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Canada",[32,46,39],[1054,1080,1127,1167,1247,1255],{"_uid":1055,"link":1056,"image":1057,"title":1062,"video_id":16,"component":940,"video_mp4":1063,"media_type":1065,"video_type":944,"description":1066,"video_title":16,"video_mp4_thumbnail":1078},"f58eac98-70d0-46bb-a312-a6ea7c3af0d2",[],{"id":1058,"alt":1059,"name":16,"focus":16,"title":1059,"source":16,"filename":1060,"copyright":16,"fieldtype":286,"meta_data":1061,"is_external_url":288},114300101722134,"Pepframework FRE 825Px","https://a-ca.storyblok.com/f/850807391887861/53f768eb45/pepframework-fre-825px.png",{},"Pourquoi est-ce important?",{"id":102,"alt":102,"name":16,"focus":102,"title":102,"source":102,"filename":16,"copyright":102,"fieldtype":286,"meta_data":1064},{},"image",{"type":12,"content":1067},[1068,1073],{"type":15,"attrs":1069,"content":1070},{"textAlign":102},[1071],{"text":1072,"type":298},"L’engagement significatif des patients repose sur la confiance et la création de liens, afin que les décisions prises reflètent le vécu expérientiel et contribuent à de meilleurs soins.",{"type":15,"attrs":1074,"content":1075},{"textAlign":102},[1076],{"text":1077,"type":298},"Mais il n’est pas toujours facile de déterminer par où commencer. Ce cadre démontre qu’il n’existe pas qu’une seule « bonne » façon de mener l’engagement. Il vous guide, ainsi que vos partenaires, pour choisir l’approche la plus adaptée à votre travail et à votre contexte.",{"id":102,"alt":102,"name":16,"focus":102,"title":102,"source":102,"filename":16,"copyright":102,"fieldtype":286,"meta_data":1079},{},{"_uid":1081,"content":1082,"component":599},"93db6378-6e33-4e24-ad85-5092b7692fa8",[1083],{"_uid":1084,"content":1085,"component":589},"bd23a85e-6832-4b16-82ce-0691a661e33d",{"type":12,"content":1086},[1087,1092,1097],{"type":535,"attrs":1088,"content":1089},{"level":537,"textAlign":102},[1090],{"text":1091,"type":298},"À qui s’adresse-t-il?",{"type":15,"attrs":1093,"content":1094},{"textAlign":102},[1095],{"text":1096,"type":298},"Ce cadre est destiné aux :",{"type":545,"content":1098},[1099,1106,1113,1120],{"type":548,"content":1100},[1101],{"type":15,"attrs":1102,"content":1103},{"textAlign":102},[1104],{"text":1105,"type":298},"patientes et patients, membres de la famille et personnes proches aidantes qui souhaitent comprendre les attentes;",{"type":548,"content":1107},[1108],{"type":15,"attrs":1109,"content":1110},{"textAlign":102},[1111],{"text":1112,"type":298},"membres du personnel et équipes qui travaillent avec des patientes et patients partenaires;",{"type":548,"content":1114},[1115],{"type":15,"attrs":1116,"content":1117},{"textAlign":102},[1118],{"text":1119,"type":298},"directions d’organismes visant la création d’une culture de l’engagement et le renforcement de leurs pratiques d’engagement;",{"type":548,"content":1121},[1122],{"type":15,"attrs":1123,"content":1124},{"textAlign":102},[1125],{"text":1126,"type":298},"personnes qui souhaitent adapter un cadre éprouvé à leurs besoins locaux.",{"_uid":1128,"items":1129,"component":1166},"5931f641-8ee8-47da-840d-38b1155eda69",[1130],{"_uid":1131,"link":1132,"image":1146,"title":1151,"component":1152,"description":1153},"cb8cbba3-27b4-4d07-b985-042c4bbe2a02",[1133],{"_uid":1134,"link":1135,"label":1145,"component":1005},"a73f57b6-dfe4-4f27-b6f8-6c17b9d646d4",{"id":1136,"url":16,"linktype":839,"fieldtype":596,"cached_url":1137,"prep":459,"story":1138},"8ec99155-ddbf-4f28-8a6b-4416f9b0eab9","/fr/updates/more-than-a-framework-supporting-patient-engagement-in-action",{"name":1139,"id":1140,"uuid":1136,"slug":1141,"url":1142,"translated_name":1143,"full_slug":1144,"_stopResolving":459},"More Than a Framework: Supporting Patient Engagement in Action",123415507776573,"more-than-a-framework-supporting-patient-engagement-in-action","updates/more-than-a-framework-supporting-patient-engagement-in-action","Plus qu’un cadre — une action concrète en faveur de l’engagement des patients","fr/actualites-et-perspectives/plus-qu-un-cadre-une-action-concrete-en-faveur-de-l-engagement-des-patients","Lisez l’histoire",{"id":1147,"alt":1148,"name":16,"focus":16,"title":1148,"source":16,"filename":1149,"copyright":16,"fieldtype":286,"meta_data":1150,"is_external_url":288},114295712410547,"730X487 Pseframework","https://a-ca.storyblok.com/f/850807391887861/c0a3260160/730x487-pseframework.png",{},"Un cadre peut-il être plus qu’un simple cadre?","image-text-colored-item",{"type":12,"content":1154},[1155,1160],{"type":15,"attrs":1156,"content":1157},{"textAlign":102},[1158],{"text":1159,"type":298},"Découvrez comment des patientes et patients partenaires et des organismes de santé de partout au pays mettent le Cadre d’engagement des patients d’ESC en pratique, au travers d’actions concrètes.",{"type":15,"attrs":1161,"content":1163},{"textAlign":1162},"left",[1164],{"text":1165,"type":298},"Ce billet de blogue met en avant des exemples concrets de leadership, de collaboration et d’engagement significatif, et décrit comment ce cadre souple et tourné vers l’action soutient un partenariat de soins authentique.","image-text-colored",{"_uid":1168,"content":1169,"component":599},"66d66971-eaa3-4540-9524-5c436c111db9",[1170,1242],{"_uid":1171,"content":1172,"component":589},"27d18407-d521-4a23-bd7d-b834e2092b61",{"type":12,"content":1173},[1174,1179,1224],{"type":535,"attrs":1175,"content":1176},{"level":537,"textAlign":102},[1177],{"text":1178,"type":298},"Comment le cadre a-t-il été élaboré?",{"type":15,"attrs":1180,"content":1181},{"textAlign":102},[1182,1184,1199,1203,1205,1219,1222],{"text":1183,"type":298},"Il est le fruit d’une conception conjointe entre le ",{"text":1185,"type":298,"marks":1186},"Réseau des patients et patientes partenaires",[1187],{"type":557,"attrs":1188},{"href":1189,"uuid":1190,"anchor":1191,"custom":1192,"target":1193,"linktype":839,"story":1194},"/fr/programmes/partenariats-et-engagement-patients","83357abd-ffae-41e8-86c1-edfcd916853a","Reseaudespatients",{},"_self",{"name":1195,"id":1196,"uuid":1190,"slug":207,"url":1197,"translated_name":208,"full_slug":1198,"_stopResolving":459},"Patient Partnerships and Engagement",123451141440692,"programs/patient-partnerships-and-engagement","fr/programmes/partenariats-et-engagement-patients",{"text":1200,"type":298,"marks":1201}," ",[1202],{"type":543},{"text":1204,"type":298},"d’ESC, des responsables de l’engagement et le personnel d’ESC. Nous avons également travaillé en étroite collaboration avec des parties prenantes de tout le pays, notamment les membres du ",{"text":1206,"type":298,"marks":1207},"Réseau national pour la participation en santé",[1208],{"type":557,"attrs":1209},{"href":1210,"uuid":1211,"anchor":102,"custom":1212,"target":1193,"linktype":839,"story":1213},"/fr/programmes/reseau-national-pour-la-participation-en-sante","e1bb8d17-f28d-46ca-bd84-c043ec2a9622",{},{"name":1214,"id":1215,"uuid":1211,"slug":1216,"url":1217,"translated_name":1206,"full_slug":1218,"_stopResolving":459},"National Health Engagement Network",124539912500499,"national-health-engagement-network","programs/national-health-engagement-network","fr/programmes/reseau-national-pour-la-participation-en-sante",{"text":1200,"type":298,"marks":1220},[1221],{"type":543},{"text":1223,"type":298},". Lors de discussions et d’analyses pancanadiennes, ces personnes ont eu l’occasion d’expliquer ce qui fonctionnait et ce qui ne fonctionnait pas. Leurs perspectives ont orienté la conception de la structure du cadre et la terminologie utilisée pour décrire l’engagement.",{"type":15,"attrs":1225,"content":1226},{"textAlign":102},[1227,1229,1232,1234,1240],{"text":1228,"type":298},"Les partenaires nous ont demandé de nous éloigner du processus linéaire et de la notion de « niveaux ». Le",{"text":1048,"type":298,"marks":1230},[1231],{"type":776},{"text":1233,"type":298},"d’ESC présente, de ce fait, des « façons de faire » ou « méthodes » d’engagement sous la forme d’un diagramme circulaire, qui souligne que toutes les approches de partenariat ont de la valeur. Il s’inspire du cadre Spectrum : degré d’engagement du public de l’ ",{"text":1235,"type":298,"marks":1236},"Association internationale pour la participation publique",[1237],{"type":557,"attrs":1238},{"href":1239,"uuid":102,"anchor":102,"custom":102,"target":560,"linktype":561},"https://www.iap2.org/mpage/Home",{"text":1241,"type":298}," 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questions ou des idées?",{"type":15,"attrs":1268,"content":1269},{"textAlign":102},[1270],{"text":1271,"type":298},"Nous aimerions savoir comment vous utilisez le cadre, ou vous aider à vous lancer.",{"_uid":1273,"file":1274,"link":1276,"label":1279,"linkType":557,"component":597,"linkLabel":1280},"e9a10ff6-23cf-4240-8bfb-ead3169e88c4",{"id":102,"alt":102,"name":16,"focus":102,"title":102,"source":102,"filename":16,"copyright":102,"fieldtype":286,"meta_data":1275},{},{"id":16,"url":1277,"email":1277,"target":560,"linktype":1278,"fieldtype":596,"cached_url":1277},"patientpartnership-partenariat@hec-esc.ca","email","Nous contacter","Nous 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Practices for Retaining the Healthcare Workforce in Northern, Rural and Remote Communities","2025-11-18T19:00:06.691Z","2026-02-24T17:22:12.395Z","2026-02-24T17:22:12.424Z",113880296287715,{"new":288,"seo":1304,"_uid":1307,"hero":1308,"type":177,"topics":1323,"Noindex":288,"content":1324,"audience":1769,"duration":16,"regional":1770,"component":603},{"title":1305,"plugin":277,"description":1306},"Pratiques prometteuses pour la rétention du personnel soignant dans les communautés nordiques, rurales et éloignées","Découvrez des pratiques émergentes pour soutenir et retenir le personnel de soins primaires dans les communautés nordiques, rurales et éloignées.","cfe5822e-4eec-4f89-afd2-70b70f8661f2",[1309],{"_uid":1310,"file":1311,"image":1312,"title":1305,"format":16,"component":503,"description":1317,"key_learning":16,"prerequisite":16},"79077de0-1183-418c-a287-f6134d0cf45e",[],{"id":1313,"alt":1314,"title":16,"source":16,"filename":1315,"copyright":16,"fieldtype":286,"meta_data":1316},114299423846246,"Un·e professionnel·le de la santé souriant·e, vêtu·e d’uniforme bleu et portant un stéthoscope, échange avec une personne assise dans une conversation chaleureuse.","https://a-ca.storyblok.com/f/850807391887861/913a902bfb/hhr-sprag-tile-image.jpg",{"alt":1314,"title":16,"source":16,"copyright":16},{"type":12,"content":1318},[1319],{"type":15,"attrs":1320,"content":1321},{"textAlign":102},[1322],{"text":1306,"type":298},[81,60,88],[1325,1390,1532,1653,1731,1750],{"_uid":1326,"content":1327,"component":599},"82c4d941-c15b-43ee-bfe1-ef82c674e299",[1328],{"_uid":1329,"content":1330,"component":589},"f2ce977b-70e0-4cb9-ae4d-e9e87d290ca2",{"type":12,"content":1331},[1332,1337,1350,1380,1385],{"type":15,"attrs":1333,"content":1334},{"textAlign":102},[1335],{"text":1336,"type":298},"Que nous apprennent les pratiques émergentes des communautés nordiques, rurales et éloignées sur les façons de soutenir et de retenir le personnel de la santé?",{"type":15,"attrs":1338,"content":1339},{"textAlign":102},[1340,1342,1348],{"text":1341,"type":298},"Excellence en santé Canada, en partenariat avec l’",{"text":1343,"type":298,"marks":1344},"Institut canadien d’information sur la santé",[1345],{"type":557,"attrs":1346},{"href":1347,"uuid":102,"anchor":102,"custom":102,"target":560,"linktype":561},"https://www.cihi.ca/fr",{"text":1349,"type":298}," (ICIS), propose une synthèse de plusieurs pratiques prometteuses. Ces résumés ont été élaborés avec des prestataires et des organismes de soins de santé pour faire connaître des pratiques prometteuses et amorcer une réflexion sur leur adaptation et leur application dans d’autres contextes ou milieux. Ils incluent des détails sur :",{"type":545,"content":1351},[1352,1359,1366,1373],{"type":548,"content":1353},[1354],{"type":15,"attrs":1355,"content":1356},{"textAlign":102},[1357],{"text":1358,"type":298},"la mise en œuvre de pratiques prometteuses par les communautés pour améliorer la rétention du personnel de la santé;",{"type":548,"content":1360},[1361],{"type":15,"attrs":1362,"content":1363},{"textAlign":102},[1364],{"text":1365,"type":298},"les grands facteurs de réussite pour l’intégration de partenariats avec la communauté, le personnel et les Autochtones dans les approches de rétention;",{"type":548,"content":1367},[1368],{"type":15,"attrs":1369,"content":1370},{"textAlign":102},[1371],{"text":1372,"type":298},"des pratiques favorisant le bien-être et une meilleure conciliation travail-famille;",{"type":548,"content":1374},[1375],{"type":15,"attrs":1376,"content":1377},{"textAlign":102},[1378],{"text":1379,"type":298},"des stratégies employées par les dirigeants en santé pour impliquer le personnel dans la création de solutions.",{"type":535,"attrs":1381,"content":1382},{"level":537,"textAlign":102},[1383],{"text":1384,"type":298},"Importance de ce travail",{"type":15,"attrs":1386,"content":1387},{"textAlign":102},[1388],{"text":1389,"type":298},"Il est urgent de soutenir le personnel de la santé pour rétablir et renforcer la prestation de soins sûrs et de qualité pour toutes et tous au Canada. Les prestataires travaillant dans des communautés nordiques, rurales et éloignées doivent faire face à des défis qui leur sont propres et ont donc des besoins de soutien particuliers en raison de divers facteurs : nombre limité de membres de l’équipe sur place; isolement géographique et problèmes connexes liés aux conditions météorologiques et aux déplacements; accès à un nombre limité de prestataires, de spécialistes, d’installations et d’équipements; champ de pratique plus vaste que celui de leurs homologues en milieu urbain; et population de patients plus complexe, en moyenne, que celles dans les centres 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","Rétention du personnal signant dans les communautées nordiqes, rurales et éloignées",{"id":102,"alt":102,"name":16,"focus":102,"title":102,"source":102,"filename":16,"copyright":102,"fieldtype":286,"meta_data":1768},{},[127,148],[183,190],"promising-practices-for-retaining-the-healthcare-workforce-in-northern-rural-and-remote-communities","fr/ressources/pratiques-prometteuses-pour-la-retention-du-personnel-soignant-dans-les-communautes-nordiques-rurales-et-eloignees",-13910,[],{"parent_slug":455,"umbraco_path":1776,"umbraco_uuid":1777},"/HealthcareExcellenceCanada/Resources/PromisingPracticesForRetainingTheHealthcareWorkforceInNorthernRuralAndRemoteCommunities","23dee63a-aecb-4fd4-8e60-0840475f7806","45c8e5e9-0d07-4363-b96a-d64e3225188b","2025-11-18T19:00:06.793Z",[],"resources/promising-practices-for-retaining-the-healthcare-workforce-in-northern-rural-and-remote-communities",[1783],{"path":1784,"name":1305,"lang":463,"published":459},"ressources/pratiques-prometteuses-pour-la-retention-du-personnel-soignant-dans-les-communautes-nordiques-rurales-et-eloignees",{"name":1786,"created_at":1787,"published_at":1788,"updated_at":1789,"id":1790,"uuid":413,"content":1791,"slug":1996,"full_slug":1997,"sort_by_date":102,"position":1998,"tag_list":1999,"is_startpage":288,"parent_id":460,"meta_data":2000,"group_id":2003,"first_published_at":2004,"release_id":102,"lang":463,"path":102,"alternates":2005,"default_full_slug":2006,"translated_slugs":2007},"Rethinking Patient Safety Discussion Guide","2025-11-18T19:00:05.723Z","2026-02-10T21:17:37.107Z","2026-02-10T21:17:37.227Z",113880292322786,{"new":288,"seo":1792,"_uid":1795,"hero":1796,"type":172,"topics":1813,"Noindex":288,"content":1814,"audience":1994,"duration":16,"regional":1995,"component":603},{"title":1793,"plugin":277,"description":1794},"Repenser la sécurité des patients Guide de discussion","Ce guide de discussion porte sur une nouvelle approche de la sécurité des patients qui met en évidence les rôles vitaux de la sécurité culturelle et psychologique, et selon laquelle tout le monde contribue à rendre les soins plus sûrs.","d3603147-f4ef-433c-b991-2d87a27811fa",[1797],{"_uid":1798,"file":1799,"image":1808,"title":1807,"format":16,"component":503,"description":1794,"key_learning":16,"prerequisite":16},"b09bec17-cb78-4f24-b92b-b4ab24d95d82",[1800],{"_uid":1801,"file":1802,"label":1807,"component":640},"44634a9e-244c-4fb0-8a3d-1b8d8991dee5",{"id":1803,"alt":1804,"name":16,"focus":16,"title":1804,"source":16,"filename":1805,"copyright":16,"fieldtype":286,"meta_data":1806,"is_external_url":288},114289695815160,"Repenser La Sécurité Des Patients","https://a-ca.storyblok.com/f/850807391887861/7d82f9f5d9/repenser-la-securite-des-patients.pdf",{},"Guide de discussion Repenser la sécurité des patients",{"id":1809,"alt":1810,"title":16,"source":16,"filename":1811,"copyright":16,"fieldtype":286,"meta_data":1812},114294555282062,"Une image d'un guide intitulé Repenser la sécurité des patients.","https://a-ca.storyblok.com/f/850807391887861/4b3d90e227/rps-guide-540x360px-fre.png",{"alt":1810,"title":16,"source":16,"copyright":16},[88,46,74,60,81,32,39,95],[1815],{"_uid":1816,"content":1817,"component":599},"a58f3d46-6caa-4db4-83b6-96d630136f67",[1818,1848,1964,1969,1983],{"_uid":1819,"content":1820,"component":589},"e8652e9e-5181-4f70-b83a-b387f0bc3d09",{"type":12,"content":1821},[1822,1827],{"type":15,"attrs":1823,"content":1824},{"textAlign":102},[1825],{"text":1826,"type":298},"Par le passé, les efforts déployés dans le domaine de la sécurité des patients consistaient essentiellement à recueillir des données sur les préjudices et à réagir. Pourtant, la définition de la sécurité va bien au-delà de l’absence de préjudice. Nous devons examiner l’ensemble du système pour savoir comment créer une culture et des conditions durables de sécurité des soins.",{"type":15,"attrs":1828,"content":1829},{"textAlign":102},[1830,1832,1846],{"text":1831,"type":298},"En 2022 et 2023, Excellence en santé Canada (ESC) et Patients pour la sécurité des patients du Canada ont tenu des consultations avec des travailleuses et travailleurs de la santé ainsi que des scientifiques spécialistes de la sécurité. Leur réflexion a guidé l’élaboration d’un nouvel énoncé relatif à la sécurité des patients puis du guide de discussion ",{"text":1833,"type":298,"marks":1834},"Repenser la sécurité des patients",[1835,1845],{"type":557,"attrs":1836},{"href":1837,"uuid":412,"anchor":102,"custom":1838,"target":1193,"linktype":839,"story":1839},"/fr/ressources/repenser-la-securite-des-patients",{},{"name":1840,"id":1841,"uuid":412,"slug":1842,"url":1843,"translated_name":1833,"full_slug":1844,"_stopResolving":459},"Rethinking Patient Safety",113881326087952,"rethinking-patient-safety","resources/rethinking-patient-safety","fr/ressources/repenser-la-securite-des-patients",{"type":776},{"text":1847,"type":298},". Celui-ci présente une nouvelle approche selon laquelle toute personne peut contribuer à créer des conditions de sécurité, et qui reconnaît toutes les formes de préjudices liées aux services de santé, notamment celles liées à la sécurité physique, psychologique et culturelle.",{"_uid":1849,"content":1850,"component":589},"d4d30c1b-8b31-4282-9fd6-3d43881f4f91",{"type":12,"content":1851},[1852,1857,1862,1867,1897,1902,1907,1912,1923,1930,1935,1942,1947,1954,1959],{"type":535,"attrs":1853,"content":1854},{"level":537,"textAlign":102},[1855],{"text":1856,"type":298},"Contenu",{"type":15,"attrs":1858,"content":1859},{"textAlign":102},[1860],{"text":1861,"type":298},"Ce guide succinct est fondé sur le nouvel énoncé relatif à la sécurité des patients d’ESC : nous avons toutes et tous un rôle à jouer dans la sécurité des patients. Ensemble, nous devons tirer des enseignements et agir pour rendre les soins plus sûrs et diminuer toutes les formes de préjudices liés aux services de santé.",{"type":15,"attrs":1863,"content":1864},{"textAlign":102},[1865],{"text":1866,"type":298},"On y explique les différentes composantes de cet énoncé et y présente des questions de discussion visant à vous aider à réfléchir individuellement ou en équipe à vos efforts pour améliorer la sécurité des patients :",{"type":545,"content":1868},[1869,1876,1883,1890],{"type":548,"content":1870},[1871],{"type":15,"attrs":1872,"content":1873},{"textAlign":102},[1874],{"text":1875,"type":298},"À qui confiez-vous vos inquiétudes ou vos satisfactions en matière de sécurité? Comment pouvez-vous instaurer un climat de sécurité propice aux discussions sur le sujet?",{"type":548,"content":1877},[1878],{"type":15,"attrs":1879,"content":1880},{"textAlign":102},[1881],{"text":1882,"type":298},"Comment abordiez-vous la sécurité auparavant? En quoi votre approche pourrait-elle changer