure et de personnel d'environ 200 000 CHF. En outre, les temps de d\u00e9placement quotidiens du personnel de radiologie en dehors de leur zone de travail ont \u00e9t\u00e9 r\u00e9duits d'environ 12 minutes dans le nouveau b\u00e2timent. Le Kaizen a donc fait ses preuves de mani\u00e8re impressionnante en tant que m\u00e9thode de conservation des ressources financi\u00e8res et humaines du syst\u00e8me de sant\u00e9.
\nhttp:\/\/www.swissqualityaward.ch<\/a><\/p>","protected":false},"excerpt":{"rendered":"

Tanz als ambulante Sturzpr\u00e4vention, weniger Bluttransfusionen dank Monitoring und Feedback, erh\u00f6hte Diagnosekompetenz von Rettungssanit\u00e4tern und effizienter Spitalbau: Aus beinahe 40 zum Wettbewerb zugelassenen Qualit\u00e4tsprojekten wurden vier realit\u00e4tserprobte Innovationen gek\u00fcrt, welche die Qualit\u00e4t des Schweizer Gesundheitswesens voranbringen. Damit gelingt es dem Swiss Quality Award erneut, beispielhafte Qualit\u00e4tsarbeiten einem breiten Publikum zug\u00e4nglich zu machen, die wissenschaftliche Diskussion […]<\/p>\n","protected":false},"author":1,"featured_media":233,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[3359],"class_list":["post-446","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-unkategorisiert","tag-vereineverbaendeinstitutionen"],"acf":[],"yoast_head":"\nSwiss Quality Award 2016: Wenn Innovation greift - MQ Management und Qualit\u00e4t<\/title>\n<meta name=\"description\" content=\"Zum siebten Mal w\u00fcrdigt der Swiss Quality Award herausragende Qualit\u00e4ts\u00adprojekte, die das Gesundheitswesen nachhaltig verbessern.\" \/>\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.m-q.ch\/fr\/swiss-quality-award-2016-when-innovation-grips-en-anglais\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Swiss Quality Award 2016: Wenn Innovation greift - 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