aujourd’hui?",{"type":548,"content":1884},[1885],{"type":15,"attrs":1886,"content":1887},{"textAlign":102},[1888],{"text":1889,"type":298},"De quelle façon pouvez-vous favoriser le partage du pouvoir entre les patientes et patients, les personnes proches aidantes, les communautés, les prestataires, le personnel et les leaders pour renforcer la sécurité des patients?",{"type":548,"content":1891},[1892],{"type":15,"attrs":1893,"content":1894},{"textAlign":102},[1895],{"text":1896,"type":298},"De quelle façon les mesures en faveur de la sécurité des patients peuvent-elles contribuer à réduire les iniquités en santé? De quelle façon les actions pour réduire les iniquités en santé peuvent-elles contribuer à améliorer la sécurité des patients?",{"type":535,"attrs":1898,"content":1899},{"level":537,"textAlign":102},[1900],{"text":1901,"type":298},"Pourquoi cette nouvelle approche",{"type":15,"attrs":1903,"content":1904},{"textAlign":102},[1905],{"text":1906,"type":298},"Pour améliorer la sécurité des patients, nous devons commencer par revoir l’angle sous lequel nous concevons et abordons cette notion.",{"type":15,"attrs":1908,"content":1909},{"textAlign":102},[1910],{"text":1911,"type":298},"Lorsqu’il est question d’assurer la sécurité des patients, nous devons penser à toutes les formes de préjudices possibles. Par le passé, nous avions tendance à cibler principalement les chutes et les infections dans les hôpitaux, qui étaient plus faciles à mesurer. Mais il existe d’autres formes de préjudices, souvent oubliées, comme un traitement insuffisant ou excessif, un traitement erroné ou trop tardif. Le racisme, la discrimination fondée sur les capacités, l’âge, le sexe, le genre, la religion et la classe sociale ainsi que sur le poids et la santé mentale comptent aussi parmi les différentes formes de préjudices.",{"type":15,"attrs":1913,"content":1914},{"textAlign":102},[1915,1917,1921],{"text":1916,"type":298},"La sécurité des patients est une responsabilité partagée, qui n’incombe pas uniquement aux gestionnaires, aux responsables de la qualité et de la sécurité ou au personnel clinicien. Il s’agit d’une responsabilité qui repose sur tout le monde, y compris les bénéficiaires, les familles et les partenaires de soins. La sécurité étant interreliée entre toutes les parties prenantes, chaque personne doit y contribuer activement en exprimant ses inquiétudes, en participant à des discussions sur la sécurité et en aidant à trouver des solutions. Le guide de discussion ",{"text":1918,"type":298,"marks":1919},"Repenser la sécurité des patients ",[1920],{"type":776},{"text":1922,"type":298},"met en lumière l’importance d’aller au-delà du simple examen des préjudices passés et d’adopter une approche proactive. La sécurité ne consiste pas seulement à prévenir les préjudices; elle suppose de déployer des efforts continus pour que des conditions de sécurité soient établies dans chaque décision et mesure, en soulignant le fait que tout le monde joue un rôle dans la création et le maintien d’un environnement de soins sécuritaire.",{"type":535,"attrs":1924,"content":1925},{"level":537,"textAlign":102},[1926],{"text":1927,"type":298,"marks":1928},"Rédaction",[1929],{"type":543},{"type":15,"attrs":1931,"content":1932},{"textAlign":102},[1933],{"text":1934,"type":298},"Rachel Gilbert, Maaike Asselbergs, Donna Davis, Anne MacLaurin, Ioana Popescu et Carol Fancott.",{"type":535,"attrs":1936,"content":1937},{"level":537,"textAlign":102},[1938],{"text":1939,"type":298,"marks":1940},"Conseils",[1941],{"type":543},{"type":15,"attrs":1943,"content":1944},{"textAlign":102},[1945],{"text":1946,"type":298},"Wendy Nicklin, G. Ross Baker et Dr Alika Lafontaine.",{"type":535,"attrs":1948,"content":1949},{"level":537,"textAlign":102},[1950],{"text":1951,"type":298,"marks":1952},"Contributions",[1953],{"type":543},{"type":15,"attrs":1955,"content":1956},{"textAlign":102},[1957],{"text":1958,"type":298},"Carla St. Croix, Andrea Piché, Denise McCuaig, Kim Mumford, Hailey Riendeau, James Rebello, Beatrice Onwuka, Jennifer Schipper (Arc Communications) et Shoshanna Hahn-Goldberg et son équipe (OpenLab).",{"type":15,"attrs":1960,"content":1961},{"textAlign":102},[1962],{"text":1963,"type":298},"Nous tenons à remercier le personnel et la direction d’Excellence en santé Canada, la communauté de patientes et patients partenaires d’ESC, notamment Patients pour la sécurité des patients du Canada, ainsi que toutes les personnes qui ont pris part aux activités d’engagement et ont apporté leur éclairage précieux tout au long du processus.",{"_uid":1965,"file":1966,"link":1968,"label":1807,"linkType":842,"component":597,"linkLabel":16},"d66cff20-f5db-4cbd-abc6-0cb6ca69a580",{"id":1803,"alt":1804,"name":16,"focus":16,"title":1804,"source":16,"filename":1805,"copyright":16,"fieldtype":286,"meta_data":1967,"is_external_url":288},{},{"id":16,"url":16,"linktype":839,"fieldtype":596,"cached_url":840,"prep":459},{"_uid":1970,"content":1971,"component":589},"b3f45ed8-94b5-4fad-a4a8-7a485e2fe3a9",{"type":12,"content":1972},[1973,1978],{"type":535,"attrs":1974,"content":1975},{"level":537,"textAlign":102},[1976],{"text":1977,"type":298},"Présentation PowerPoint",{"type":15,"attrs":1979,"content":1980},{"textAlign":102},[1981],{"text":1982,"type":298},"Faites connaître la nouvelle approche grâce à un modèle de présentation.",{"_uid":1984,"file":1985,"link":1990,"label":1977,"linkType":842,"component":597,"linkLabel":1993},"691ae5d5-1cca-4605-84f3-0b19c1846d8c",{"id":1986,"alt":1987,"name":16,"focus":16,"title":1987,"source":16,"filename":1988,"copyright":16,"fieldtype":286,"meta_data":1989,"is_external_url":288},114289762985499,"HEC 2023 CPSW Powerpoint FR","https://a-ca.storyblok.com/f/850807391887861/122be31b82/hec-2023-cpsw-powerpoint-fr.pptx",{},{"id":1991,"url":16,"linktype":839,"fieldtype":596,"cached_url":1992,"prep":459},"c0653544-9b40-42ed-a340-9cb4cebc77c1","/fr/resources/powerpoint","En savoir plus",[113,141,120,127,134,148,155],[183,190,198],"rethinking-patient-safety-discussion-guide","fr/ressources/repenser-la-securite-des-patients-guide-de-discussion",-13890,[],{"parent_slug":455,"umbraco_path":2001,"umbraco_uuid":2002},"/HealthcareExcellenceCanada/Resources/RethinkingPatientSafetyDiscussionGuide","20006e5f-02e7-4ff3-99f2-9442f82fec50","c2eb6a42-4b8a-4e77-a5fc-09ff2d632af0","2025-11-18T19:00:05.800Z",[],"resources/rethinking-patient-safety-discussion-guide",[2008],{"path":2009,"name":1793,"lang":463,"published":459},"ressources/repenser-la-securite-des-patients-guide-de-discussion",{"name":2011,"created_at":2012,"published_at":2013,"updated_at":2014,"id":2015,"uuid":384,"content":2016,"slug":13185,"full_slug":13186,"sort_by_date":102,"position":13187,"tag_list":13188,"is_startpage":288,"parent_id":460,"meta_data":13189,"group_id":13192,"first_published_at":13193,"release_id":102,"lang":463,"path":102,"alternates":13194,"default_full_slug":13195,"translated_slugs":13196},"Patient Safety and Incident Management Toolkit","2025-11-18T19:00:02.076Z","2026-02-26T03:31:28.408Z","2026-02-26T03:31:28.679Z",113880277560800,{"new":288,"seo":2017,"_uid":2020,"hero":2021,"type":172,"topics":2035,"Noindex":288,"content":2036,"audience":13183,"duration":16,"regional":13184,"component":603},{"title":2018,"plugin":277,"description":2019},"Boîte à outils pour la sécurité des patients et la gestion des incidents","Basée sur les meilleures données probantes et des conseils d’experts, cette trousse d’outils s’adresse aux responsables de la gestion de la sécurité des patients, de l’amélioration de la qualité, de la gestion des risques et de la formation du personnel dans tous les milieux de soins.","f6eb88bf-6270-43d4-97ab-50994d21f9e8",[2022],{"_uid":2023,"file":2024,"image":2025,"title":2018,"format":16,"component":503,"description":2028,"key_learning":16,"prerequisite":16},"2d69ef58-a108-45cc-a491-dee98717133f",[],{"id":2026,"filename":2027,"fieldtype":286},108534901744414,"https://a-ca.storyblok.com/f/850807391887861/670x450/0df79330c2/header-2-visual.png",{"type":12,"content":2029},[2030],{"type":15,"attrs":2031,"content":2032},{"textAlign":102},[2033],{"text":2034,"type":298},"Lorsque la sécurité d’un patient est compromise, ou même si un incident est évité de justesse, il faut s’assurer de prendre les bonnes mesures pour y faire face, aujourd’hui comme demain. Notre trousse d’outils vous propose des stratégies et ressources pratiques pour gérer efficacement les incidents et assurer la sécurité de vos patients, tout en tenant compte des besoins et préoccupations des patients et de leur famille et leur engagement tout au long du processus.",[74,81],[2037,2230,2245,2407,3958,6197,6589,6728,6881,7284],{"_uid":2038,"content":2039,"component":599},"943e8af8-0f21-4218-8029-2cb2faf66860",[2040],{"_uid":2041,"content":2042,"component":589},"ab554f33-eee7-4276-9299-a948bbb9b394",{"type":12,"content":2043},[2044,2048,2053,2065,2070,2075,2080,2089,2098,2107,2112,2117,2163,2168,2173,2219],{"type":15,"attrs":2045,"content":2046},{"textAlign":102},[2047],{"text":2019,"type":298},{"type":15,"attrs":2049,"content":2050},{"textAlign":102},[2051],{"text":2052,"type":298},"Un incident lié à la sécurité des patients se définit comme un événement ou une circonstance qui aurait pu entraîner ou qui a entraîné un préjudice inutile à un patient. ",{"type":15,"attrs":2054,"content":2055},{"textAlign":102},[2056,2058,2064],{"text":2057,"type":298},"Pour en savoir plus, veuillez nous écrire à ",{"text":2059,"type":298,"marks":2060},"info@hec-esc.ca",[2061],{"type":557,"attrs":2062},{"href":2063,"uuid":102,"anchor":102,"custom":102,"target":102,"linktype":561},"mailto:info@hec-esc.ca",{"text":991,"type":298},{"type":535,"attrs":2066,"content":2067},{"level":537,"textAlign":102},[2068],{"text":2069,"type":298},"Éléments abordés dans la trousse",{"type":15,"attrs":2071,"content":2072},{"textAlign":102},[2073],{"text":2074,"type":298},"Même si la trousse d’outils vise principalement la gestion des incidents et de la sécurité des patients, vous y trouverez aussi des idées et des ressources pour explorer d’autres aspects de l’amélioration de la qualité et de la gestion des risques.",{"type":15,"attrs":2076,"content":2077},{"textAlign":102},[2078],{"text":2079,"type":298},"La trousse d’outils couvre trois sections :",{"type":15,"attrs":2081,"content":2082},{"textAlign":102},[2083,2087],{"text":2084,"type":298,"marks":2085},"Gestion de la sécurité des patients : ",[2086],{"type":543},{"text":2088,"type":298},"les mesures qui aident à anticiper et éviter de manière proactive les événements découlant de la prestation de soins. Dans cette section, les ressources vous aident à planifier, anticiper et faire le suivi de votre réponse aux problèmes de sécurité, qu’ils soient inattendus ou non, pour rendre les soins plus sécuritaires aujourd’hui et à l’avenir. Nous encourageons une culture de la sécurité des patients et l’utilisation d’un système de déclaration et d’apprentissage.",{"type":15,"attrs":2090,"content":2091},{"textAlign":102},[2092,2096],{"text":2093,"type":298,"marks":2094},"Gestion des incidents : ",[2095],{"type":543},{"text":2097,"type":298},"les mesures prises après un incident lié à la sécurité des patients (y compris les incidents évités de justesse). Cette section propose des conseils et des ressources pour appuyer une réponse immédiate, la divulgation, la préparation à l’analyse, l’analyse, le suivi, la fermeture de la boucle et l’échange des apprentissages.",{"type":15,"attrs":2099,"content":2100},{"textAlign":102},[2101,2105],{"text":2102,"type":298,"marks":2103},"Facteurs systémiques : ",[2104],{"type":543},{"text":2106,"type":298},"les facteurs qui influencent, et sont influencés par, la gestion des incidents et de la sécurité des patients. Ils proviennent de différents niveaux du système (à l’intérieur et à l’extérieur de l’organisme) et comprennent les lois, les politiques, la culture, le personnel, les processus et les ressources. Cette section vous aide à comprendre ces facteurs et trouver des moyens d’aligner votre réponse et d’en tirer parti pour soutenir le mieux possible la sécurité des patients.",{"type":535,"attrs":2108,"content":2109},{"level":537,"textAlign":102},[2110],{"text":2111,"type":298},"Principes directeurs pour des soins sécuritaires",{"type":15,"attrs":2113,"content":2114},{"textAlign":102},[2115],{"text":2116,"type":298},"Gardez à l’esprit ces principes directeurs lorsque vous mettez en œuvre les stratégies et ressources pratiques de la trousse d’outils :",{"type":545,"content":2118},[2119,2130,2141,2152],{"type":548,"content":2120},[2121],{"type":15,"attrs":2122,"content":2123},{"textAlign":102},[2124,2128],{"text":2125,"type":298,"marks":2126},"Soins centrés sur le patient et la famille. ",[2127],{"type":543},{"text":2129,"type":298},"Les patients et leur famille sont au centre de toutes les activités liées à la gestion des incidents et de la sécurité des patients. Collaborez avec eux et restez sur un pied d’égalité tout au long de leur processus de soins; ils sont essentiels à la conception, à la mise en œuvre et à l’évaluation des soins et des services.",{"type":548,"content":2131},[2132],{"type":15,"attrs":2133,"content":2134},{"textAlign":102},[2135,2139],{"text":2136,"type":298,"marks":2137},"Culture de sécurité. ",[2138],{"type":543},{"text":2140,"type":298},"La culture renvoie à des valeurs partagées (ce qui est important) et à des croyances (ce que l’on croit vrai) qui interagissent avec les structures et les mécanismes de contrôle d’un système pour produire des normes comportementales. Favoriser une culture de sécurité permet d’éviter, de prévenir et d’atténuer les risques liés à la sécurité des patients à tous les niveaux. La déclaration et l’apprentissage font partie intégrante de la culture de la sécurité dans son ensemble.",{"type":548,"content":2142},[2143],{"type":15,"attrs":2144,"content":2145},{"textAlign":102},[2146,2150],{"text":2147,"type":298,"marks":2148},"Perspective systémique. ",[2149],{"type":543},{"text":2151,"type":298},"Gardez les patients en sécurité en comprenant et en prenant en charge les facteurs qui contribuent à un incident à tous les niveaux du système, en restructurant les systèmes et en appliquant les principes relatifs aux facteurs humains. Développez les compétences et la capacité d’évaluer efficacement le système complexe en vue de cerner avec précision les faiblesses et les points forts pour prévenir les incidents à l’avenir.",{"type":548,"content":2153},[2154],{"type":15,"attrs":2155,"content":2156},{"textAlign":102},[2157,2161],{"text":2158,"type":298,"marks":2159},"Responsabilités partagées. ",[2160],{"type":543},{"text":2162,"type":298},"Le travail d’équipe est nécessaire pour assurer la sécurité des soins, en particulier lors de transitions. Il s’agit du meilleur moyen de défense contre les défaillances et tous les membres de l’équipe, ainsi que les patients et les familles, devraient l’encourager. Dans un environnement de travail d’équipe fonctionnel, chaque personne a l’autonomie et la responsabilité de prendre des mesures pour prévenir les incidents liés à la sécurité des patients, notamment en rapportant les pratiques observées qui menacent la sécurité, et est valorisée lorsqu’elle le fait.",{"type":535,"attrs":2164,"content":2165},{"level":537,"textAlign":102},[2166],{"text":2167,"type":298},"Élaboration et mise à jour de la trousse d’outils",{"type":15,"attrs":2169,"content":2170},{"textAlign":102},[2171],{"text":2172,"type":298},"Différents experts et organismes qualifiés ont collaboré avec l’Institut canadien pour la sécurité des patients (maintenant Excellence en santé Canada) pour mettre au point cette trousse d’outils pratique fondée sur les données probantes. Les étapes du processus étaient les suivantes :",{"type":545,"content":2174},[2175,2182,2189,2212],{"type":548,"content":2176},[2177],{"type":15,"attrs":2178,"content":2179},{"textAlign":102},[2180],{"text":2181,"type":298},"une équipe interne a été assignée et a reçu l’aide d’un rédacteur ayant de l’expérience dans le domaine;",{"type":548,"content":2183},[2184],{"type":15,"attrs":2185,"content":2186},{"textAlign":102},[2187],{"text":2188,"type":298},"les conseils d’un groupe d’experts, comprenant des représentants des patients et des familles, ont été intégrés;",{"type":548,"content":2190},[2191],{"type":15,"attrs":2192,"content":2193},{"textAlign":102},[2194,2196,2210],{"text":2195,"type":298},"le contenu est basé sur le ",{"text":2197,"type":298,"marks":2198},"Cadre canadien d’analyse des incidents",[2199],{"type":557,"attrs":2200},{"href":2201,"uuid":385,"anchor":102,"custom":2202,"target":1193,"linktype":839,"story":2203},"/fr/ressources/analyse-des-incidents-lies-a-la-securite-des-patients",{},{"name":2204,"id":2205,"uuid":385,"slug":2206,"url":2207,"translated_name":2208,"full_slug":2209,"_stopResolving":459},"Patient Safety Incident Analysis",113880425582084,"patient-safety-incident-analysis","resources/patient-safety-incident-analysis","Analyse des incidents liés à la sécurité des patients","fr/ressources/analyse-des-incidents-lies-a-la-securite-des-patients",{"text":2211,"type":298},";",{"type":548,"content":2213},[2214],{"type":15,"attrs":2215,"content":2216},{"textAlign":102},[2217],{"text":2218,"type":298},"des intervenants clés ont participé à des groupes de réflexion et des données probantes ont été recueillies dans des revues évaluées par des pairs et des documents accessibles au public.",{"type":15,"attrs":2220,"content":2221},{"textAlign":102},[2222,2224,2229],{"text":2223,"type":298},"Si vous avez des commentaires sur l’utilité de ces ressources ou des suggestions d’ajouts ou d’améliorations, veuillez envoyer un courriel à ",{"text":2225,"type":298,"marks":2226},"info@hec-esc.ca ",[2227],{"type":557,"attrs":2228},{"href":2063,"uuid":102,"anchor":102,"custom":102,"target":102,"linktype":561},{"text":991,"type":298},{"_uid":2231,"link":2232,"image":2233,"title":2235,"video_id":16,"component":2236,"media_type":2237,"description":2238,"video_title":16},"dd1a2aa7-8a10-4038-a358-1c88be6e70d2",[],{"id":102,"alt":102,"name":16,"focus":102,"title":102,"source":102,"filename":16,"copyright":102,"fieldtype":286,"meta_data":2234},{},"Nota","info-block-program","none",{"type":12,"content":2239},[2240],{"type":15,"attrs":2241,"content":2242},{"textAlign":102},[2243],{"text":2244,"type":298},"Nous avons élaboré cette trousse d’outils à partir des meilleures données probantes disponibles et pour qu’elle puisse s’appliquer à tout programme, milieu ou organisme. Au moment de l’utiliser, de l’adapter ou de la mettre en œuvre, il convient de tenir compte des lois, des politiques et du contexte locaux. ",{"id":16,"_uid":2246,"content":2247,"component":599},"815df81b-8480-4f0e-a92d-93af88bbc8ee",[2248,2398],{"_uid":2249,"content":2250,"component":589},"23d0f0bb-3fba-452b-a649-cf742c6cf4c3",{"type":12,"content":2251},[2252,2256,2260,2269,2273,2277,2281,2288,2295,2302,2306,2310,2348,2352,2356,2389],{"type":15,"attrs":2253,"content":2254},{"textAlign":102},[2255],{"text":2019,"type":298},{"type":15,"attrs":2257,"content":2258},{"textAlign":102},[2259],{"text":2052,"type":298},{"type":15,"attrs":2261,"content":2262},{"textAlign":102},[2263,2264,2268],{"text":2057,"type":298},{"text":2059,"type":298,"marks":2265},[2266],{"type":557,"attrs":2267},{"href":2063,"uuid":102,"anchor":102,"custom":102,"target":102,"linktype":561},{"text":991,"type":298},{"type":535,"attrs":2270,"content":2271},{"level":537,"textAlign":102},[2272],{"text":2069,"type":298},{"type":15,"attrs":2274,"content":2275},{"textAlign":102},[2276],{"text":2074,"type":298},{"type":15,"attrs":2278,"content":2279},{"textAlign":102},[2280],{"text":2079,"type":298},{"type":15,"attrs":2282,"content":2283},{"textAlign":102},[2284,2287],{"text":2084,"type":298,"marks":2285},[2286],{"type":543},{"text":2088,"type":298},{"type":15,"attrs":2289,"content":2290},{"textAlign":102},[2291,2294],{"text":2093,"type":298,"marks":2292},[2293],{"type":543},{"text":2097,"type":298},{"type":15,"attrs":2296,"content":2297},{"textAlign":102},[2298,2301],{"text":2102,"type":298,"marks":2299},[2300],{"type":543},{"text":2106,"type":298},{"type":535,"attrs":2303,"content":2304},{"level":537,"textAlign":102},[2305],{"text":2111,"type":298},{"type":15,"attrs":2307,"content":2308},{"textAlign":102},[2309],{"text":2116,"type":298},{"type":545,"content":2311},[2312,2321,2330,2339],{"type":548,"content":2313},[2314],{"type":15,"attrs":2315,"content":2316},{"textAlign":102},[2317,2320],{"text":2125,"type":298,"marks":2318},[2319],{"type":543},{"text":2129,"type":298},{"type":548,"content":2322},[2323],{"type":15,"attrs":2324,"content":2325},{"textAlign":102},[2326,2329],{"text":2136,"type":298,"marks":2327},[2328],{"type":543},{"text":2140,"type":298},{"type":548,"content":2331},[2332],{"type":15,"attrs":2333,"content":2334},{"textAlign":102},[2335,2338],{"text":2147,"type":298,"marks":2336},[2337],{"type":543},{"text":2151,"type":298},{"type":548,"content":2340},[2341],{"type":15,"attrs":2342,"content":2343},{"textAlign":102},[2344,2347],{"text":2158,"type":298,"marks":2345},[2346],{"type":543},{"text":2162,"type":298},{"type":535,"attrs":2349,"content":2350},{"level":537,"textAlign":102},[2351],{"text":2167,"type":298},{"type":15,"attrs":2353,"content":2354},{"textAlign":102},[2355],{"text":2172,"type":298},{"type":545,"content":2357},[2358,2364,2370,2383],{"type":548,"content":2359},[2360],{"type":15,"attrs":2361,"content":2362},{"textAlign":102},[2363],{"text":2181,"type":298},{"type":548,"content":2365},[2366],{"type":15,"attrs":2367,"content":2368},{"textAlign":102},[2369],{"text":2188,"type":298},{"type":548,"content":2371},[2372],{"type":15,"attrs":2373,"content":2374},{"textAlign":102},[2375,2376,2382],{"text":2195,"type":298},{"text":2197,"type":298,"marks":2377},[2378],{"type":557,"attrs":2379},{"href":2201,"uuid":385,"anchor":102,"custom":2380,"target":1193,"linktype":839,"story":2381},{},{"name":2204,"id":2205,"uuid":385,"slug":2206,"url":2207,"translated_name":2208,"full_slug":2209,"_stopResolving":459},{"text":2211,"type":298},{"type":548,"content":2384},[2385],{"type":15,"attrs":2386,"content":2387},{"textAlign":102},[2388],{"text":2218,"type":298},{"type":15,"attrs":2390,"content":2391},{"textAlign":102},[2392,2393,2397],{"text":2223,"type":298},{"text":2225,"type":298,"marks":2394},[2395],{"type":557,"attrs":2396},{"href":2063,"uuid":102,"anchor":102,"custom":102,"target":102,"linktype":561},{"text":991,"type":298},{"_uid":2399,"image":2400,"component":2406},"53363011-d7bb-44f3-b831-d650c7db7295",{"id":2401,"alt":2402,"name":2403,"focus":16,"title":2402,"source":16,"filename":2404,"copyright":16,"fieldtype":286,"meta_data":2405,"is_external_url":288},114299756527547,"2022 Incidentmanagementdiagram FR","Représentation visuelle de la trousse: Avant l'incident: Obtenir l'engagement de ka direction, Cultiver une culture sécuritaire et juste,  Élaborer un plan incluant des ressources. Intervention immédiate: Prendre soin/soutenir les patients/familles/prestataires/autres, Déclarer l'incident, Sécuriser les objets, Enclencher le processus de divulgation, Réduire le risque de récurrence imminente. Se préparer pour l'analyse: Enquête initiale, Choisir une méthode d'analyse, Constituer une équipe, organiser les réunions, Planifier et mener des entrevues. Processus d'analyse: Comprendre ce qui s'est passé, D.terminer comment et pourquoi c'est arrivé, Définir et gérer les recimmandations. Suivi: Surveiller et évaluer les recommentations, Mesurer et évaluer l'efficacité des mesures. Boucler la boucle: Partager les leçons apprises (à l'interne et à l'exterieur). La gestion des incident - La gestion de la sécurité des patients - Les facteurs systémiques.","https://a-ca.storyblok.com/f/850807391887861/86ab8ee6c0/2022-incidentmanagementdiagram-fr.png",{},"simple-image",{"_uid":2408,"items":2409,"title":3949,"component":3950,"description":3951},"4a2a11aa-ff88-4153-be17-ce943dedb52f",[2410,2978,3486],{"_uid":2411,"title":2412,"ctaLeft":2413,"ctaRight":2414,"component":2415,"columnLeft":2416,"columnRight":2423},"b768055b-9442-4d2e-97da-cf5b897ef9d3","Avant l’incident",[],[],"accordion-item-columns",{"type":12,"content":2417},[2418],{"type":15,"attrs":2419,"content":2420},{"textAlign":102},[2421],{"text":2422,"type":298},"Les plans et les processus de gestion des incidents et de la sécurité des patients établis et mis en œuvre de façon proactive, associés à des activités de surveillance active, d’analyse, de hiérarchisation des priorités, de réduction des risques et d’amélioration de la qualité et de la sécurité, permettent de répondre plus efficacement aux questions attendues et inattendues en matière de sécurité. ",{"type":12,"content":2424},[2425,2437,2449,2621,2633,2727,2749,2851,2863],{"type":535,"attrs":2426,"content":2427},{"level":537,"textAlign":102},[2428,2434],{"text":2429,"type":298,"marks":2430},"Stratégies recommandées",[2431,2433],{"type":1453,"attrs":2432},{"color":16},{"type":543},{"text":1670,"type":298,"marks":2435},[2436],{"type":543},{"type":535,"attrs":2438,"content":2439},{"level":959,"textAlign":102},[2440,2446],{"text":2441,"type":298,"marks":2442},"La gestion des incidents : mise en place de plans et de processus",[2443,2445],{"type":1453,"attrs":2444},{"color":16},{"type":543},{"text":1670,"type":298,"marks":2447},[2448],{"type":543},{"type":545,"content":2450},[2451,2462,2473,2484,2495,2506,2517,2528,2610],{"type":548,"content":2452},[2453],{"type":15,"attrs":2454,"content":2455},{"textAlign":102},[2456,2461],{"text":2457,"type":298,"marks":2458},"Mettre en œuvre localement et de manière proactive des politiques, procédures, plans et processus de gestion des incidents :",[2459],{"type":1453,"attrs":2460},{"color":16},{"text":1670,"type":298},{"type":548,"content":2463},[2464],{"type":15,"attrs":2465,"content":2466},{"textAlign":102},[2467,2472],{"text":2468,"type":298,"marks":2469},"Inclure des outils et des ressources pour soutenir une réponse immédiate et continuelle, la production de rapports, la divulgation, l’analyse et le suivi de la mise en œuvre des changements (listes de vérification, diagrammes de processus, etc.)",[2470],{"type":1453,"attrs":2471},{"color":16},{"text":1670,"type":298},{"type":548,"content":2474},[2475],{"type":15,"attrs":2476,"content":2477},{"textAlign":102},[2478,2483],{"text":2479,"type":298,"marks":2480},"Définir clairement les rôles, responsabilités et attentes",[2481],{"type":1453,"attrs":2482},{"color":16},{"text":1670,"type":298},{"type":548,"content":2485},[2486],{"type":15,"attrs":2487,"content":2488},{"textAlign":102},[2489,2494],{"text":2490,"type":298,"marks":2491},"Les élaborer en partenariat avec les patients/familles et le personnel de première ligne",[2492],{"type":1453,"attrs":2493},{"color":16},{"text":1670,"type":298},{"type":548,"content":2496},[2497],{"type":15,"attrs":2498,"content":2499},{"textAlign":102},[2500,2505],{"text":2501,"type":298,"marks":2502},"Les mettre à jour régulièrement",[2503],{"type":1453,"attrs":2504},{"color":16},{"text":1670,"type":298},{"type":548,"content":2507},[2508],{"type":15,"attrs":2509,"content":2510},{"textAlign":102},[2511,2516],{"text":2512,"type":298,"marks":2513},"S’assurer qu’ils soient facilement accessibles à tout le personnel ainsi qu’aux patients et familles, suivant le cas",[2514],{"type":1453,"attrs":2515},{"color":16},{"text":1670,"type":298},{"type":548,"content":2518},[2519],{"type":15,"attrs":2520,"content":2521},{"textAlign":102},[2522,2527],{"text":2523,"type":298,"marks":2524},"S’assurer que l’engagement de la direction dans la gestion des incidents soit constamment visible, pas seulement en situation de crise (par ex., inciter les dirigeants à participer aux communications ayant trait aux plans et processus, à l’éducation, à la célébration des succès, etc.).",[2525],{"type":1453,"attrs":2526},{"color":16},{"text":1670,"type":298},{"type":548,"content":2529},[2530,2539],{"type":15,"attrs":2531,"content":2532},{"textAlign":102},[2533,2538],{"text":2534,"type":298,"marks":2535},"Assurer l’accès aux ressources en temps opportun pour soutenir :",[2536],{"type":1453,"attrs":2537},{"color":16},{"text":1670,"type":298},{"type":545,"content":2540},[2541,2566,2577,2588,2599],{"type":548,"content":2542},[2543],{"type":15,"attrs":2544,"content":2545},{"textAlign":102},[2546,2551,2559,2560,2565],{"text":2547,"type":298,"marks":2548},"Les patients et les familles (par ex. ",[2549],{"type":1453,"attrs":2550},{"color":16},{"text":2552,"type":298,"marks":2553},"soutien",[2554,2557],{"type":557,"attrs":2555},{"href":2556,"uuid":102,"anchor":102,"custom":102,"target":560,"linktype":561},"https://publications.gc.ca/Collection-R/LoPBdP/BP/prb0131-f.htm",{"type":1453,"attrs":2558},{"color":16},{"text":1200,"type":298},{"text":2561,"type":298,"marks":2562},"pratique, émotionnel, financier)",[2563],{"type":1453,"attrs":2564},{"color":16},{"text":1670,"type":298},{"type":548,"content":2567},[2568],{"type":15,"attrs":2569,"content":2570},{"textAlign":102},[2571,2576],{"text":2572,"type":298,"marks":2573},"Le personnel concerné par les incidents liés à la sécurité des patients (counseling, encadrement, couverture des tâches, etc.)",[2574],{"type":1453,"attrs":2575},{"color":16},{"text":1670,"type":298},{"type":548,"content":2578},[2579],{"type":15,"attrs":2580,"content":2581},{"textAlign":102},[2582,2587],{"text":2583,"type":298,"marks":2584},"La mise en œuvre des recommandations découlant de l’analyse des incidents",[2585],{"type":1453,"attrs":2586},{"color":16},{"text":1670,"type":298},{"type":548,"content":2589},[2590],{"type":15,"attrs":2591,"content":2592},{"textAlign":102},[2593,2598],{"text":2594,"type":298,"marks":2595},"Les systèmes de communication et d’information (rapports, suivi, mesure, par exemple)",[2596],{"type":1453,"attrs":2597},{"color":16},{"text":1670,"type":298},{"type":548,"content":2600},[2601],{"type":15,"attrs":2602,"content":2603},{"textAlign":102},[2604,2609],{"text":2605,"type":298,"marks":2606},"La formation à la gestion des incidents pour tout le personnel",[2607],{"type":1453,"attrs":2608},{"color":16},{"text":1670,"type":298},{"type":548,"content":2611},[2612],{"type":15,"attrs":2613,"content":2614},{"textAlign":102},[2615,2620],{"text":2616,"type":298,"marks":2617},"Harmoniser les techniques de gestion des incidents avec les processus organisationnels d’évaluation des employés par les ressources humaines ou des évaluations de rendement des médecins (y compris les rapports aux organismes de réglementation et aux sociétés de gestion) et les principes de culture juste.",[2618],{"type":1453,"attrs":2619},{"color":16},{"text":1670,"type":298},{"type":535,"attrs":2622,"content":2623},{"level":959,"textAlign":102},[2624,2630],{"text":2625,"type":298,"marks":2626},"La gestion de la sécurité des patients : suivi, analyse et priorisation des risques liés à la sécurité",[2627,2629],{"type":1453,"attrs":2628},{"color":16},{"type":543},{"text":1670,"type":298,"marks":2631},[2632],{"type":543},{"type":545,"content":2634},[2635,2646,2657,2683,2694,2705,2716],{"type":548,"content":2636},[2637],{"type":15,"attrs":2638,"content":2639},{"textAlign":102},[2640,2645],{"text":2641,"type":298,"marks":2642},"Identifier et faire le suivi des risques, des lacunes ainsi que des forces en matière de sécurité, de façon continue, en utilisant de multiples sources organisationnelles (systèmes de déclaration et d’apprentissage, plaintes, compliments, rapport du coroner, etc.)",[2643],{"type":1453,"attrs":2644},{"color":16},{"text":1670,"type":298},{"type":548,"content":2647},[2648],{"type":15,"attrs":2649,"content":2650},{"textAlign":102},[2651,2656],{"text":2652,"type":298,"marks":2653},"Chercher des moyens de consigner ce qui n’est pas déclaré (par ex., frustrations, solutions de contournement, inefficiences, innovations, nouvelles idées, forces, mécanismes de défense personnalisés) par le dialogue, les observations, les visites de sites par la direction, les caucus de sécurité, etc.",[2654],{"type":1453,"attrs":2655},{"color":16},{"text":1670,"type":298},{"type":548,"content":2658},[2659],{"type":15,"attrs":2660,"content":2661},{"textAlign":102},[2662,2667,2676,2677,2682],{"text":2663,"type":298,"marks":2664},"Procéder à des ",[2665],{"type":1453,"attrs":2666},{"color":16},{"text":2668,"type":298,"marks":2669},"analyses d’incidents multiples",[2670,2674],{"type":557,"attrs":2671},{"href":2201,"uuid":385,"anchor":102,"custom":2672,"target":1193,"linktype":839,"story":2673},{},{"name":2204,"id":2205,"uuid":385,"slug":2206,"url":2207,"translated_name":2208,"full_slug":2209,"_stopResolving":459},{"type":1453,"attrs":2675},{"color":16},{"text":1200,"type":298},{"text":2678,"type":298,"marks":2679},"ou prospectives pour déterminer les forces et les faiblesses du système",[2680],{"type":1453,"attrs":2681},{"color":16},{"text":1670,"type":298},{"type":548,"content":2684},[2685],{"type":15,"attrs":2686,"content":2687},{"textAlign":102},[2688,2693],{"text":2689,"type":298,"marks":2690},"Adopter une approche systématique et cohérente pour faire le suivi, analyser, quantifier et prioriser les stratégies de prévention et d’atténuation des risques/lacunes/dangers liés à la sécurité des patients",[2691],{"type":1453,"attrs":2692},{"color":16},{"text":1670,"type":298},{"type":548,"content":2695},[2696],{"type":15,"attrs":2697,"content":2698},{"textAlign":102},[2699,2704],{"text":2700,"type":298,"marks":2701},"Impliquer la direction, le personnel, les patients et les familles dans le processus de priorisation pour inclure une vaste étendue de points de vue",[2702],{"type":1453,"attrs":2703},{"color":16},{"text":1670,"type":298},{"type":548,"content":2706},[2707],{"type":15,"attrs":2708,"content":2709},{"textAlign":102},[2710,2715],{"text":2711,"type":298,"marks":2712},"Établir des structures pour s’assurer que les risques liés à la sécurité des patients et les mesures prises en conséquence soient régulièrement suivies, mises à jour, revues et priorisées",[2713],{"type":1453,"attrs":2714},{"color":16},{"text":1670,"type":298},{"type":548,"content":2717},[2718],{"type":15,"attrs":2719,"content":2720},{"textAlign":102},[2721,2726],{"text":2722,"type":298,"marks":2723},"Élaborer et intégrer des mécanismes pour surveiller et réagir aux dangers imprévus en temps réel pour améliorer la fiabilité et la résilience (par ex. vigilance constante, contrôles de sécurité, systèmes d’alerte/déclaration rapides à la fois pour le personnel et pour les patients/familles)",[2724],{"type":1453,"attrs":2725},{"color":16},{"text":1670,"type":298},{"type":535,"attrs":2728,"content":2729},{"level":959,"textAlign":102},[2730,2736,2740,2746],{"text":2731,"type":298,"marks":2732},"La gestion de la sécurité des patients : mise en œuvre de plans",[2733,2735],{"type":1453,"attrs":2734},{"color":16},{"type":543},{"text":2737,"type":298,"marks":2738}," d’action",[2739],{"type":543},{"text":2741,"type":298,"marks":2742}," pour atténuer les risques et améliorer la qualité et la sécurité",[2743,2745],{"type":1453,"attrs":2744},{"color":16},{"type":543},{"text":1670,"type":298,"marks":2747},[2748],{"type":543},{"type":545,"content":2750},[2751,2768,2818,2829,2840],{"type":548,"content":2752},[2753],{"type":15,"attrs":2754,"content":2755},{"textAlign":102},[2756,2761,2762,2767],{"text":2757,"type":298,"marks":2758},"Élaborer et mettre en œuvre des plans d’action pour atténuer les risques liés à la sécurité (par ex. interventions",[2759],{"type":1453,"attrs":2760},{"color":16},{"text":1200,"type":298},{"text":2763,"type":298,"marks":2764},"fondées sur des données probantes) en énonçant clairement l’objectif, les actions, les responsabilités et les ressources (habituellement sous forme de charte de projet)",[2765],{"type":1453,"attrs":2766},{"color":16},{"text":1670,"type":298},{"type":548,"content":2769},[2770],{"type":15,"attrs":2771,"content":2772},{"textAlign":102},[2773,2778,2786,2791,2799,2804,2812,2817],{"text":2774,"type":298,"marks":2775},"Identifier les actions les plus susceptibles d’améliorer la sécurité des patients. Pour cela, consulter les intervenants à l’interne, étudier les sources externes de données probantes (",[2776],{"type":1453,"attrs":2777},{"color":16},{"text":2779,"type":298,"marks":2780},"alertes",[2781,2784],{"type":557,"attrs":2782},{"href":2783,"uuid":102,"anchor":102,"custom":102,"target":560,"linktype":561},"http://www.globalpatientsafetyalerts.ca/",{"type":1453,"attrs":2785},{"color":16},{"text":2787,"type":298,"marks":2788},", ",[2789],{"type":1453,"attrs":2790},{"color":16},{"text":2792,"type":298,"marks":2793},"avis",[2794,2797],{"type":557,"attrs":2795},{"href":2796,"uuid":102,"anchor":102,"custom":102,"target":560,"linktype":561},"https://ismpcanada.ca/news/",{"type":1453,"attrs":2798},{"color":16},{"text":2800,"type":298,"marks":2801},", recommandations, ",[2802],{"type":1453,"attrs":2803},{"color":16},{"text":2805,"type":298,"marks":2806},"pratiques exemplaires",[2807,2810],{"type":557,"attrs":2808},{"href":2809,"uuid":102,"anchor":102,"custom":102,"target":560,"linktype":561},"https://accreditation.ca/ca-fr/pratiques-exemplaires/?acref=self",{"type":1453,"attrs":2811},{"color":16},{"text":2813,"type":298,"marks":2814},") et/ou demander l’opinion d’experts",[2815],{"type":1453,"attrs":2816},{"color":16},{"text":1670,"type":298},{"type":548,"content":2819},[2820],{"type":15,"attrs":2821,"content":2822},{"textAlign":102},[2823,2828],{"text":2824,"type":298,"marks":2825},"Lorsque cela est possible, concevoir des processus axés sur des stratégies systémiques de réduction des erreurs puisqu’elles sont les plus efficaces (par exemple : utiliser des mesures de contrainte, l’automatisation, la simplification et la normalisation)",[2826],{"type":1453,"attrs":2827},{"color":16},{"text":1670,"type":298},{"type":548,"content":2830},[2831],{"type":15,"attrs":2832,"content":2833},{"textAlign":102},[2834,2839],{"text":2835,"type":298,"marks":2836},"Évaluer si les plans d’action visant la sécurité entraînent des améliorations",[2837],{"type":1453,"attrs":2838},{"color":16},{"text":1670,"type":298},{"type":548,"content":2841},[2842],{"type":15,"attrs":2843,"content":2844},{"textAlign":102},[2845,2850],{"text":2846,"type":298,"marks":2847},"Impliquer les patients et les familles dans l’élaboration des plans de soins, en partageant les préoccupations et les compliments, en concevant ensemble des systèmes et processus et en initiant des réformes visant à améliorer la sécurité",[2848],{"type":1453,"attrs":2849},{"color":16},{"text":1670,"type":298},{"type":535,"attrs":2852,"content":2853},{"level":959,"textAlign":102},[2854,2860],{"text":2855,"type":298,"marks":2856},"La gestion de la sécurité des patients : promotion du travail d’équipe et développement des capacités",[2857,2859],{"type":1453,"attrs":2858},{"color":16},{"type":543},{"text":1670,"type":298,"marks":2861},[2862],{"type":543},{"type":545,"content":2864},[2865,2876,2924,2935,2946,2957,2968],{"type":548,"content":2866},[2867],{"type":15,"attrs":2868,"content":2869},{"textAlign":102},[2870,2875],{"text":2871,"type":298,"marks":2872},"Renforcer le fonctionnement et les relations au sein des équipes par le biais de la formation en équipe et en utilisant la simulation dans la mesure du possible",[2873],{"type":1453,"attrs":2874},{"color":16},{"text":1670,"type":298},{"type":548,"content":2877},[2878],{"type":15,"attrs":2879,"content":2880},{"textAlign":102},[2881,2886,2894,2898,2906,2910,2918,2923],{"text":2882,"type":298,"marks":2883},"Adopter des processus uniformes de communication et de transfert (tels que ",[2884],{"type":1453,"attrs":2885},{"color":16},{"text":2887,"type":298,"marks":2888},"I-PASS",[2889,2892],{"type":557,"attrs":2890},{"href":2891,"uuid":102,"anchor":102,"custom":102,"target":560,"linktype":561},"http://pediatrics.aappublications.org/content/129/2/201/F1.expansion.html",{"type":1453,"attrs":2893},{"color":16},{"text":2787,"type":298,"marks":2895},[2896],{"type":1453,"attrs":2897},{"color":16},{"text":2899,"type":298,"marks":2900},"SBAR",[2901,2904],{"type":557,"attrs":2902},{"href":2903,"uuid":102,"anchor":102,"custom":102,"target":560,"linktype":561},"http://www.ihi.org/resources/Pages/Tools/SBARToolkit.aspx",{"type":1453,"attrs":2905},{"color":16},{"text":2787,"type":298,"marks":2907},[2908],{"type":1453,"attrs":2909},{"color":16},{"text":2911,"type":298,"marks":2912},"Ask Me 3",[2913,2916],{"type":557,"attrs":2914},{"href":2915,"uuid":102,"anchor":102,"custom":102,"target":560,"linktype":561},"https://www.ihi.org/resources/Pages/Tools/Ask-Me-3-Good-Questions-for-Your-Good-Health.aspx",{"type":1453,"attrs":2917},{"color":16},{"text":2919,"type":298,"marks":2920}," en anglais)",[2921],{"type":1453,"attrs":2922},{"color":16},{"text":1670,"type":298},{"type":548,"content":2925},[2926],{"type":15,"attrs":2927,"content":2928},{"textAlign":102},[2929,2934],{"text":2930,"type":298,"marks":2931},"Promouvoir la collaboration au sein des équipes à l’aide de modèles de soins interdisciplinaires, d’apprentissage interprofessionnel et d’objectifs communs axés sur les besoins des patients et des familles",[2932],{"type":1453,"attrs":2933},{"color":16},{"text":1670,"type":298},{"type":548,"content":2936},[2937],{"type":15,"attrs":2938,"content":2939},{"textAlign":102},[2940,2945],{"text":2941,"type":298,"marks":2942},"Encourager et aider à maintenir une conversation constante en matière de sécurité entre les patients et les familles, le personnel de première ligne et les dirigeants",[2943],{"type":1453,"attrs":2944},{"color":16},{"text":1670,"type":298},{"type":548,"content":2947},[2948],{"type":15,"attrs":2949,"content":2950},{"textAlign":102},[2951,2956],{"text":2952,"type":298,"marks":2953},"Élaborer différentes stratégies qui permettent au personnel de tous les échelons de partager leurs préoccupations (par ex. système de déclaration anonyme et/ou de téléassistance) et leurs aptitudes à aborder la hiérarchie et les rapports avec l’autorité (en utilisant la simulation)",[2954],{"type":1453,"attrs":2955},{"color":16},{"text":1670,"type":298},{"type":548,"content":2958},[2959],{"type":15,"attrs":2960,"content":2961},{"textAlign":102},[2962,2967],{"text":2963,"type":298,"marks":2964},"Faire comprendre que les systèmes sont complexes et dynamiques et qu’ils peuvent échouer",[2965],{"type":1453,"attrs":2966},{"color":16},{"text":1670,"type":298},{"type":548,"content":2969},[2970],{"type":15,"attrs":2971,"content":2972},{"textAlign":102},[2973],{"text":2974,"type":298,"marks":2975},"Impliquer tous les membres de l’équipe, y compris les patients/familles, à toutes les étapes des initiatives visant à améliorer la sécurité des patients et la qualité des soins afin d’améliorer leurs connaissances.",[2976],{"type":1453,"attrs":2977},{"color":16},{"_uid":2979,"title":2980,"ctaLeft":2981,"ctaRight":2982,"component":2415,"columnLeft":2983,"columnRight":2995},"1066458b-91dc-4bb2-943e-0e5816748b41","Culture de sécurité des patients",[],[],{"type":12,"content":2984},[2985,2990],{"type":15,"attrs":2986,"content":2987},{"textAlign":102},[2988],{"text":2989,"type":298},"La culture renvoie à des valeurs partagées (ce qui est important) et à des croyances (ce que l’on croit vrai) qui interagissent avec les structures et les mécanismes de contrôle d’un système pour produire des normes comportementales.  Elle influence directement la sécurité des patients en déterminant les pratiques acceptées et indirectement en agissant telle une barrière ou un facteur favorisant l’adoption de comportements axés sur la sécurité des patients.  Comprendre les composantes et les influenceurs de la culture et pouvoir l’évaluer est essentiel pour élaborer des stratégies qui créent une culture axée sur la prestation des soins les plus sécuritaires possible. ",{"type":15,"attrs":2991,"content":2992},{"textAlign":102},[2993],{"text":2994,"type":298},"« La culture est tribale; elle vit et respire au niveau des prestataires de soins et des gestionnaires intermédiaires. En réalité, il existe des différences culturelles marquées entre les quarts de travail et même entre les membres des équipes. Qui plus est, la culture d’une unité peut être influencée –négativement ou positivement – par un seul individu. » -- Hugh MacLeod, ex-PDG de l’ICSP (maintenant Excellence en santé Canada) ",{"type":12,"content":2996},[2997,3008,3020,3142,3154,3257,3269,3348,3360],{"type":535,"attrs":2998,"content":2999},{"level":537,"textAlign":1162},[3000,3005],{"text":2429,"type":298,"marks":3001},[3002,3004],{"type":1453,"attrs":3003},{"color":16},{"type":543},{"text":1670,"type":298,"marks":3006},[3007],{"type":543},{"type":535,"attrs":3009,"content":3010},{"level":959,"textAlign":1162},[3011,3017],{"text":3012,"type":298,"marks":3013},"Comprendre la culture de la sécurité des patients et ses composantes",[3014,3016],{"type":1453,"attrs":3015},{"color":16},{"type":543},{"text":1670,"type":298,"marks":3018},[3019],{"type":543},{"type":545,"content":3021},[3022,3120,3131],{"type":548,"content":3023},[3024,3033],{"type":15,"attrs":3025,"content":3026},{"textAlign":102},[3027,3032],{"text":3028,"type":298,"marks":3029},"Reconnaître que la culture de la sécurité des patients est multidimensionnelle et composée de multiples facettes :",[3030],{"type":1453,"attrs":3031},{"color":16},{"text":1670,"type":298},{"type":545,"content":3034},[3035,3052,3069,3086,3103],{"type":548,"content":3036},[3037],{"type":15,"attrs":3038,"content":3039},{"textAlign":102},[3040,3046,3051],{"text":3041,"type":298,"marks":3042},"information",[3043,3045],{"type":1453,"attrs":3044},{"color":16},{"type":543},{"text":3047,"type":298,"marks":3048}," – l’information pertinente sur la sécurité est recueillie, analysée et activement diffusée",[3049],{"type":1453,"attrs":3050},{"color":16},{"text":1670,"type":298},{"type":548,"content":3053},[3054],{"type":15,"attrs":3055,"content":3056},{"textAlign":102},[3057,3063,3068],{"text":3058,"type":298,"marks":3059},"déclaration",[3060,3062],{"type":1453,"attrs":3061},{"color":16},{"type":543},{"text":3064,"type":298,"marks":3065}," – un climat où les gens se sentent en confiance et à l’aise pour signaler les problèmes de sécurité sans craindre d’être blâmés et où l’on donnera suite à leurs préoccupations",[3066],{"type":1453,"attrs":3067},{"color":16},{"text":1670,"type":298},{"type":548,"content":3070},[3071],{"type":15,"attrs":3072,"content":3073},{"textAlign":102},[3074,3080,3085],{"text":3075,"type":298,"marks":3076},"apprentissage",[3077,3079],{"type":1453,"attrs":3078},{"color":16},{"type":543},{"text":3081,"type":298,"marks":3082}," – les incidents liés à la sécurité des patients qui peuvent être évités sont considérés comme des occasions d’apprendre et les changements sont apportés en conséquence",[3083],{"type":1453,"attrs":3084},{"color":16},{"text":1670,"type":298},{"type":548,"content":3087},[3088],{"type":15,"attrs":3089,"content":3090},{"textAlign":102},[3091,3097,3102],{"text":3092,"type":298,"marks":3093},"culture juste",[3094,3096],{"type":1453,"attrs":3095},{"color":16},{"type":543},{"text":3098,"type":298,"marks":3099}," – l’importance de traiter équitablement la compréhension d’une défaillance du système avec une responsabilisation professionnelle",[3100],{"type":1453,"attrs":3101},{"color":16},{"text":1670,"type":298},{"type":548,"content":3104},[3105],{"type":15,"attrs":3106,"content":3107},{"textAlign":102},[3108,3114,3119],{"text":3109,"type":298,"marks":3110},"souplesse",[3111,3113],{"type":1453,"attrs":3112},{"color":16},{"type":543},{"text":3115,"type":298,"marks":3116}," – les gens sont en mesure de s’adapter efficacement à l’évolution des exigences",[3117],{"type":1453,"attrs":3118},{"color":16},{"text":1670,"type":298},{"type":548,"content":3121},[3122],{"type":15,"attrs":3123,"content":3124},{"textAlign":102},[3125,3130],{"text":3126,"type":298,"marks":3127},"Comprendre comment la culture influence directement les résultats en matière de sécurité des patients, en déterminant les normes et pratiques admises, et indirectement, en agissant telle une barrière ou un facteur favorisant l’adoption d’interventions axées sur la sécurité des patients.",[3128],{"type":1453,"attrs":3129},{"color":16},{"text":1670,"type":298},{"type":548,"content":3132},[3133],{"type":15,"attrs":3134,"content":3135},{"textAlign":102},[3136,3141],{"text":3137,"type":298,"marks":3138},"Reconnaître l’interconnexion entre les gens, le système et la culture et comment la focalisation sur l’apprentissage et l’amélioration du système, plutôt que sur le rendement individuel, encourage des actions visant la sécurité des patients et la gestion des incidents.",[3139],{"type":1453,"attrs":3140},{"color":16},{"text":1670,"type":298},{"type":535,"attrs":3143,"content":3144},{"level":959,"textAlign":1162},[3145,3151],{"text":3146,"type":298,"marks":3147},"Comprendre les facteurs clés contribuant à la culture de la sécurité des patients",[3148,3150],{"type":1453,"attrs":3149},{"color":16},{"type":543},{"text":1670,"type":298,"marks":3152},[3153],{"type":543},{"type":545,"content":3155},[3156,3246],{"type":548,"content":3157},[3158,3167],{"type":15,"attrs":3159,"content":3160},{"textAlign":102},[3161,3166],{"text":3162,"type":298,"marks":3163},"Reconnaître et comprendre les multiples influenceurs de la culture de la sécurité des patients, y compris :",[3164],{"type":1453,"attrs":3165},{"color":16},{"text":1670,"type":298},{"type":545,"content":3168},[3169,3180,3191,3202,3213,3224,3235],{"type":548,"content":3170},[3171],{"type":15,"attrs":3172,"content":3173},{"textAlign":102},[3174,3179],{"text":3175,"type":298,"marks":3176},"l’engagement de la direction et du conseil d’administration et leur visibilité constante (au niveau des équipes et de l’établissement)",[3177],{"type":1453,"attrs":3178},{"color":16},{"text":1670,"type":298},{"type":548,"content":3181},[3182],{"type":15,"attrs":3183,"content":3184},{"textAlign":102},[3185,3190],{"text":3186,"type":298,"marks":3187},"l’engagement du patient et de sa famille",[3188],{"type":1453,"attrs":3189},{"color":16},{"text":1670,"type":298},{"type":548,"content":3192},[3193],{"type":15,"attrs":3194,"content":3195},{"textAlign":102},[3196,3201],{"text":3197,"type":298,"marks":3198},"l’efficacité et la transparence du travail d’équipe et de la communication",[3199],{"type":1453,"attrs":3200},{"color":16},{"text":1670,"type":298},{"type":548,"content":3203},[3204],{"type":15,"attrs":3205,"content":3206},{"textAlign":102},[3207,3212],{"text":3208,"type":298,"marks":3209},"la transparence de tous les membres de l’équipe, y compris les patients et les familles, en ce qui a trait à la déclaration des problèmes et à l’évaluation/surveillance des incidents ainsi qu’à l’apprentissage tiré de la sécurité et des incidents",[3210],{"type":1453,"attrs":3211},{"color":16},{"text":1670,"type":298},{"type":548,"content":3214},[3215],{"type":15,"attrs":3216,"content":3217},{"textAlign":102},[3218,3223],{"text":3219,"type":298,"marks":3220},"l’apprentissage organisationnel",[3221],{"type":1453,"attrs":3222},{"color":16},{"text":1670,"type":298},{"type":548,"content":3225},[3226],{"type":15,"attrs":3227,"content":3228},{"textAlign":102},[3229,3234],{"text":3230,"type":298,"marks":3231},"les ressources organisationnelles en matière de sécurité des patients",[3232],{"type":1453,"attrs":3233},{"color":16},{"text":1670,"type":298},{"type":548,"content":3236},[3237],{"type":15,"attrs":3238,"content":3239},{"textAlign":102},[3240,3245],{"text":3241,"type":298,"marks":3242},"la priorité de la sécurité par rapport à la production",[3243],{"type":1453,"attrs":3244},{"color":16},{"text":1670,"type":298},{"type":548,"content":3247},[3248],{"type":15,"attrs":3249,"content":3250},{"textAlign":102},[3251,3256],{"text":3252,"type":298,"marks":3253},"Fournir l’éducation, la formation et les ressources nécessaires pour que tous soient conscients du rôle essentiel de la culture de la sécurité des patients et de ce qu’ils peuvent faire pour l’appuyer.",[3254],{"type":1453,"attrs":3255},{"color":16},{"text":1670,"type":298},{"type":535,"attrs":3258,"content":3259},{"level":959,"textAlign":1162},[3260,3266],{"text":3261,"type":298,"marks":3262},"Évaluer la culture de la sécurité des patients",[3263,3265],{"type":1453,"attrs":3264},{"color":16},{"type":543},{"text":1670,"type":298,"marks":3267},[3268],{"type":543},{"type":545,"content":3270},[3271,3282,3293,3304,3315,3326,3337],{"type":548,"content":3272},[3273],{"type":15,"attrs":3274,"content":3275},{"textAlign":102},[3276,3281],{"text":3277,"type":298,"marks":3278},"Déterminer les meilleures méthodes et les meilleurs outils pour évaluer la culture de la sécurité des patients dans l’organisme, en impliquant des experts en matière de sécurité et d’évaluation, si possible.",[3279],{"type":1453,"attrs":3280},{"color":16},{"text":1670,"type":298},{"type":548,"content":3283},[3284],{"type":15,"attrs":3285,"content":3286},{"textAlign":102},[3287,3292],{"text":3288,"type":298,"marks":3289},"Envisager l’évaluation à la fois des indicateurs perceptifs (la majorité des données provenant du personnel de première ligne) et des indicateurs organisationnels de la culture (la majorité des données provenant des dirigeants).",[3290],{"type":1453,"attrs":3291},{"color":16},{"text":1670,"type":298},{"type":548,"content":3294},[3295],{"type":15,"attrs":3296,"content":3297},{"textAlign":102},[3298,3303],{"text":3299,"type":298,"marks":3300},"Obtenir un soutien éclairé de la direction pour appuyer l’utilisation d’outils de mesure de la culture de la sécurité des patients et assurer la compréhension des ressources nécessaires, des obstacles pouvant survenir et des résultats potentiels.",[3301],{"type":1453,"attrs":3302},{"color":16},{"text":1670,"type":298},{"type":548,"content":3305},[3306],{"type":15,"attrs":3307,"content":3308},{"textAlign":102},[3309,3314],{"text":3310,"type":298,"marks":3311},"Impliquer les soignants de première ligne dans la planification et la mise en œuvre d’une initiative visant à mesurer la culture.",[3312],{"type":1453,"attrs":3313},{"color":16},{"text":1670,"type":298},{"type":548,"content":3316},[3317],{"type":15,"attrs":3318,"content":3319},{"textAlign":102},[3320,3325],{"text":3321,"type":298,"marks":3322},"Analyser les résultats et identifier les possibilités de réforme, en les appliquant aux différentes dimensions et aux influenceurs de la sécurité des patients.",[3323],{"type":1453,"attrs":3324},{"color":16},{"text":1670,"type":298},{"type":548,"content":3327},[3328],{"type":15,"attrs":3329,"content":3330},{"textAlign":102},[3331,3336],{"text":3332,"type":298,"marks":3333},"Communiquer les résultats aux parties prenantes clés de façon explicite, en intégrant un échéancier des prochaines étapes et la façon dont les mesures d’amélioration seront identifiées.",[3334],{"type":1453,"attrs":3335},{"color":16},{"text":1670,"type":298},{"type":548,"content":3338},[3339],{"type":15,"attrs":3340,"content":3341},{"textAlign":102},[3342,3347],{"text":3343,"type":298,"marks":3344},"Comprendre que l’évaluation de la culture de la sécurité des patients est un aperçu ponctuel et qu’une évaluation continuelle est nécessaire pour mesurer les progrès.",[3345],{"type":1453,"attrs":3346},{"color":16},{"text":1670,"type":298},{"type":535,"attrs":3349,"content":3350},{"level":959,"textAlign":1162},[3351,3357],{"text":3352,"type":298,"marks":3353},"Élaborer et mettre en œuvre une stratégie visant la culture de la sécurité des patients",[3354,3356],{"type":1453,"attrs":3355},{"color":16},{"type":543},{"text":1670,"type":298,"marks":3358},[3359],{"type":543},{"type":545,"content":3361},[3362,3373,3384,3395,3430],{"type":548,"content":3363},[3364],{"type":15,"attrs":3365,"content":3366},{"textAlign":102},[3367,3372],{"text":3368,"type":298,"marks":3369},"En se basant sur les résultats de l’évaluation et sur les facteurs environnementaux, et avec le soutien de la direction, élaborer une vision commune et un plan pour améliorer la culture de la sécurité des patients.",[3370],{"type":1453,"attrs":3371},{"color":16},{"text":1670,"type":298},{"type":548,"content":3374},[3375],{"type":15,"attrs":3376,"content":3377},{"textAlign":102},[3378,3383],{"text":3379,"type":298,"marks":3380},"Identifier les opportunités potentielles de mise en œuvre du plan de même que les obstacles possibles et les stratégies d’atténuation correspondantes.",[3381],{"type":1453,"attrs":3382},{"color":16},{"text":1670,"type":298},{"type":548,"content":3385},[3386],{"type":15,"attrs":3387,"content":3388},{"textAlign":102},[3389,3394],{"text":3390,"type":298,"marks":3391},"Aborder les lacunes et les faiblesses de la culture de la sécurité des patients au niveau de l’organisme et des unités/programmes/services (microsystème) en reconnaissant que la culture peut différer dans un même organisme entre les unités et même entre les quarts de travail.",[3392],{"type":1453,"attrs":3393},{"color":16},{"text":1670,"type":298},{"type":548,"content":3396},[3397,3406],{"type":15,"attrs":3398,"content":3399},{"textAlign":102},[3400,3405],{"text":3401,"type":298,"marks":3402},"Établir des partenariats avec les patients et les familles autour de la sécurité des patients :",[3403],{"type":1453,"attrs":3404},{"color":16},{"text":1670,"type":298},{"type":545,"content":3407},[3408,3419],{"type":548,"content":3409},[3410],{"type":15,"attrs":3411,"content":3412},{"textAlign":102},[3413,3418],{"text":3414,"type":298,"marks":3415},"leur permettre de participer activement à leurs soins en les encourageant à s’exprimer et à participer à la prise de décision et à l’élaboration de plans de soins personnalisés",[3416],{"type":1453,"attrs":3417},{"color":16},{"text":1670,"type":298},{"type":548,"content":3420},[3421],{"type":15,"attrs":3422,"content":3423},{"textAlign":102},[3424,3429],{"text":3425,"type":298,"marks":3426},"les impliquer dans la conception de modèles et de processus de soins, ainsi que dans les initiatives visant l’amélioration de la qualité des soins et de la sécurité des patients",[3427],{"type":1453,"attrs":3428},{"color":16},{"text":1670,"type":298},{"type":548,"content":3431},[3432,3441],{"type":15,"attrs":3433,"content":3434},{"textAlign":102},[3435,3440],{"text":3436,"type":298,"marks":3437},"Établir des partenariats avec les prestataires de soins autour de la sécurité des patients :",[3438],{"type":1453,"attrs":3439},{"color":16},{"text":1670,"type":298},{"type":545,"content":3442},[3443,3454,3465,3476],{"type":548,"content":3444},[3445],{"type":15,"attrs":3446,"content":3447},{"textAlign":102},[3448,3453],{"text":3449,"type":298,"marks":3450},"élaborer de multiples stratégies qui permettent au personnel de tous les échelons de partager leurs préoccupations et de s’exprimer (par ex. système de déclaration anonyme des incidents, formation du personnel visant le rapport d’autorité, caucus de sécurité, service anonyme par courriel ou téléphone où le personnel peut partager ses préoccupations)",[3451],{"type":1453,"attrs":3452},{"color":16},{"text":1670,"type":298},{"type":548,"content":3455},[3456],{"type":15,"attrs":3457,"content":3458},{"textAlign":102},[3459,3464],{"text":3460,"type":298,"marks":3461},"impliquer le personnel à toutes les étapes des initiatives visant l’amélioration de la qualité des soins et la sécurité des patients pour mobiliser leurs connaissances",[3462],{"type":1453,"attrs":3463},{"color":16},{"text":1670,"type":298},{"type":548,"content":3466},[3467],{"type":15,"attrs":3468,"content":3469},{"textAlign":102},[3470,3475],{"text":3471,"type":298,"marks":3472},"une stratégie gagnante pour la sécurité des patients mène à la prise en charge en première ligne des enjeux et des défis locaux et permet aux cliniciens et aux prestataires de mettre en œuvre leurs propres solutions",[3473],{"type":1453,"attrs":3474},{"color":16},{"text":1670,"type":298},{"type":548,"content":3477},[3478],{"type":15,"attrs":3479,"content":3480},{"textAlign":102},[3481],{"text":3482,"type":298,"marks":3483},"concevoir des systèmes de communication qui permettent une conversation continue entre le personnel de première ligne et les dirigeants à propos de la sécurité des patients",[3484],{"type":1453,"attrs":3485},{"color":16},{"_uid":3487,"title":3488,"ctaLeft":3489,"ctaRight":3490,"component":2415,"columnLeft":3491,"columnRight":3503},"36d257db-403a-495b-8d69-77e5d56ad80a","Les systèmes de déclaration et d’apprentissage",[],[],{"type":12,"content":3492},[3493,3498],{"type":15,"attrs":3494,"content":3495},{"textAlign":102},[3496],{"text":3497,"type":298},"Les systèmes de déclaration (souvent appelés « systèmes de déclaration et d’apprentissage ») permettent de consigner les préoccupations, les risques ou les incidents liés à la sécurité des patients, de déclencher des mesures et de faciliter la communication, l’intervention, l’apprentissage et l’amélioration. Établir un système de déclaration et des processus à l’appui, intégrant l’identification et la diffusion de l’apprentissage, est un pilier de la gestion des incidents et de la sécurité des patients et un élément essentiel de l’évolution de la culture de la sécurité des patients. ",{"type":15,"attrs":3499,"content":3500},{"textAlign":102},[3501],{"text":3502,"type":298},"« Pour combler les lacunes qui existent dans mon hôpital en matière de sécurité, je dois d’abord savoir où elles se trouvent. Les systèmes de déclaration servent de plan directeur pour identifier ces lacunes et nous montrer comment y remédier. » -- Expert de la trousse ",{"type":12,"content":3504},[3505,3516,3528,3744,3756,3870,3882],{"type":535,"attrs":3506,"content":3507},{"level":537,"textAlign":1162},[3508,3513],{"text":2429,"type":298,"marks":3509},[3510,3512],{"type":1453,"attrs":3511},{"color":16},{"type":543},{"text":1670,"type":298,"marks":3514},[3515],{"type":543},{"type":535,"attrs":3517,"content":3518},{"level":959,"textAlign":1162},[3519,3525],{"text":3520,"type":298,"marks":3521},"Mettre en place un système de déclaration",[3522,3524],{"type":1453,"attrs":3523},{"color":16},{"type":543},{"text":1670,"type":298,"marks":3526},[3527],{"type":543},{"type":545,"content":3529},[3530,3541,3552,3563,3574,3585],{"type":548,"content":3531},[3532],{"type":15,"attrs":3533,"content":3534},{"textAlign":102},[3535,3540],{"text":3536,"type":298,"marks":3537},"Recueillir de l’information concernant les dangers, les préoccupations des patients en matière de sécurité, les incidents survenus ou évités de justesse, habituellement en remplissant un formulaire normalisé en version électronique ou papier.",[3538],{"type":1453,"attrs":3539},{"color":16},{"text":1670,"type":298},{"type":548,"content":3542},[3543],{"type":15,"attrs":3544,"content":3545},{"textAlign":102},[3546,3551],{"text":3547,"type":298,"marks":3548},"Penser à établir des mécanismes de déclaration alternatifs, par exemple par téléphone ou verbalement, particulièrement pour les incidents qui présentent un risque élevé pour assurer une intervention rapide.",[3549],{"type":1453,"attrs":3550},{"color":16},{"text":1670,"type":298},{"type":548,"content":3553},[3554],{"type":15,"attrs":3555,"content":3556},{"textAlign":102},[3557,3562],{"text":3558,"type":298,"marks":3559},"Comparativement aux systèmes de déclaration obligatoires, ceux qui sont volontaires (non régis par la loi) ont démontré qu’ils facilitaient davantage la déclaration et l’apprentissage.",[3560],{"type":1453,"attrs":3561},{"color":16},{"text":1670,"type":298},{"type":548,"content":3564},[3565],{"type":15,"attrs":3566,"content":3567},{"textAlign":102},[3568,3573],{"text":3569,"type":298,"marks":3570},"Permettre et appuyer la déclaration de toutes les personnes liées aux soins de santé, y compris le patient et sa famille, en s’assurant qu’ils aient accès au système.",[3571],{"type":1453,"attrs":3572},{"color":16},{"text":1670,"type":298},{"type":548,"content":3575},[3576],{"type":15,"attrs":3577,"content":3578},{"textAlign":102},[3579,3584],{"text":3580,"type":298,"marks":3581},"Impliquer les utilisateurs, y compris les patients/familles, dans l’élaboration et le maintien du système.",[3582],{"type":1453,"attrs":3583},{"color":16},{"text":1670,"type":298},{"type":548,"content":3586},[3587,3596],{"type":15,"attrs":3588,"content":3589},{"textAlign":102},[3590,3595],{"text":3591,"type":298,"marks":3592},"Intégrer, si possible, les pratiques exemplaires à la conception du système de déclaration :",[3593],{"type":1453,"attrs":3594},{"color":16},{"text":1670,"type":298},{"type":545,"content":3597},[3598,3609,3620,3631,3642,3653,3664,3675,3686,3722,3733],{"type":548,"content":3599},[3600],{"type":15,"attrs":3601,"content":3602},{"textAlign":102},[3603,3608],{"text":3604,"type":298,"marks":3605},"rendre le système convivial en l’harmonisant aux principes de l’ingénierie des facteurs humains",[3606],{"type":1453,"attrs":3607},{"color":16},{"text":1670,"type":298},{"type":548,"content":3610},[3611],{"type":15,"attrs":3612,"content":3613},{"textAlign":102},[3614,3619],{"text":3615,"type":298,"marks":3616},"limiter l’information requise à l’essentiel et inclure une portion narrative pour permettre aux déclarants de raconter l’histoire",[3617],{"type":1453,"attrs":3618},{"color":16},{"text":1670,"type":298},{"type":548,"content":3621},[3622],{"type":15,"attrs":3623,"content":3624},{"textAlign":102},[3625,3630],{"text":3626,"type":298,"marks":3627},"fournir une option de déclaration anonyme ou confidentielle pour répondre aux préoccupations concernant les potentielles conséquences négatives",[3628],{"type":1453,"attrs":3629},{"color":16},{"text":1670,"type":298},{"type":548,"content":3632},[3633],{"type":15,"attrs":3634,"content":3635},{"textAlign":102},[3636,3641],{"text":3637,"type":298,"marks":3638},"intégrer la transmission automatique d’un avis au directeur ou au chef de service approprié, évitant ainsi au déclarant de devoir trouver à qui envoyer l’information",[3639],{"type":1453,"attrs":3640},{"color":16},{"text":1670,"type":298},{"type":548,"content":3643},[3644],{"type":15,"attrs":3645,"content":3646},{"textAlign":102},[3647,3652],{"text":3648,"type":298,"marks":3649},"accuser réception du rapport en démontrant notre appréciation à l’individu qui l’a soumis",[3650],{"type":1453,"attrs":3651},{"color":16},{"text":1670,"type":298},{"type":548,"content":3654},[3655],{"type":15,"attrs":3656,"content":3657},{"textAlign":102},[3658,3663],{"text":3659,"type":298,"marks":3660},"élaborer un ou plusieurs processus pour que le déclarant puisse clarifier l’information soumise, si nécessaire",[3661],{"type":1453,"attrs":3662},{"color":16},{"text":1670,"type":298},{"type":548,"content":3665},[3666],{"type":15,"attrs":3667,"content":3668},{"textAlign":102},[3669,3674],{"text":3670,"type":298,"marks":3671},"permettre aux gestionnaires de recevoir et d’accéder aux rapports en temps réel pour faciliter une rétroaction et une intervention en temps opportun",[3672],{"type":1453,"attrs":3673},{"color":16},{"text":1670,"type":298},{"type":548,"content":3676},[3677],{"type":15,"attrs":3678,"content":3679},{"textAlign":102},[3680,3685],{"text":3681,"type":298,"marks":3682},"faciliter l’examen des rapports complétés par le patient/famille en même temps que ceux fournis par les prestataires de soins",[3683],{"type":1453,"attrs":3684},{"color":16},{"text":1670,"type":298},{"type":548,"content":3687},[3688],{"type":15,"attrs":3689,"content":3690},{"textAlign":102},[3691,3696,3704,3708,3716,3721],{"text":3692,"type":298,"marks":3693},"amener les usagers à respecter les exigences en matière de déclaration ou de notification externe, le cas échéant (exemples : ",[3694],{"type":1453,"attrs":3695},{"color":16},{"text":3697,"type":298,"marks":3698},"Système national de déclaration des accidents et incidents",[3699,3702],{"type":557,"attrs":3700},{"href":3701,"uuid":102,"anchor":102,"custom":102,"target":560,"linktype":561},"https://www.cihi.ca/fr/systeme-national-de-declaration-des-accidents-et-incidents-sndai",{"type":1453,"attrs":3703},{"color":16},{"text":2787,"type":298,"marks":3705},[3706],{"type":1453,"attrs":3707},{"color":16},{"text":3709,"type":298,"marks":3710},"Système canadien de déclaration et de prévention des incidents médicamenteux",[3711,3714],{"type":557,"attrs":3712},{"href":3713,"uuid":102,"anchor":102,"custom":102,"target":560,"linktype":561},"https://www.cmirps-scdpim.ca/?p=10&lang=fr",{"type":1453,"attrs":3715},{"color":16},{"text":3717,"type":298,"marks":3718},")",[3719],{"type":1453,"attrs":3720},{"color":16},{"text":1670,"type":298},{"type":548,"content":3723},[3724],{"type":15,"attrs":3725,"content":3726},{"textAlign":102},[3727,3732],{"text":3728,"type":298,"marks":3729},"créer une capacité d’extraction des données facile à utiliser pour aider à susciter des améliorations rapides aux niveaux local, organisationnel et à l’échelle du réseau",[3730],{"type":1453,"attrs":3731},{"color":16},{"text":1670,"type":298},{"type":548,"content":3734},[3735],{"type":15,"attrs":3736,"content":3737},{"textAlign":102},[3738,3743],{"text":3739,"type":298,"marks":3740},"assurer une confidentialité et une sécurité appropriées des données (y compris l’anonymisation), conformément aux lois et aux politiques organisationnelles applicables",[3741],{"type":1453,"attrs":3742},{"color":16},{"text":1670,"type":298},{"type":535,"attrs":3745,"content":3746},{"level":959,"textAlign":1162},[3747,3753],{"text":3748,"type":298,"marks":3749},"Élaborer des processus à l’appui des systèmes de déclaration",[3750,3752],{"type":1453,"attrs":3751},{"color":16},{"type":543},{"text":1670,"type":298,"marks":3754},[3755],{"type":543},{"type":545,"content":3757},[3758,3815,3826,3837,3848,3859],{"type":548,"content":3759},[3760,3769],{"type":15,"attrs":3761,"content":3762},{"textAlign":102},[3763,3768],{"text":3764,"type":298,"marks":3765},"Élaborer et/ou réviser les politiques, les procédures, l’éducation et la formation existantes en matière de déclaration pour s’assurer que les usagers sachent quoi déclarer, comment et quand :",[3766],{"type":1453,"attrs":3767},{"color":16},{"text":1670,"type":298},{"type":545,"content":3770},[3771,3782,3793,3804],{"type":548,"content":3772},[3773],{"type":15,"attrs":3774,"content":3775},{"textAlign":102},[3776,3781],{"text":3777,"type":298,"marks":3778},"souligner que la déclaration est une intervention positive contribuant à la sécurité des patients, et le fait que ni le déclarant ni ceux qui sont impliqués ou ont causé l’événement ne seront blâmés",[3779],{"type":1453,"attrs":3780},{"color":16},{"text":1670,"type":298},{"type":548,"content":3783},[3784],{"type":15,"attrs":3785,"content":3786},{"textAlign":102},[3787,3792],{"text":3788,"type":298,"marks":3789},"élaborer des outils et des ressources à l’intention des patients et des familles",[3790],{"type":1453,"attrs":3791},{"color":16},{"text":1670,"type":298},{"type":548,"content":3794},[3795],{"type":15,"attrs":3796,"content":3797},{"textAlign":102},[3798,3803],{"text":3799,"type":298,"marks":3800},"s’assurer que les rôles et responsabilités entourant la déclaration de l’incident sont clairement délimités et que le personnel connaît les procédures et les outils de déclaration",[3801],{"type":1453,"attrs":3802},{"color":16},{"text":1670,"type":298},{"type":548,"content":3805},[3806],{"type":15,"attrs":3807,"content":3808},{"textAlign":102},[3809,3814],{"text":3810,"type":298,"marks":3811},"communiquer clairement ce qu’il advient de l’information une fois entrée dans le système de déclaration",[3812],{"type":1453,"attrs":3813},{"color":16},{"text":1670,"type":298},{"type":548,"content":3816},[3817],{"type":15,"attrs":3818,"content":3819},{"textAlign":102},[3820,3825],{"text":3821,"type":298,"marks":3822},"Intégrer les processus de déclaration et la responsabilité s’y rattachant à l’intérieur des processus, des structures et des responsabilités de travail en cours, y compris les descriptions de postes et les programmes d’orientation du personnel et de développement du leadership.",[3823],{"type":1453,"attrs":3824},{"color":16},{"text":1670,"type":298},{"type":548,"content":3827},[3828],{"type":15,"attrs":3829,"content":3830},{"textAlign":102},[3831,3836],{"text":3832,"type":298,"marks":3833},"Allouer des ressources adéquates (notamment techniques et administratives) au maintien du système de déclaration et des processus afférents, y compris l’analyse de données, le suivi et le contrôle du système.",[3834],{"type":1453,"attrs":3835},{"color":16},{"text":1670,"type":298},{"type":548,"content":3838},[3839],{"type":15,"attrs":3840,"content":3841},{"textAlign":102},[3842,3847],{"text":3843,"type":298,"marks":3844},"Aborder les barrières organisationnelles potentielles à la déclaration :",[3845],{"type":1453,"attrs":3846},{"color":16},{"text":1670,"type":298},{"type":548,"content":3849},[3850],{"type":15,"attrs":3851,"content":3852},{"textAlign":102},[3853,3858],{"text":3854,"type":298,"marks":3855},"favoriser une culture de la sécurité des patients, qui s’intéresse particulièrement aux craintes potentielles associées à la déclaration, à la chaîne d’autorité et au risque de représailles",[3856],{"type":1453,"attrs":3857},{"color":16},{"text":1670,"type":298},{"type":548,"content":3860},[3861],{"type":15,"attrs":3862,"content":3863},{"textAlign":102},[3864,3869],{"text":3865,"type":298,"marks":3866},"développer et former les dirigeants à promouvoir la transparence, à faciliter l’apprentissage, à responsabiliser les équipes et à accueillir les points de vue divergents",[3867],{"type":1453,"attrs":3868},{"color":16},{"text":1670,"type":298},{"type":535,"attrs":3871,"content":3872},{"level":959,"textAlign":1162},[3873,3879],{"text":3874,"type":298,"marks":3875},"Optimiser et partager les enseignements tirés des systèmes de déclaration",[3876,3878],{"type":1453,"attrs":3877},{"color":16},{"type":543},{"text":1670,"type":298,"marks":3880},[3881],{"type":543},{"type":545,"content":3883},[3884,3895,3906,3917,3928,3939],{"type":548,"content":3885},[3886],{"type":15,"attrs":3887,"content":3888},{"textAlign":102},[3889,3894],{"text":3890,"type":298,"marks":3891},"Analyser les données du système de déclaration pour identifier les lacunes en matière de sécurité des patients.",[3892],{"type":1453,"attrs":3893},{"color":16},{"text":1670,"type":298},{"type":548,"content":3896},[3897],{"type":15,"attrs":3898,"content":3899},{"textAlign":102},[3900,3905],{"text":3901,"type":298,"marks":3902},"Intégrer l’information du système de déclaration aux autres sources de données pour anticiper et atténuer le risque clinique et les vulnérabilités du système de même que pour identifier les forces de celui-ci.",[3903],{"type":1453,"attrs":3904},{"color":16},{"text":1670,"type":298},{"type":548,"content":3907},[3908],{"type":15,"attrs":3909,"content":3910},{"textAlign":102},[3911,3916],{"text":3912,"type":298,"marks":3913},"Fournir des mises à jour sur les leçons tirées et les améliorations apportées grâce aux déclarations faisant partie des processus courants, par ex. point récurrent à l’ordre du jour des réunions du personnel et du conseil d’administration, histoires relatant des « incidents évités de justesse » dans les infolettres, résumés lors d’assemblées publiques.",[3914],{"type":1453,"attrs":3915},{"color":16},{"text":1670,"type":298},{"type":548,"content":3918},[3919],{"type":15,"attrs":3920,"content":3921},{"textAlign":102},[3922,3927],{"text":3923,"type":298,"marks":3924},"Envisager de partager les leçons tirées avec les patients, les familles, les communautés et le public et adapter la communication aux besoins particuliers de l’auditoire (analyses quantitatives, histoires des patients, résumés des tendances, campagnes d’affichage, médias sociaux, blogues, etc.).",[3925],{"type":1453,"attrs":3926},{"color":16},{"text":1670,"type":298},{"type":548,"content":3929},[3930],{"type":15,"attrs":3931,"content":3932},{"textAlign":102},[3933,3938],{"text":3934,"type":298,"marks":3935},"Évaluer régulièrement l’efficacité du système de déclaration et de ses mécanismes de rétroaction et y apporter des améliorations.",[3936],{"type":1453,"attrs":3937},{"color":16},{"text":1670,"type":298},{"type":548,"content":3940},[3941],{"type":15,"attrs":3942,"content":3943},{"textAlign":102},[3944],{"text":3945,"type":298,"marks":3946},"Mettre à jour les éléments d’information recueillis pour en assurer la pertinence et intégrer l’identification des problèmes émergents.",[3947],{"type":1453,"attrs":3948},{"color":16},"Gestion de la sécurité des patients ","accordion-2-columns",{"type":12,"content":3952},[3953],{"type":15,"attrs":3954,"content":3955},{"textAlign":102},[3956],{"text":3957,"type":298},"Cette section de la Trousse à outils pour la sécurité des patients et la gestion des incidents offre un ensemble intégré de ressources axées sur les mesures qui contribuent à anticiper, surveiller, prévenir et planifier les questions prévues et inattendues en matière de sécurité. Ces ressources aident les personnes responsables de la sécurité des patients à reconnaître et à réduire les préjudices potentiels aux patients, aux familles et aux prestataires de soins avant que les incidents ne surviennent, de façon à assurer des soins plus sécuritaires maintenant et dans le futur. ",{"_uid":3959,"items":3960,"title":6189,"component":3950,"description":6190},"dbcbd30a-a82c-4049-938e-c2ffda9de3ed",[3961,4281,5043,5448,5678,5867,6119],{"_uid":3962,"title":3963,"ctaLeft":3964,"ctaRight":3965,"component":2415,"columnLeft":3972,"columnRight":3984},"ea6233ec-ed14-4652-a620-6da1204cf369","L’intervention immédiate",[],[3966],{"_uid":3967,"link":3968,"label":3970,"component":3971},"5fc66b57-c0c0-45c9-9c59-f5d2148ded13",{"id":16,"url":3969,"target":560,"linktype":561,"fieldtype":596,"cached_url":3969},"https://youtu.be/p44wxk7BL20","The Impact of Disclosure: Second Victim of Harm","simple-link-only",{"type":12,"content":3973},[3974,3979],{"type":15,"attrs":3975,"content":3976},{"textAlign":102},[3977],{"text":3978,"type":298},"L’intervention immédiate comprend les actions en matière de soins, de soutien et de communication qui ont lieu immédiatement après un incident pour atténuer les préjudices potentiels et assurer la sécurité des patients, des familles et des prestataires de soins.  Le cas échéant, l’intervention immédiate se poursuit tout au long du processus de gestion des incidents afin de promouvoir le rétablissement, la récupération et l’apprentissage. ",{"type":15,"attrs":3980,"content":3981},{"textAlign":102},[3982],{"text":3983,"type":298},"« Nous pourrions leur pardonner la mort de notre fille, mais nous ne pourrions leur pardonner la façon dont ils nous ont traités après sa mort. » -- Mère participant à un groupe de concertation ",{"type":12,"content":3985},[3986,3997,4002,4014,4075,4087,4107,4119,4161,4173,4217,4229,4260,4272],{"type":535,"attrs":3987,"content":3988},{"level":537,"textAlign":1162},[3989,3994],{"text":2429,"type":298,"marks":3990},[3991,3993],{"type":1453,"attrs":3992},{"color":16},{"type":543},{"text":1670,"type":298,"marks":3995},[3996],{"type":543},{"type":15,"attrs":3998,"content":3999},{"textAlign":1162},[4000],{"text":4001,"type":298},"Selon l’incident et ses circonstances, les étapes qui suivent immédiatement un incident peuvent se conformer à différentes séquences ou se produire simultanément. Les connaissances acquises avant l’incident sur les politiques, les procédures et les ressources disponibles localement assurent une gestion efficace de ces premières étapes décisives du processus de gestion des incidents. ",{"type":535,"attrs":4003,"content":4004},{"level":959,"textAlign":1162},[4005,4011],{"text":4006,"type":298,"marks":4007},"Le soutien et les soins immédiats aux patients, aux familles, aux prestataires de soins et aux autres",[4008,4010],{"type":1453,"attrs":4009},{"color":16},{"type":543},{"text":1670,"type":298,"marks":4012},[4013],{"type":543},{"type":545,"content":4015},[4016,4023,4034,4045,4056],{"type":548,"content":4017},[4018],{"type":15,"attrs":4019,"content":4020},{"textAlign":102},[4021],{"text":4022,"type":298},"En premier lieu, répondre aux besoins cliniques immédiats du ou des patients touchés par l’incident. ",{"type":548,"content":4024},[4025],{"type":15,"attrs":4026,"content":4027},{"textAlign":102},[4028,4033],{"text":4029,"type":298,"marks":4030},"S’occuper des besoins émotionnels immédiats du ou des patients touchés par l’incident et de leur famille, le cas échéant, ce qui implique une reconnaissance de l’événement, de l’empathie et du soutien.",[4031],{"type":1453,"attrs":4032},{"color":16},{"text":1670,"type":298},{"type":548,"content":4035},[4036],{"type":15,"attrs":4037,"content":4038},{"textAlign":102},[4039,4044],{"text":4040,"type":298,"marks":4041},"S’assurer de prendre soin des autres patients, membres des familles et visiteurs touchés par l’incident, ce qui comporte un soutien continu de leurs besoins cliniques.",[4042],{"type":1453,"attrs":4043},{"color":16},{"text":1670,"type":298},{"type":548,"content":4046},[4047],{"type":15,"attrs":4048,"content":4049},{"textAlign":102},[4050,4055],{"text":4051,"type":298,"marks":4052},"Assurer la sécurité et le bien-être du ou des prestataires de soins touchés par l’incident selon les besoins, entre autres en prenant des mesures pour assurer la couverture des tâches, en facilitant l’accès à du counseling et en fournissant un soutien par les pairs.",[4053],{"type":1453,"attrs":4054},{"color":16},{"text":1670,"type":298},{"type":548,"content":4057},[4058],{"type":15,"attrs":4059,"content":4060},{"textAlign":102},[4061,4069,4074],{"text":4062,"type":298,"marks":4063},"Consigner",[4064,4067],{"type":557,"attrs":4065},{"href":4066,"uuid":102,"anchor":102,"custom":102,"target":560,"linktype":561},"https://www.cmpa-acpm.ca/serve/docs/ela/goodpracticesguide/pages/communication/communication-f.html",{"type":1453,"attrs":4068},{"color":16},{"text":4070,"type":298,"marks":4071}," les faits dans le dossier médical du patient aussitôt que possible conformément aux normes professionnelles et aux politiques organisationnelles.",[4072],{"type":1453,"attrs":4073},{"color":16},{"text":1670,"type":298},{"type":535,"attrs":4076,"content":4077},{"level":959,"textAlign":1162},[4078,4084],{"text":4079,"type":298,"marks":4080},"Rendre l’environnement et la périphérie sécuritaires",[4081,4083],{"type":1453,"attrs":4082},{"color":16},{"type":543},{"text":1670,"type":298,"marks":4085},[4086],{"type":543},{"type":545,"content":4088},[4089,4096],{"type":548,"content":4090},[4091],{"type":15,"attrs":4092,"content":4093},{"textAlign":102},[4094],{"text":4095,"type":298},"Instituer des mesures pour réduire le risque de récurrence imminente d’autres menaces potentielles, comme le retrait des médicaments, de l’équipement ou d’autres agents potentiellement dangereux. ",{"type":548,"content":4097},[4098],{"type":15,"attrs":4099,"content":4100},{"textAlign":102},[4101,4106],{"text":4102,"type":298,"marks":4103},"Mettre les autres en garde, tels que d’autres secteurs de l’organisme ou d’autres institutions, contre les risques qui vont au-delà de l’environnement local.",[4104],{"type":1453,"attrs":4105},{"color":16},{"text":1670,"type":298},{"type":535,"attrs":4108,"content":4109},{"level":959,"textAlign":1162},[4110,4116],{"text":4111,"type":298,"marks":4112},"Sécuriser les objets liés à l’événement qui pourraient devoir être nécessaires à l’analyse de l’incident",[4113,4115],{"type":1453,"attrs":4114},{"color":16},{"type":543},{"text":1670,"type":298,"marks":4117},[4118],{"type":543},{"type":545,"content":4120},[4121,4128,4139,4150],{"type":548,"content":4122},[4123],{"type":15,"attrs":4124,"content":4125},{"textAlign":102},[4126],{"text":4127,"type":298},"Les objets à sécuriser peuvent inclure des équipements biomédicaux, des solutions intraveineuses, des médicaments, des emballages, des vêtements, de la literie, du matériel technologique, des enregistrements vidéo, etc. ",{"type":548,"content":4129},[4130],{"type":15,"attrs":4131,"content":4132},{"textAlign":102},[4133,4138],{"text":4134,"type":298,"marks":4135},"Étiqueter les objets et les sécuriser dans un environnement protégé dont l’accès est contrôlé.",[4136],{"type":1453,"attrs":4137},{"color":16},{"text":1670,"type":298},{"type":548,"content":4140},[4141],{"type":15,"attrs":4142,"content":4143},{"textAlign":102},[4144,4149],{"text":4145,"type":298,"marks":4146},"Tel que préconisé par les politiques organisationnelles, sécuriser le dossier de santé et en fournir une copie aux prestataires si le patient reçoit des soins continus.",[4147],{"type":1453,"attrs":4148},{"color":16},{"text":1670,"type":298},{"type":548,"content":4151},[4152],{"type":15,"attrs":4153,"content":4154},{"textAlign":102},[4155,4160],{"text":4156,"type":298,"marks":4157},"Photographier les objets et l’endroit où s’est produit l’incident, lorsqu’approprié, puisque des photos pourraient s’avérer utiles dans le processus d’évaluation.",[4158],{"type":1453,"attrs":4159},{"color":16},{"text":1670,"type":298},{"type":535,"attrs":4162,"content":4163},{"level":959,"textAlign":1162},[4164,4170],{"text":4165,"type":298,"marks":4166},"Déclarer l’incident et produire les avis appropriés",[4167,4169],{"type":1453,"attrs":4168},{"color":16},{"type":543},{"text":1670,"type":298,"marks":4171},[4172],{"type":543},{"type":545,"content":4174},[4175,4182,4193],{"type":548,"content":4176},[4177],{"type":15,"attrs":4178,"content":4179},{"textAlign":102},[4180],{"text":4181,"type":298},"Déclarer l’incident conformément aux processus organisationnels pour déclencher les avis appropriés et déterminer les prochaines étapes dans le processus de gestion de l’incident. ",{"type":548,"content":4183},[4184],{"type":15,"attrs":4185,"content":4186},{"textAlign":102},[4187,4192],{"text":4188,"type":298,"marks":4189},"Aviser le médecin traitant et le chef d’unité et prendre en considération les autres, comme les équipes de direction, de gestion du risque et de relations publiques, conformément à la politique organisationnelle.",[4190],{"type":1453,"attrs":4191},{"color":16},{"text":1670,"type":298},{"type":548,"content":4194},[4195],{"type":15,"attrs":4196,"content":4197},{"textAlign":102},[4198,4203,4212,4216],{"text":4199,"type":298,"marks":4200},"Diffuser des avis externes selon les besoins et la nature de l’événement, la politique organisationnelle et les lois applicables; il pourrait s’avérer nécessaire d’aviser un coroner/médecin légiste, le ministère de la Santé, les assureurs et les ",[4201],{"type":1453,"attrs":4202},{"color":16},{"text":4204,"type":298,"marks":4205},"médias",[4206,4210],{"type":557,"attrs":4207},{"href":4208,"uuid":102,"anchor":102,"custom":4209,"target":1193,"linktype":286},"https://a-ca.storyblok.com/f/850807391887861/33f7125efe/liste-de-verification-de-la-planification-du-partage-dinformation-final-uae.pdf",{},{"type":1453,"attrs":4211},{"color":16},{"text":991,"type":298,"marks":4213},[4214],{"type":1453,"attrs":4215},{"color":16},{"text":1670,"type":298},{"type":535,"attrs":4218,"content":4219},{"level":959,"textAlign":1162},[4220,4226],{"text":4221,"type":298,"marks":4222},"Enclencher le processus de divulgation",[4223,4225],{"type":1453,"attrs":4224},{"color":16},{"type":543},{"text":1670,"type":298,"marks":4227},[4228],{"type":543},{"type":545,"content":4230},[4231,4238,4249],{"type":548,"content":4232},[4233],{"type":15,"attrs":4234,"content":4235},{"textAlign":102},[4236],{"text":4237,"type":298},"Débuter le processus de divulgation avec le patient et sa famille dès qu’il est raisonnablement possible de le faire. ",{"type":548,"content":4239},[4240],{"type":15,"attrs":4241,"content":4242},{"textAlign":102},[4243,4248],{"text":4244,"type":298,"marks":4245},"Étudier la possibilité d’adapter le processus aux besoins du patient et de sa famille.",[4246],{"type":1453,"attrs":4247},{"color":16},{"text":1670,"type":298},{"type":548,"content":4250},[4251],{"type":15,"attrs":4252,"content":4253},{"textAlign":102},[4254,4259],{"text":4255,"type":298,"marks":4256},"Documenter la discussion entourant la divulgation conformément aux politiques organisationnelles.",[4257],{"type":1453,"attrs":4258},{"color":16},{"text":1670,"type":298},{"type":535,"attrs":4261,"content":4262},{"level":959,"textAlign":1162},[4263,4269],{"text":4264,"type":298,"marks":4265},"Soutien continu",[4266,4268],{"type":1453,"attrs":4267},{"color":16},{"type":543},{"text":1670,"type":298,"marks":4270},[4271],{"type":543},{"type":545,"content":4273},[4274],{"type":548,"content":4275},[4276],{"type":15,"attrs":4277,"content":4278},{"textAlign":102},[4279],{"text":4280,"type":298},"Entamer la création d’un plan pour offrir du soutien et de l’information aux patients et aux familles, aux prestataires de soins et à d’autres, s’il y a lieu.",{"_uid":4282,"title":4283,"ctaLeft":4284,"ctaRight":4285,"component":2415,"columnLeft":4286,"columnRight":4308},"2a750193-9a19-4512-9486-25cffa35731c","Divulgation",[],[],{"type":12,"content":4287},[4288,4293,4298,4303],{"type":15,"attrs":4289,"content":4290},{"textAlign":102},[4291],{"text":4292,"type":298},"La divulgation est un processus formel qui implique une discussion ouverte entre un patient/sa famille et les membres de l’établissement de soins de santé à propos d’un incident lié à la sécurité du patient (y compris les incidents évités de justesse). Elle permet de dialoguer tout au long du processus de gestion de l’incident, améliore la sécurité des patients et favorise le rétablissement des patients/familles et des prestataires touchés.  ",{"type":15,"attrs":4294,"content":4295},{"textAlign":102},[4296],{"text":4297,"type":298},"Elle s’articule généralement autour de deux grandes étapes (stade initial et post-analyse). Il s’agit d’un processus continu avec plusieurs conversations au fil du temps.  ",{"type":15,"attrs":4299,"content":4300},{"textAlign":102},[4301],{"text":4302,"type":298},"« … J’avais l’impression que je pouvais faire confiance à ma prestataire de soins parce qu’elle assumait ses responsabilités et… regrettait ce qui était arrivé.  Elle n’était pas sur la défensive. » -- Membre de la famille ",{"type":15,"attrs":4304,"content":4305},{"textAlign":102},[4306],{"text":4307,"type":298},"« On ne m’a pas permis de participer au processus de divulgation, j’avais besoin de voir la famille du garçon décédé; j’avais besoin de leur dire : « Je m’excuse ».  Je me demanderai toujours s’ils savent à quel point je suis désolé et comment cet événement a changé ma pratique.» -- Un prestataire de soins ",{"type":12,"content":4309},[4310,4321,4332,4345,4549,4561,4573,4697,4709,4932,4944],{"type":535,"attrs":4311,"content":4312},{"level":537,"textAlign":1162},[4313,4318],{"text":2429,"type":298,"marks":4314},[4315,4317],{"type":1453,"attrs":4316},{"color":16},{"type":543},{"text":1670,"type":298,"marks":4319},[4320],{"type":543},{"type":535,"attrs":4322,"content":4323},{"level":959,"textAlign":1162},[4324,4329],{"text":2412,"type":298,"marks":4325},[4326,4328],{"type":1453,"attrs":4327},{"color":16},{"type":543},{"text":1670,"type":298,"marks":4330},[4331],{"type":543},{"type":535,"attrs":4333,"content":4335},{"level":4334,"textAlign":1162},4,[4336,4342],{"text":4337,"type":298,"marks":4338},"Confirmer les processus organisationnels qui viennent appuyer la divulgation",[4339,4341],{"type":1453,"attrs":4340},{"color":16},{"type":543},{"text":1670,"type":298,"marks":4343},[4344],{"type":543},{"type":545,"content":4346},[4347,4354,4516,4527,4538],{"type":548,"content":4348},[4349],{"type":15,"attrs":4350,"content":4351},{"textAlign":102},[4352],{"text":4353,"type":298},"Établir les lignes directrices de la divulgation (par ex. soins de santé axés sur le patient, autonomie du patient, honnêteté et transparence, sécurité des patients, culture juste, apprentissage et amélioration). ",{"type":548,"content":4355},[4356,4390],{"type":15,"attrs":4357,"content":4358},{"textAlign":102},[4359,4364,4372,4377,4384,4389],{"text":4360,"type":298,"marks":4361},"Élaborer des politiques, des procédures et des outils de divulgation qui respectent les lignes directrices de l’établissement, les systèmes de responsabilisation, les ",[4362],{"type":1453,"attrs":4363},{"color":16},{"text":4365,"type":298,"marks":4366},"lois",[4367,4370],{"type":557,"attrs":4368},{"href":4369,"uuid":102,"anchor":102,"custom":102,"target":560,"linktype":561},"http://www2.publicationsduquebec.gouv.qc.ca/dynamicSearch/telecharge.php?type=5&file=2002C71F.PDF",{"type":1453,"attrs":4371},{"color":16},{"text":4373,"type":298,"marks":4374},", les exigences réglementaires/de licence et les ",[4375],{"type":1453,"attrs":4376},{"color":16},{"text":2805,"type":298,"marks":4378},[4379,4382],{"type":557,"attrs":4380},{"href":4381,"uuid":102,"anchor":102,"custom":102,"target":560,"linktype":561},"https://www.cmpa-acpm.ca/serve/docs/ela/goodpracticesguide/pages/adverse_events/Disclosure/disclosure-f.html",{"type":1453,"attrs":4383},{"color":16},{"text":4385,"type":298,"marks":4386}," :",[4387],{"type":1453,"attrs":4388},{"color":16},{"text":1670,"type":298},{"type":545,"content":4391},[4392,4403,4428,4439,4462,4494,4505],{"type":548,"content":4393},[4394],{"type":15,"attrs":4395,"content":4396},{"textAlign":102},[4397,4402],{"text":4398,"type":298,"marks":4399},"En impliquant les patients/familles et le personnel de première ligne dans leur élaboration",[4400],{"type":1453,"attrs":4401},{"color":16},{"text":1670,"type":298},{"type":548,"content":4404},[4405],{"type":15,"attrs":4406,"content":4407},{"textAlign":102},[4408,4413,4422,4427],{"text":4409,"type":298,"marks":4410},"En déterminant ",[4411],{"type":1453,"attrs":4412},{"color":16},{"text":4414,"type":298,"marks":4415},"quand",[4416,4420],{"type":557,"attrs":4417},{"href":4418,"uuid":102,"anchor":102,"custom":4419,"target":1193,"linktype":286},"https://a-ca.storyblok.com/f/850807391887861/133a2ecd04/lignes-directrices-nationales-a-la-divulgation-diagramme-b-type-de-final-ua.pdf",{},{"type":1453,"attrs":4421},{"color":16},{"text":4423,"type":298,"marks":4424}," et où la divulgation devrait avoir lieu et comment elle devrait se dérouler",[4425],{"type":1453,"attrs":4426},{"color":16},{"text":1670,"type":298},{"type":548,"content":4429},[4430],{"type":15,"attrs":4431,"content":4432},{"textAlign":102},[4433,4438],{"text":4434,"type":298,"marks":4435},"En incluant l’assistance et les ressources accessibles au patient, à sa famille et aux prestataires de soins",[4436],{"type":1453,"attrs":4437},{"color":16},{"text":1670,"type":298},{"type":548,"content":4440},[4441],{"type":15,"attrs":4442,"content":4443},{"textAlign":102},[4444,4449,4456,4461],{"text":4445,"type":298,"marks":4446},"En fournissant des directives sur la manière de gérer les ",[4447],{"type":1453,"attrs":4448},{"color":16},{"text":4204,"type":298,"marks":4450},[4451,4454],{"type":557,"attrs":4452},{"href":4453,"uuid":102,"anchor":102,"custom":102,"target":560,"linktype":561},"https://era.library.ualberta.ca/items/3443fab9-f47e-4d6b-a1d7-3d131336f8f3",{"type":1453,"attrs":4455},{"color":16},{"text":4457,"type":298,"marks":4458}," advenant le cas d’une déclaration publique",[4459],{"type":1453,"attrs":4460},{"color":16},{"text":1670,"type":298},{"type":548,"content":4463},[4464],{"type":15,"attrs":4465,"content":4466},{"textAlign":102},[4467,4472,4488,4493],{"text":4468,"type":298,"marks":4469},"En intégrant les processus relatifs aux ",[4470],{"type":1453,"attrs":4471},{"color":16},{"text":4473,"type":298,"marks":4474},"circonstances spéciales",[4475,4486],{"type":557,"attrs":4476},{"href":4477,"uuid":317,"anchor":102,"custom":4478,"target":1193,"linktype":839,"story":4479},"/fr/ressources/lignes-directrices-canadiennes-sur-la-divulgation",{},{"name":4480,"id":4481,"uuid":317,"slug":4482,"url":4483,"translated_name":4484,"full_slug":4485,"_stopResolving":459},"Canadian Disclosure Guidelines",113881379122976,"canadian-disclosure-guidelines","resources/canadian-disclosure-guidelines","Lignes directrices canadiennes sur la divulgation","fr/ressources/lignes-directrices-canadiennes-sur-la-divulgation",{"type":1453,"attrs":4487},{"color":16},{"text":4489,"type":298,"marks":4490},", telles que les divulgations à plusieurs patients, les patients pédiatriques ou ceux qui souffrent de problèmes de santé mentale, ou les incidents liés à la recherche",[4491],{"type":1453,"attrs":4492},{"color":16},{"text":1670,"type":298},{"type":548,"content":4495},[4496],{"type":15,"attrs":4497,"content":4498},{"textAlign":102},[4499,4504],{"text":4500,"type":298,"marks":4501},"En en facilitant l’accès pour tous, y compris le personnel de première ligne et les patients/familles (par ex. site public)",[4502],{"type":1453,"attrs":4503},{"color":16},{"text":1670,"type":298},{"type":548,"content":4506},[4507],{"type":15,"attrs":4508,"content":4509},{"textAlign":102},[4510,4515],{"text":4511,"type":298,"marks":4512},"En les mettant à jour régulièrement pour assurer leur pertinence et leur alignement sur les autres politiques et le contexte actuel",[4513],{"type":1453,"attrs":4514},{"color":16},{"text":1670,"type":298},{"type":548,"content":4517},[4518],{"type":15,"attrs":4519,"content":4520},{"textAlign":102},[4521,4526],{"text":4522,"type":298,"marks":4523},"Offrir des programmes de formation sur la divulgation et des ressources pédagogiques pour le personnel et les patients/familles.",[4524],{"type":1453,"attrs":4525},{"color":16},{"text":1670,"type":298},{"type":548,"content":4528},[4529],{"type":15,"attrs":4530,"content":4531},{"textAlign":102},[4532,4537],{"text":4533,"type":298,"marks":4534},"Allouer des ressources pour aider les patients/familles touchés par les incidents liés à la sécurité des patients, en s’assurant qu’elles soient accessibles sans délai (par ex. soutien pratique, émotionnel, financier).",[4535],{"type":1453,"attrs":4536},{"color":16},{"text":1670,"type":298},{"type":548,"content":4539},[4540],{"type":15,"attrs":4541,"content":4542},{"textAlign":102},[4543,4548],{"text":4544,"type":298,"marks":4545},"Allouer des ressources, au besoin, pour aider le personnel de première ligne impliqué dans les incidents liés à la sécurité des patients y compris le soutien et l’encadrement en matière de divulgation.",[4546],{"type":1453,"attrs":4547},{"color":16},{"text":1670,"type":298},{"type":535,"attrs":4550,"content":4551},{"level":959,"textAlign":1162},[4552,4558],{"text":4553,"type":298,"marks":4554},"Après l’incident",[4555,4557],{"type":1453,"attrs":4556},{"color":16},{"type":543},{"text":1670,"type":298,"marks":4559},[4560],{"type":543},{"type":535,"attrs":4562,"content":4563},{"level":4334,"textAlign":1162},[4564,4570],{"text":4565,"type":298,"marks":4566},"Préparer un plan particulier de divulgation",[4567,4569],{"type":1453,"attrs":4568},{"color":16},{"type":543},{"text":1670,"type":298,"marks":4571},[4572],{"type":543},{"type":545,"content":4574},[4575,4582,4686],{"type":548,"content":4576},[4577],{"type":15,"attrs":4578,"content":4579},{"textAlign":102},[4580],{"text":4581,"type":298},"Après avoir comblé les besoins immédiats du patient/famille et des prestataires de soins, élaborer un plan personnalisé de divulgation spécifique à l’incident et aux besoins actuels des personnes impliquées. ",{"type":548,"content":4583},[4584,4607],{"type":15,"attrs":4585,"content":4586},{"textAlign":102},[4587,4592,4601,4606],{"text":4588,"type":298,"marks":4589},"Si possible, tenir une réunion avant la divulgation pour déterminer la meilleure ",[4590],{"type":1453,"attrs":4591},{"color":16},{"text":4593,"type":298,"marks":4594},"approche",[4595,4599],{"type":557,"attrs":4596},{"href":2201,"uuid":385,"anchor":102,"custom":4597,"target":1193,"linktype":839,"story":4598},{},{"name":2204,"id":2205,"uuid":385,"slug":2206,"url":2207,"translated_name":2208,"full_slug":2209,"_stopResolving":459},{"type":1453,"attrs":4600},{"color":16},{"text":4602,"type":298,"marks":4603}," en y traitant :",[4604],{"type":1453,"attrs":4605},{"color":16},{"text":1670,"type":298},{"type":545,"content":4608},[4609,4620,4631,4642,4653,4664,4675],{"type":548,"content":4610},[4611],{"type":15,"attrs":4612,"content":4613},{"textAlign":102},[4614,4619],{"text":4615,"type":298,"marks":4616},"Du moment où la première divulgation aura lieu, en prenant en considération la disponibilité du patient/famille et leurs préférences",[4617],{"type":1453,"attrs":4618},{"color":16},{"text":1670,"type":298},{"type":548,"content":4621},[4622],{"type":15,"attrs":4623,"content":4624},{"textAlign":102},[4625,4630],{"text":4626,"type":298,"marks":4627},"Du lieu où la divulgation se fera, un endroit privé de préférence, pour éviter les interruptions, ou un endroit hors du site, si nécessaire",[4628],{"type":1453,"attrs":4629},{"color":16},{"text":1670,"type":298},{"type":548,"content":4632},[4633],{"type":15,"attrs":4634,"content":4635},{"textAlign":102},[4636,4641],{"text":4637,"type":298,"marks":4638},"De l’information qui sera transmise au patient et à sa famille, y compris la confirmation des faits connus et incontestés",[4639],{"type":1453,"attrs":4640},{"color":16},{"text":1670,"type":298},{"type":548,"content":4643},[4644],{"type":15,"attrs":4645,"content":4646},{"textAlign":102},[4647,4652],{"text":4648,"type":298,"marks":4649},"Du choix de la meilleure personne pour procéder à la divulgation et coordonner son déroulement",[4650],{"type":1453,"attrs":4651},{"color":16},{"text":1670,"type":298},{"type":548,"content":4654},[4655],{"type":15,"attrs":4656,"content":4657},{"textAlign":102},[4658,4663],{"text":4659,"type":298,"marks":4660},"De la façon dont les prestataires de soins impliqués dans l’incident seront soutenus",[4661],{"type":1453,"attrs":4662},{"color":16},{"text":1670,"type":298},{"type":548,"content":4665},[4666],{"type":15,"attrs":4667,"content":4668},{"textAlign":102},[4669,4674],{"text":4670,"type":298,"marks":4671},"De la façon dont le patient/sa famille seront soutenus et que leurs questions/préoccupations seront abordées",[4672],{"type":1453,"attrs":4673},{"color":16},{"text":1670,"type":298},{"type":548,"content":4676},[4677],{"type":15,"attrs":4678,"content":4679},{"textAlign":102},[4680,4685],{"text":4681,"type":298,"marks":4682},"De la façon dont la divulgation sera consignée",[4683],{"type":1453,"attrs":4684},{"color":16},{"text":1670,"type":298},{"type":548,"content":4687},[4688],{"type":15,"attrs":4689,"content":4690},{"textAlign":102},[4691,4696],{"text":4692,"type":298,"marks":4693},"Se renseigner auprès du patient/famille pour savoir qui assistera à la réunion, encourager le patient/membre de la famille à ne pas y venir seul (par ex. autres membres de la famille, amis, traducteur, soutien spirituel) et demander si le patient/membre de la famille a des préférences quant aux personnes de l’équipe de soins qu’il aimerait ou n’aimerait pas y voir.",[4694],{"type":1453,"attrs":4695},{"color":16},{"text":1670,"type":298},{"type":535,"attrs":4698,"content":4699},{"level":4334,"textAlign":1162},[4700,4706],{"text":4701,"type":298,"marks":4702},"Procéder à la divulgation initiale",[4703,4705],{"type":1453,"attrs":4704},{"color":16},{"type":543},{"text":1670,"type":298,"marks":4707},[4708],{"type":543},{"type":545,"content":4710},[4711,4718,4729,4740,4751,4762,4808,4819,4830,4841,4852,4863,4874],{"type":548,"content":4712},[4713],{"type":15,"attrs":4714,"content":4715},{"textAlign":102},[4716],{"text":4717,"type":298},"Utiliser un langage et une terminologie que le patient et sa famille peuvent facilement comprendre; éviter les spéculations ou le blâme. ",{"type":548,"content":4719},[4720],{"type":15,"attrs":4721,"content":4722},{"textAlign":102},[4723,4728],{"text":4724,"type":298,"marks":4725},"Présenter les participants au patient et à sa famille, en précisant leurs fonctions et la raison de leur présence.",[4726],{"type":1453,"attrs":4727},{"color":16},{"text":1670,"type":298},{"type":548,"content":4730},[4731],{"type":15,"attrs":4732,"content":4733},{"textAlign":102},[4734,4739],{"text":4735,"type":298,"marks":4736},"Reconnaître l’incident ou la survenue d’un événement inattendu et présenter des excuses en utilisant les mots « Je m’excuse ».",[4737],{"type":1453,"attrs":4738},{"color":16},{"text":1670,"type":298},{"type":548,"content":4741},[4742],{"type":15,"attrs":4743,"content":4744},{"textAlign":102},[4745,4750],{"text":4746,"type":298,"marks":4747},"Fournir un aperçu du déroulement de la réunion et demander au patient et à sa famille comment ils veulent y participer.",[4748],{"type":1453,"attrs":4749},{"color":16},{"text":1670,"type":298},{"type":548,"content":4752},[4753],{"type":15,"attrs":4754,"content":4755},{"textAlign":102},[4756,4761],{"text":4757,"type":298,"marks":4758},"Demander les préoccupations et les questions que le patient et sa famille aimeraient aborder et offrir de l’aide ou des ressources, au besoin.",[4759],{"type":1453,"attrs":4760},{"color":16},{"text":1670,"type":298},{"type":548,"content":4763},[4764,4773],{"type":15,"attrs":4765,"content":4766},{"textAlign":102},[4767,4772],{"text":4768,"type":298,"marks":4769},"Partager l’information suivante :",[4770],{"type":1453,"attrs":4771},{"color":16},{"text":1670,"type":298},{"type":545,"content":4774},[4775,4786,4797],{"type":548,"content":4776},[4777],{"type":15,"attrs":4778,"content":4779},{"textAlign":102},[4780,4785],{"text":4781,"type":298,"marks":4782},"Les faits connus à ce jour à propos de l’incident",[4783],{"type":1453,"attrs":4784},{"color":16},{"text":1670,"type":298},{"type":548,"content":4787},[4788],{"type":15,"attrs":4789,"content":4790},{"textAlign":102},[4791,4796],{"text":4792,"type":298,"marks":4793},"Les étapes qui assureront les soins continus et le bien-être du patient (par ex. soins cliniques, traitement)",[4794],{"type":1453,"attrs":4795},{"color":16},{"text":1670,"type":298},{"type":548,"content":4798},[4799],{"type":15,"attrs":4800,"content":4801},{"textAlign":102},[4802,4807],{"text":4803,"type":298,"marks":4804},"Un bref aperçu du processus d’analyse de l’incident, y compris les délais prévus et ce à quoi le patient/famille peut s’attendre du processus",[4805],{"type":1453,"attrs":4806},{"color":16},{"text":1670,"type":298},{"type":548,"content":4809},[4810],{"type":15,"attrs":4811,"content":4812},{"textAlign":102},[4813,4818],{"text":4814,"type":298,"marks":4815},"Offrir au patient et à sa famille l’occasion de parler de leur expérience et de poser des questions.",[4816],{"type":1453,"attrs":4817},{"color":16},{"text":1670,"type":298},{"type":548,"content":4820},[4821],{"type":15,"attrs":4822,"content":4823},{"textAlign":102},[4824,4829],{"text":4825,"type":298,"marks":4826},"Demander les préférences quant à l’engagement et à l’information à venir (comment, quand et où)",[4827],{"type":1453,"attrs":4828},{"color":16},{"text":1670,"type":298},{"type":548,"content":4831},[4832],{"type":15,"attrs":4833,"content":4834},{"textAlign":102},[4835,4840],{"text":4836,"type":298,"marks":4837},"Demander au patient/à la famille d’identifier une personne-ressource.",[4838],{"type":1453,"attrs":4839},{"color":16},{"text":1670,"type":298},{"type":548,"content":4842},[4843],{"type":15,"attrs":4844,"content":4845},{"textAlign":102},[4846,4851],{"text":4847,"type":298,"marks":4848},"Désigner une personne-ressource clé dans l’organisme qui fournira des mises à jour régulières.",[4849],{"type":1453,"attrs":4850},{"color":16},{"text":1670,"type":298},{"type":548,"content":4853},[4854],{"type":15,"attrs":4855,"content":4856},{"textAlign":102},[4857,4862],{"text":4858,"type":298,"marks":4859},"Offrir un soutien pratique et émotionnel (par ex. services de soutien spirituel, conseils professionnels, travail social, dispositions familiales, remboursement de dépenses associées au processus de divulgation).",[4860],{"type":1453,"attrs":4861},{"color":16},{"text":1670,"type":298},{"type":548,"content":4864},[4865],{"type":15,"attrs":4866,"content":4867},{"textAlign":102},[4868,4873],{"text":4869,"type":298,"marks":4870},"Documenter la discussion entourant la divulgation conformément aux politiques organisationnelles en y incluant :",[4871],{"type":1453,"attrs":4872},{"color":16},{"text":1670,"type":298},{"type":548,"content":4875},[4876,4886],{"type":15,"attrs":4877,"content":4878},{"textAlign":102},[4879,4885],{"text":4880,"type":298,"marks":4881},"L’heure, le lieu, la date, les noms de toutes les personnes présentes et leurs liens",[4882],{"type":1453,"attrs":4883},{"color":4884},"#575757",{"text":1670,"type":298},{"type":545,"content":4887},[4888,4899,4910,4921],{"type":548,"content":4889},[4890],{"type":15,"attrs":4891,"content":4892},{"textAlign":102},[4893,4898],{"text":4894,"type":298,"marks":4895},"Les faits présentés",[4896],{"type":1453,"attrs":4897},{"color":16},{"text":1670,"type":298},{"type":548,"content":4900},[4901],{"type":15,"attrs":4902,"content":4903},{"textAlign":102},[4904,4909],{"text":4905,"type":298,"marks":4906},"Les offres d’aide proposées et les réponses à ces offres, les questions posées et les réponses données",[4907],{"type":1453,"attrs":4908},{"color":16},{"text":1670,"type":298},{"type":548,"content":4911},[4912],{"type":15,"attrs":4913,"content":4914},{"textAlign":102},[4915,4920],{"text":4916,"type":298,"marks":4917},"Les préférences du patient/de la famille quant aux discussions futures à propos de la divulgation",[4918],{"type":1453,"attrs":4919},{"color":16},{"text":1670,"type":298},{"type":548,"content":4922},[4923],{"type":15,"attrs":4924,"content":4925},{"textAlign":102},[4926,4931],{"text":4927,"type":298,"marks":4928},"Les plans de suivi et coordonnées des personnes-ressources clés de l’organisme et du patient/famille",[4929],{"type":1453,"attrs":4930},{"color":16},{"text":1670,"type":298},{"type":535,"attrs":4933,"content":4934},{"level":4334,"textAlign":1162},[4935,4941],{"text":4936,"type":298,"marks":4937},"Continuer la divulgation au cours du processus de gestion de l’incident au besoin",[4938,4940],{"type":1453,"attrs":4939},{"color":16},{"type":543},{"text":1670,"type":298,"marks":4942},[4943],{"type":543},{"type":545,"content":4945},[4946,5010,5021,5032],{"type":548,"content":4947},[4948,4953],{"type":15,"attrs":4949,"content":4950},{"textAlign":102},[4951],{"text":4952,"type":298},"Continuer à entretenir des contacts avec le patient/famille selon leurs préférences: ",{"type":545,"content":4954},[4955,4966,4977,4988,4999],{"type":548,"content":4956},[4957],{"type":15,"attrs":4958,"content":4959},{"textAlign":102},[4960,4965],{"text":4961,"type":298,"marks":4962},"Continuer à offrir un soutien pratique et émotionnel",[4963],{"type":1453,"attrs":4964},{"color":16},{"text":1670,"type":298},{"type":548,"content":4967},[4968],{"type":15,"attrs":4969,"content":4970},{"textAlign":102},[4971,4976],{"text":4972,"type":298,"marks":4973},"Corriger de façon transparente toute information incorrecte ou incomplète fournie lors de réunions antérieures",[4974],{"type":1453,"attrs":4975},{"color":16},{"text":1670,"type":298},{"type":548,"content":4978},[4979],{"type":15,"attrs":4980,"content":4981},{"textAlign":102},[4982,4987],{"text":4983,"type":298,"marks":4984},"Fournir les nouvelles données factuelles dès qu’elles deviennent disponibles",[4985],{"type":1453,"attrs":4986},{"color":16},{"text":1670,"type":298},{"type":548,"content":4989},[4990],{"type":15,"attrs":4991,"content":4992},{"textAlign":102},[4993,4998],{"text":4994,"type":298,"marks":4995},"Présenter à nouveau ses excuses, ce qui pourrait impliquer d’assumer la responsabilité de ce qui s’est passé, comme il convient, et conformément aux politiques organisationnelles et aux lois applicables",[4996],{"type":1453,"attrs":4997},{"color":16},{"text":1670,"type":298},{"type":548,"content":5000},[5001],{"type":15,"attrs":5002,"content":5003},{"textAlign":102},[5004,5009],{"text":5005,"type":298,"marks":5006},"Décrire toute les actions prises suite à l’analyse interne, telles que les améliorations au système conformément aux politiques organisationnelles et aux lois applicables",[5007],{"type":1453,"attrs":5008},{"color":16},{"text":1670,"type":298},{"type":548,"content":5011},[5012],{"type":15,"attrs":5013,"content":5014},{"textAlign":102},[5015,5020],{"text":5016,"type":298,"marks":5017},"Continuer à offrir des mises à jour et un soutien pratique et émotionnel aux prestataires de soins.",[5018],{"type":1453,"attrs":5019},{"color":16},{"text":1670,"type":298},{"type":548,"content":5022},[5023],{"type":15,"attrs":5024,"content":5025},{"textAlign":102},[5026,5031],{"text":5027,"type":298,"marks":5028},"S’assurer que les prestataires de soins restent impliqués dans le processus de divulgation, au besoin, surtout si la direction assume un rôle plus important au stade de la post-analyse.",[5029],{"type":1453,"attrs":5030},{"color":16},{"text":1670,"type":298},{"type":548,"content":5033},[5034],{"type":15,"attrs":5035,"content":5036},{"textAlign":102},[5037,5042],{"text":5038,"type":298,"marks":5039},"Continuer à documenter les discussions relatives à la divulgation conformément aux politiques organisationnelles.",[5040],{"type":1453,"attrs":5041},{"color":16},{"text":1670,"type":298},{"_uid":5044,"title":5045,"ctaLeft":5046,"ctaRight":5047,"component":2415,"columnLeft":5048,"columnRight":5055},"3ea60bef-a57a-42cc-bbc1-cc4d690feb8f","Se préparer à l’analyse",[],[],{"type":12,"content":5049},[5050],{"type":15,"attrs":5051,"content":5052},{"textAlign":102},[5053],{"text":5054,"type":298},"La préparation à l’analyse consiste à procéder à un examen préliminaire afin de déterminer le suivi approprié et décider si une analyse systémique de l’incident est nécessaire.  Dans l’affirmative, il convient de choisir une méthode, une équipe et une approche d’analyse de l’incident et de mener des entrevues initiales. Les conclusions, les mesures et les décisions prises à ce stade de la gestion des incidents influencent l’orientation et l’efficacité de l’analyse. ",{"type":12,"content":5056},[5057,5068,5073,5085,5124,5136,5202,5214,5278,5290,5339,5351],{"type":535,"attrs":5058,"content":5059},{"level":537,"textAlign":1162},[5060,5065],{"text":2429,"type":298,"marks":5061},[5062,5064],{"type":1453,"attrs":5063},{"color":16},{"type":543},{"text":1670,"type":298,"marks":5066},[5067],{"type":543},{"type":15,"attrs":5069,"content":5070},{"textAlign":1162},[5071],{"text":5072,"type":298},"Se référer aux politiques, aux procédures et aux exigences juridictionnelles de votre établissement lors de la mise en œuvre de ces étapes. ",{"type":535,"attrs":5074,"content":5075},{"level":959,"textAlign":1162},[5076,5082],{"text":5077,"type":298,"marks":5078},"Procéder à une enquête préliminaire",[5079,5081],{"type":1453,"attrs":5080},{"color":16},{"type":543},{"text":1670,"type":298,"marks":5083},[5084],{"type":543},{"type":545,"content":5086},[5087,5094,5101,5108],{"type":548,"content":5088},[5089],{"type":15,"attrs":5090,"content":5091},{"textAlign":1162},[5092],{"text":5093,"type":298},"Déterminer la personne la plus appropriée afin de procéder à l’examen initial et à la collecte de données. Il est recommandé de choisir quelqu’un qui possède une formation en analyse formelle des incidents et en sécurité des patients et/ou qui est responsable de la sécurité des patients. ",{"type":548,"content":5095},[5096],{"type":15,"attrs":5097,"content":5098},{"textAlign":102},[5099],{"text":5100,"type":298},"Détailler la chronologie des événements et consigner les faits connus liés à l’incident à partir des sources disponibles à ce moment-là telles que le rapport d’incident, le dossier médical du patient et autre documentation.  ",{"type":548,"content":5102},[5103],{"type":15,"attrs":5104,"content":5105},{"textAlign":102},[5106],{"text":5107,"type":298},"Si nécessaire, chercher à savoir si d’autres incidents ont eu lieu ou si des analyses similaires ont été faites dans l’établissement ou ailleurs pour tirer profit de ces expériences et de ces approches. ",{"type":548,"content":5109},[5110],{"type":15,"attrs":5111,"content":5112},{"textAlign":102},[5113,5115,5122],{"text":5114,"type":298},"Offrir un soutien continu aux ",{"text":5116,"type":298,"marks":5117},"patients/familles",[5118],{"type":557,"attrs":5119},{"href":5120,"uuid":102,"anchor":102,"custom":5121,"target":1193,"linktype":286},"https://a-ca.storyblok.com/f/850807391887861/ae3f849ec0/ciaf-annexe-f-liste-de-verification-pour-mener-des-rencontres-effica-final-ua.pdf",{},{"text":5123,"type":298}," et aux prestataires de soins. ",{"type":535,"attrs":5125,"content":5126},{"level":959,"textAlign":1162},[5127,5133],{"text":5128,"type":298,"marks":5129},"Choisir une méthode d’analyse",[5130,5132],{"type":1453,"attrs":5131},{"color":16},{"type":543},{"text":1670,"type":298,"marks":5134},[5135],{"type":543},{"type":545,"content":5137},[5138,5154,5165,5176],{"type":548,"content":5139},[5140],{"type":15,"attrs":5141,"content":5142},{"textAlign":102},[5143,5145,5152],{"text":5144,"type":298},"En se basant sur la compréhension préliminaire de ce qui s’est passé et en utilisant les outils de référence appropriés, ",{"text":5146,"type":298,"marks":5147},"déterminer",[5148],{"type":557,"attrs":5149},{"href":5150,"uuid":102,"anchor":102,"custom":5151,"target":560,"linktype":561},"http://www.suspension-nhs.org/Resources/Safety%20-%20IDT%20(info%20and%20advice%20on%20use).pdf",{},{"text":5153,"type":298}," si l’analyse requise doit être systémique (axée sur l’amélioration du système) ou doit être un examen de la responsabilité (axé sur le rendement individuel) ou les deux. ",{"type":548,"content":5155},[5156],{"type":15,"attrs":5157,"content":5158},{"textAlign":102},[5159,5164],{"text":5160,"type":298,"marks":5161},"Une analyse systémique n’est pas recommandée pour les incidents que l’on croit provoqués par un acte criminel ou un acte délibérément risqué causé par l’abus d’alcool ou d’autres drogues du prestataire de soins ou impliquant un abus soupçonné du patient.",[5162],{"type":1453,"attrs":5163},{"color":16},{"text":1670,"type":298},{"type":548,"content":5166},[5167],{"type":15,"attrs":5168,"content":5169},{"textAlign":102},[5170,5175],{"text":5171,"type":298,"marks":5172},"Dans les situations où l’on mène à la fois une analyse systémique et un examen de responsabilité, il faut assurer un cloisonnement sécurisé de l’information, c’est-à-dire assurer l’absence de communication ou d’influence entre les deux analyses.",[5173],{"type":1453,"attrs":5174},{"color":16},{"text":1670,"type":298},{"type":548,"content":5177},[5178],{"type":15,"attrs":5179,"content":5180},{"textAlign":102},[5181,5186,5195,5196,5201],{"text":5182,"type":298,"marks":5183},"Dans le cas d’une analyse systémique, ",[5184],{"type":1453,"attrs":5185},{"color":16},{"text":5187,"type":298,"marks":5188},"sélectionner",[5189,5193],{"type":557,"attrs":5190},{"href":2201,"uuid":385,"anchor":102,"custom":5191,"target":1193,"linktype":839,"story":5192},{},{"name":2204,"id":2205,"uuid":385,"slug":2206,"url":2207,"translated_name":2208,"full_slug":2209,"_stopResolving":459},{"type":1453,"attrs":5194},{"color":16},{"text":1200,"type":298},{"text":5197,"type":298,"marks":5198},"la méthode d’analyse la plus appropriée (concise, exhaustive ou analyse d’incidents multiples) en prenant en considération la complexité de l’incident, sa portée et les facteurs contextuels, tels que les risques de récurrence, les mandats de réglementation et les pressions internes ou externes.",[5199],{"type":1453,"attrs":5200},{"color":16},{"text":1670,"type":298},{"type":535,"attrs":5203,"content":5204},{"level":959,"textAlign":1162},[5205,5211],{"text":5206,"type":298,"marks":5207},"Former l’équipe d’analyse",[5208,5210],{"type":1453,"attrs":5209},{"color":16},{"type":543},{"text":1670,"type":298,"marks":5212},[5213],{"type":543},{"type":545,"content":5215},[5216,5223,5234,5245,5256,5267],{"type":548,"content":5217},[5218],{"type":15,"attrs":5219,"content":5220},{"textAlign":102},[5221],{"text":5222,"type":298},"Guidée par les politiques organisationnelles et la protection des lois applicables, une équipe d’analyse doit être formée avec des rôles et responsabilités précis, définis dans une charte d’équipe et il faut clarifier la manière dont la confidentialité sera assurée ",{"type":548,"content":5224},[5225],{"type":15,"attrs":5226,"content":5227},{"textAlign":102},[5228,5233],{"text":5229,"type":298,"marks":5230},"Alors que la composition de l’équipe variera selon l’incident, l’implication des prestataires de première ligne et des dirigeants est essentielle au succès de l’analyse, puisqu’ils peuvent favoriser et soutenir l’instauration du changement",[5231],{"type":1453,"attrs":5232},{"color":16},{"text":1670,"type":298},{"type":548,"content":5235},[5236],{"type":15,"attrs":5237,"content":5238},{"textAlign":102},[5239,5244],{"text":5240,"type":298,"marks":5241},"L’inclusion d’un représentant du patient/famille devrait être considérée et encouragée (par ex. : un patient actuel ou ancien patient du service qui n’a pas été directement impliqué dans l’incident en question)",[5242],{"type":1453,"attrs":5243},{"color":16},{"text":1670,"type":298},{"type":548,"content":5246},[5247],{"type":15,"attrs":5248,"content":5249},{"textAlign":102},[5250,5255],{"text":5251,"type":298,"marks":5252},"L’équipe d’analyse peut comprendre des membres provenant de l’extérieur de l’établissement selon le contexte de l’incident et si un expert en la matière ne peut être trouvé dans l’établissement, si les prestataires de soins impliqués dans l’incident occupent des postes de direction ou si l’incident fait l’objet d’un examen attentif de la part du public.",[5253],{"type":1453,"attrs":5254},{"color":16},{"text":1670,"type":298},{"type":548,"content":5257},[5258],{"type":15,"attrs":5259,"content":5260},{"textAlign":102},[5261,5266],{"text":5262,"type":298,"marks":5263},"Pour une multitude de raisons, notamment une réaction émotionnelle, certains individus impliqués dans l’incident peuvent ne pas se sentir en mesure de participer; il est essentiel que l’équipe d’analyse soit compréhensive et garde les lignes de communication ouvertes.",[5264],{"type":1453,"attrs":5265},{"color":16},{"text":1670,"type":298},{"type":548,"content":5268},[5269],{"type":15,"attrs":5270,"content":5271},{"textAlign":102},[5272,5277],{"text":5273,"type":298,"marks":5274},"Il est recommandé que la responsabilité principale du déroulement, de la coordination et du rapport d’analyse soit partagée par un animateur (doté d’une expertise en analyse) et un cadre supérieur (à responsabilité opérationnelle).",[5275],{"type":1453,"attrs":5276},{"color":16},{"text":1670,"type":298},{"type":535,"attrs":5279,"content":5280},{"level":959,"textAlign":1162},[5281,5287],{"text":5282,"type":298,"marks":5283},"Coordonner les réunions",[5284,5286],{"type":1453,"attrs":5285},{"color":16},{"type":543},{"text":1670,"type":298,"marks":5288},[5289],{"type":543},{"type":545,"content":5291},[5292,5306,5317,5328],{"type":548,"content":5293},[5294],{"type":15,"attrs":5295,"content":5296},{"textAlign":102},[5297,5304],{"text":5298,"type":298,"marks":5299},"Avant",[5300],{"type":557,"attrs":5301},{"href":2201,"uuid":385,"anchor":102,"custom":5302,"target":1193,"linktype":839,"story":5303},{},{"name":2204,"id":2205,"uuid":385,"slug":2206,"url":2207,"translated_name":2208,"full_slug":2209,"_stopResolving":459},{"text":5305,"type":298}," de convoquer l’équipe, recueillir toute l’information nécessaire pour procéder à l’analyse telle que le dossier médical du patient, la chronologie des évènements, l’équipement pertinent, les politiques et procédures applicables et autre documentation. ",{"type":548,"content":5307},[5308],{"type":15,"attrs":5309,"content":5310},{"textAlign":102},[5311,5316],{"text":5312,"type":298,"marks":5313},"Garantir un endroit confortable et privé.",[5314],{"type":1453,"attrs":5315},{"color":16},{"text":1670,"type":298},{"type":548,"content":5318},[5319],{"type":15,"attrs":5320,"content":5321},{"textAlign":102},[5322,5327],{"text":5323,"type":298,"marks":5324},"Préconiser et préserver la confidentialité en tout temps pour s’assurer que l’information soit toujours communiquée conformément aux politiques et lois applicables.",[5325],{"type":1453,"attrs":5326},{"color":16},{"text":1670,"type":298},{"type":548,"content":5329},[5330],{"type":15,"attrs":5331,"content":5332},{"textAlign":102},[5333,5338],{"text":5334,"type":298,"marks":5335},"Gérer les documents conformément aux politiques organisationnelles.",[5336],{"type":1453,"attrs":5337},{"color":16},{"text":1670,"type":298},{"type":535,"attrs":5340,"content":5341},{"level":959,"textAlign":1162},[5342,5348],{"text":5343,"type":298,"marks":5344},"Planifier et mener les entrevues",[5345,5347],{"type":1453,"attrs":5346},{"color":16},{"type":543},{"text":1670,"type":298,"marks":5349},[5350],{"type":543},{"type":545,"content":5352},[5353,5360,5371,5382,5393,5404,5415,5426,5437],{"type":548,"content":5354},[5355],{"type":15,"attrs":5356,"content":5357},{"textAlign":102},[5358],{"text":5359,"type":298},"Si possible, rencontrer l’équipe pour confirmer l’approche et les règles de base avant de mener les entrevues. ",{"type":548,"content":5361},[5362],{"type":15,"attrs":5363,"content":5364},{"textAlign":102},[5365,5370],{"text":5366,"type":298,"marks":5367},"Inviter le patient/la famille et le personnel à participer aux entrevues au besoin, en assignant la coordination de ces communications à la personne-ressource désignée au préalable.",[5368],{"type":1453,"attrs":5369},{"color":16},{"text":1670,"type":298},{"type":548,"content":5372},[5373],{"type":15,"attrs":5374,"content":5375},{"textAlign":102},[5376,5381],{"text":5377,"type":298,"marks":5378},"Mener les entrevues aussitôt que possible pour s’assurer qu’on se souvienne de l’information et des détails importants.",[5379],{"type":1453,"attrs":5380},{"color":16},{"text":1670,"type":298},{"type":548,"content":5383},[5384],{"type":15,"attrs":5385,"content":5386},{"textAlign":102},[5387,5392],{"text":5388,"type":298,"marks":5389},"Mener des entrevues individuelles pour donner la possibilité à ceux qui ont été touchés par l’incident de partager leur perspective détaillée et leur point de vue unique.",[5390],{"type":1453,"attrs":5391},{"color":16},{"text":1670,"type":298},{"type":548,"content":5394},[5395],{"type":15,"attrs":5396,"content":5397},{"textAlign":102},[5398,5403],{"text":5399,"type":298,"marks":5400},"Prendre en considération la capacité/disponibilité des individus questionnés et offrir des soins et du soutien tout au cours du processus :",[5401],{"type":1453,"attrs":5402},{"color":16},{"text":1670,"type":298},{"type":548,"content":5405},[5406],{"type":15,"attrs":5407,"content":5408},{"textAlign":102},[5409,5414],{"text":5410,"type":298,"marks":5411},"En exprimant clairement le but de l’entrevue et ce qui sera fait avec l’information obtenue.",[5412],{"type":1453,"attrs":5413},{"color":16},{"text":1670,"type":298},{"type":548,"content":5416},[5417],{"type":15,"attrs":5418,"content":5419},{"textAlign":102},[5420,5425],{"text":5421,"type":298,"marks":5422},"En favorisant l’emploi de questions ouvertes pour permettre à l’individu de raconter son histoire.",[5423],{"type":1453,"attrs":5424},{"color":16},{"text":1670,"type":298},{"type":548,"content":5427},[5428],{"type":15,"attrs":5429,"content":5430},{"textAlign":102},[5431,5436],{"text":5432,"type":298,"marks":5433},"En demandant à l’individu s’il a identifié des facteurs qui auraient pu contribuer à l’incident ainsi que les facteurs qui, selon lui, ont pu atténuer ses conséquences.",[5434],{"type":1453,"attrs":5435},{"color":16},{"text":1670,"type":298},{"type":548,"content":5438},[5439],{"type":15,"attrs":5440,"content":5441},{"textAlign":102},[5442,5447],{"text":5443,"type":298,"marks":5444},"En portant une attention particulière aux besoins des patients et des membres de leur famille durant les entrevues, par exemple en offrant de l’aide pour l’organisation et la logistique de la réunion, y compris la sélection minutieuse du lieu pour éviter tout nouvel événement traumatisant, en leur offrant du soutien et en leur remettant la liste des gens qui seront présents à l’avance.",[5445],{"type":1453,"attrs":5446},{"color":16},{"text":1670,"type":298},{"_uid":5449,"title":5450,"ctaLeft":5451,"ctaRight":5452,"component":2415,"columnLeft":5453,"columnRight":5465},"d2e5f26d-506c-4567-9e06-2ed37ea8d911","Analysis Process",[],[],{"type":12,"content":5454},[5455,5460],{"type":15,"attrs":5456,"content":5457},{"textAlign":102},[5458],{"text":5459,"type":298},"Incident analysis is a structured process, focused on system improvement, that aims to identify what happened, how and why it happened, what can be done to reduce the risk of recurrence and make care safer, and what was learned. Analysis is a core component of incident management therefore it is important to ensure it is thorough, fair, unbiased and the recommended actions provide effective safety solutions. ",{"type":15,"attrs":5461,"content":5462},{"textAlign":102},[5463],{"text":5464,"type":298},"“Each time we do an incident analysis we are revealing new information, developing a greater understanding about patient safety, and through learning are moving the culture forward.” -- Toolkit Faculty ",{"type":12,"content":5466},[5467,5474,5479,5486,5525,5532,5585,5592,5662,5669],{"type":15,"attrs":5468,"content":5469},{"textAlign":102},[5470],{"text":5471,"type":298,"marks":5472},"Recommended strategies ",[5473],{"type":543},{"type":15,"attrs":5475,"content":5476},{"textAlign":102},[5477],{"text":5478,"type":298},"The guidelines below may be adapted in accordance with local policies and procedures, the nature of the incident and the method of analysis selected.  As new information about the incident is acquired, previous steps may need to be revisited (e.g. conducting additional interviews to explore new contributing factors) or a change may be needed to the analysis method (e.g. moving from a concise analysis to a comprehensive or multi-incident analysis.) ",{"type":15,"attrs":5480,"content":5481},{"textAlign":102},[5482],{"text":5483,"type":298,"marks":5484},"Understand what happened. ",[5485],{"type":543},{"type":545,"content":5487},[5488,5495,5511,5518],{"type":548,"content":5489},[5490],{"type":15,"attrs":5491,"content":5492},{"textAlign":102},[5493],{"text":5494,"type":298},"Expand on the preliminary review by synthesizing additional information gathered from incident report(s), the health record, physical evidence, contextual factors, site visit(s), and interviews with those directly or indirectly involved in the incident ",{"type":548,"content":5496},[5497],{"type":15,"attrs":5498,"content":5499},{"textAlign":102},[5500,5502,5509],{"text":5501,"type":298},"Create a detailed ",{"text":5503,"type":298,"marks":5504},"timeline",[5505],{"type":557,"attrs":5506},{"href":5507,"uuid":102,"anchor":102,"custom":5508,"target":560,"linktype":561},"https://view.officeapps.live.com/op/view.aspx?src=https%3A%2F%2Fwww.england.nhs.uk%2Fwp-content%2Fuploads%2F2020%2F08%2FPSII_incident_investigation_mapping_worksheet.xls&wdOrigin=BROWSELINK",{},{"text":5510,"type":298},", collating facts from various sources ",{"type":548,"content":5512},[5513],{"type":15,"attrs":5514,"content":5515},{"textAlign":102},[5516],{"text":5517,"type":298},"Review additional supporting information such as any related policies and procedures, training materials, or evidence-based guidelines ",{"type":548,"content":5519},[5520],{"type":15,"attrs":5521,"content":5522},{"textAlign":102},[5523],{"text":5524,"type":298},"Consider that a literature review, environmental scan, expert consultation, or analysis of similar incidents may also be indicated depending on the scope and method of analysis ",{"type":15,"attrs":5526,"content":5527},{"textAlign":102},[5528],{"text":5529,"type":298,"marks":5530},"Determine how and why it happened. ",[5531],{"type":543},{"type":545,"content":5533},[5534,5541,5548,5555,5571,5578],{"type":548,"content":5535},[5536],{"type":15,"attrs":5537,"content":5538},{"textAlign":102},[5539],{"text":5540,"type":298},"Identify contributing factors related to the incident, both those that increased the risk of harm and those that reduced the risk of harm or limited its impact ",{"type":548,"content":5542},[5543],{"type":15,"attrs":5544,"content":5545},{"textAlign":102},[5546],{"text":5547,"type":298},"Consider aspects of the incident that extend beyond the patient-provider level by probing all influencing factors and circumstances",{"type":548,"content":5549},[5550],{"type":15,"attrs":5551,"content":5552},{"textAlign":102},[5553],{"text":5554,"type":298},"Use systems thinking, human factors methods and guiding questions that prompt an exploration of all system components to avoid cognitive biases and keep the analysis focussed on system-based factors ",{"type":548,"content":5556},[5557],{"type":15,"attrs":5558,"content":5559},{"textAlign":102},[5560,5562,5569],{"text":5561,"type":298},"Use diagramming or other ",{"text":5563,"type":298,"marks":5564},"analytical tools",[5565],{"type":557,"attrs":5566},{"href":5567,"uuid":102,"anchor":102,"custom":5568,"target":560,"linktype":561},"https://d10k7k7mywg42z.cloudfront.net/assets/5328a610f002ff2140000338/HQCA_SSA_Patient_Safety_Reviews_FINAL_June_2012.pdf",{},{"text":5570,"type":298}," to identify and understand the relationships between and among contributing factors ",{"type":548,"content":5572},[5573],{"type":15,"attrs":5574,"content":5575},{"textAlign":102},[5576],{"text":5577,"type":298},"Document discrepancy(ies) in information from conflicting sources and the consensus reached by the analysis team as to the most appropriate direction based on the available information ",{"type":548,"content":5579},[5580],{"type":15,"attrs":5581,"content":5582},{"textAlign":102},[5583],{"text":5584,"type":298},"Articulate concisely what was found in a summary of findings that provides the backbone for the development of recommended actions ",{"type":15,"attrs":5586,"content":5587},{"textAlign":102},[5588],{"text":5589,"type":298,"marks":5590},"Identify what can be done to reduce the risk of recurrence and make care safer. ",[5591],{"type":543},{"type":545,"content":5593},[5594,5601,5617,5624,5631,5648,5655],{"type":548,"content":5595},[5596],{"type":15,"attrs":5597,"content":5598},{"textAlign":102},[5599],{"text":5600,"type":298},"Develop recommended actions addressing the analysis findings and that are specific, measurable, attainable, realistic and timely ",{"type":548,"content":5602},[5603],{"type":15,"attrs":5604,"content":5605},{"textAlign":102},[5606,5608,5615],{"text":5607,"type":298},"Ground recommended actions in evidence whenever possible, utilize the ",{"text":5609,"type":298,"marks":5610},"most effective solutions",[5611],{"type":557,"attrs":5612},{"href":5613,"uuid":102,"anchor":102,"custom":5614,"target":560,"linktype":561},"http://www.ismp-canada.org/download/ocil/ISMPCONCIL2013-4_EffectiveRecommendations.pdf",{},{"text":5616,"type":298}," given the circumstances and target them to the appropriate system level(s) to achieve sustained improvement ",{"type":548,"content":5618},[5619],{"type":15,"attrs":5620,"content":5621},{"textAlign":102},[5622],{"text":5623,"type":298},"Propose an order of priority for recommended actions based on the degree of change required, ease of implementation, organizational factors, and influences from the external environment ",{"type":548,"content":5625},[5626],{"type":15,"attrs":5627,"content":5628},{"textAlign":102},[5629],{"text":5630,"type":298},"Review and validate the recommended actions with the patient/family, providers and experts (whenever possible) ",{"type":548,"content":5632},[5633],{"type":15,"attrs":5634,"content":5635},{"textAlign":102},[5636,5638,5646],{"text":5637,"type":298},"Prepare and hand-off the ",{"text":5639,"type":298,"marks":5640},"incident analysis report",[5641],{"type":557,"attrs":5642},{"href":5643,"uuid":385,"anchor":102,"custom":5644,"target":1193,"linktype":839,"story":5645},"/resources/patient-safety-incident-analysis",{},{"name":2204,"id":2205,"uuid":385,"slug":2206,"url":2207,"translated_name":2208,"full_slug":2209,"_stopResolving":459},{"text":5647,"type":298}," to those responsible for approving recommended actions, allocating the necessary resources, delegating implementation of the recommended actions and monitoring progress ",{"type":548,"content":5649},[5650],{"type":15,"attrs":5651,"content":5652},{"textAlign":102},[5653],{"text":5654,"type":298},"Include a tracking tool with assigned responsibilities and timeframes in the report to facilitate ongoing monitoring of the recommended actions and their outcomes ",{"type":548,"content":5656},[5657],{"type":15,"attrs":5658,"content":5659},{"textAlign":102},[5660],{"text":5661,"type":298},"Once the recommended actions and their order of priority is approved by the leadership team, and in accordance with organizational policies and applicable legislation, communicate them in a timely manner to the patient/family (post-analysis disclosure), providers, management, public and others as needed  ",{"type":15,"attrs":5663,"content":5664},{"textAlign":102},[5665],{"text":5666,"type":298,"marks":5667},"Identify and share what was learned. ",[5668],{"type":543},{"type":545,"content":5670},[5671],{"type":548,"content":5672},[5673],{"type":15,"attrs":5674,"content":5675},{"textAlign":102},[5676],{"text":5677,"type":298},"Share the learning gained from the analysis (outcome of recommended actions implemented and other changes made to improve safety) within the organization (staff, patient/family, individual who reported the incident) and beyond to prevent additional harm and to make care safer. ",{"_uid":5679,"title":5680,"ctaLeft":5681,"ctaRight":5682,"component":2415,"columnLeft":5683,"columnRight":5695},"afdc54f3-8d8b-40bd-bf75-60a0757481e3","Follow Through",[],[],{"type":12,"content":5684},[5685,5690],{"type":15,"attrs":5686,"content":5687},{"textAlign":102},[5688],{"text":5689,"type":298},"Following through after completing an incident analysis consists of implementing the final recommended actions, monitoring their impact on safety, and when the goals and sustainability are achieved, transitioning to ongoing operations.  This step involves change and improvement, it spans over a longer period of time, and it is vital in demonstrating that the incident management process improved safety and quality of care. ",{"type":15,"attrs":5691,"content":5692},{"textAlign":102},[5693],{"text":5694,"type":298}," “Local leaders should ensure that they, or someone they designate, periodically observe care practices to ascertain if recommended actions have been implemented and sustained. By following through important insights and potential hazards and/or opportunities to patient safety can be discovered.” -- Toolkit Faculty ",{"type":12,"content":5696},[5697,5703,5710,5763,5770,5823,5830],{"type":15,"attrs":5698,"content":5699},{"textAlign":102},[5700],{"text":5471,"type":298,"marks":5701},[5702],{"type":543},{"type":15,"attrs":5704,"content":5705},{"textAlign":102},[5706],{"text":5707,"type":298,"marks":5708},"Implement recommended actions. ",[5709],{"type":543},{"type":545,"content":5711},[5712,5719,5726,5742,5749,5756],{"type":548,"content":5713},[5714],{"type":15,"attrs":5715,"content":5716},{"textAlign":102},[5717],{"text":5718,"type":298},"Engage frontline staff and patients/families in the planning and implementation of recommended actions, exploring potential barriers and opportunities as well as mitigation strategies ",{"type":548,"content":5720},[5721],{"type":15,"attrs":5722,"content":5723},{"textAlign":102},[5724],{"text":5725,"type":298},"Ensure ongoing leadership support and adequate human and financial resources for implementation ",{"type":548,"content":5727},[5728],{"type":15,"attrs":5729,"content":5730},{"textAlign":102},[5731,5733,5740],{"text":5732,"type":298},"Use ",{"text":5734,"type":298,"marks":5735},"change management",[5736],{"type":557,"attrs":5737},{"href":5738,"uuid":102,"anchor":102,"custom":5739,"target":560,"linktype":561},"https://www.infoway-inforoute.ca/en/component/edocman/change-management/565-national-change-management-framework",{},{"text":5741,"type":298}," and improvement tools to base change on strong methodology ",{"type":548,"content":5743},[5744],{"type":15,"attrs":5745,"content":5746},{"textAlign":102},[5747],{"text":5748,"type":298},"Incorporate a variety of communication strategies to maintain interest and engagement in the changes (e.g. small group and/or organization wide announcements in verbal and/or written format) ",{"type":548,"content":5750},[5751],{"type":15,"attrs":5752,"content":5753},{"textAlign":102},[5754],{"text":5755,"type":298},"Test changes on a small scale to allow for feedback and refinement before broader implementation ",{"type":548,"content":5757},[5758],{"type":15,"attrs":5759,"content":5760},{"textAlign":102},[5761],{"text":5762,"type":298},"Integrate the implementation of the recommended actions within the quality improvement and risk management actions (e.g. using a common platform) to monitor, report progress and align efforts ",{"type":15,"attrs":5764,"content":5765},{"textAlign":102},[5766],{"text":5767,"type":298,"marks":5768},"Monitor and assess the effectiveness of the recommended actions. ",[5769],{"type":543},{"type":545,"content":5771},[5772,5795,5802,5809,5816],{"type":548,"content":5773},[5774],{"type":15,"attrs":5775,"content":5776},{"textAlign":102},[5777,5779,5793],{"text":5778,"type":298},"Rather than simply tracking the completion of recommended actions, establish relevant outcome, process and balancing ",{"text":5780,"type":298,"marks":5781},"measures",[5782],{"type":557,"attrs":5783},{"href":5784,"uuid":355,"anchor":102,"custom":5785,"target":1193,"linktype":839,"story":5786},"/resources/hospital-harm-is-everyone-s-concern",{},{"name":5787,"id":5788,"uuid":355,"slug":5789,"url":5790,"translated_name":5791,"full_slug":5792,"_stopResolving":459},"Hospital harm is everyone’s concern",116783774126329,"hospital-harm-is-everyones-concern","resources/hospital-harm-is-everyones-concern","Les préjudices à l’hôpital, c’est l’affaire de tout le monde","fr/ressources/les-prejudices-a-l-hopital-c-est-l-affaire-de-tout-le-monde",{"text":5794,"type":298}," to monitor whether the desired effect was achieved ",{"type":548,"content":5796},[5797],{"type":15,"attrs":5798,"content":5799},{"textAlign":102},[5800],{"text":5801,"type":298},"Clearly define measures and design data collection to be as practical as possible ",{"type":548,"content":5803},[5804],{"type":15,"attrs":5805,"content":5806},{"textAlign":102},[5807],{"text":5808,"type":298},"Monitor performance over time to demonstrate sustained improvement or lack thereof ",{"type":548,"content":5810},[5811],{"type":15,"attrs":5812,"content":5813},{"textAlign":102},[5814],{"text":5815,"type":298},"Use all of the information available to evaluate the overall effectiveness of the recommended actions, including observations, stakeholder feedback, and unintended consequences ",{"type":548,"content":5817},[5818],{"type":15,"attrs":5819,"content":5820},{"textAlign":102},[5821],{"text":5822,"type":298},"Revisit recommended actions that did not achieve the anticipated improvement and consider adjustments or alternate solutions ",{"type":15,"attrs":5824,"content":5825},{"textAlign":102},[5826],{"text":5827,"type":298,"marks":5828},"Close off the incident analysis and transition to ongoing operations. ",[5829],{"type":543},{"type":545,"content":5831},[5832,5839,5846,5853,5860],{"type":548,"content":5833},[5834],{"type":15,"attrs":5835,"content":5836},{"textAlign":102},[5837],{"text":5838,"type":298},"Designate the incident analysis as complete once all of the recommended actions have been evaluated for a pre-determined period of monitoring",{"type":548,"content":5840},[5841],{"type":15,"attrs":5842,"content":5843},{"textAlign":102},[5844],{"text":5845,"type":298},"Determine if ongoing performance monitoring (such as unit or organizational quality indicators) is required to ensure sustainability ",{"type":548,"content":5847},[5848],{"type":15,"attrs":5849,"content":5850},{"textAlign":102},[5851],{"text":5852,"type":298},"Guided by organizational policies and relevant legislation, communicate the status and impact of the recommended actions to the patient/family, staff, the person(s) who reported the incident, and senior leadership in a timely manner ",{"type":548,"content":5854},[5855],{"type":15,"attrs":5856,"content":5857},{"textAlign":102},[5858],{"text":5859,"type":298},"If communicating results of recommended actions, respect patient/family preferences in terms what they want to know and when  ",{"type":548,"content":5861},[5862],{"type":15,"attrs":5863,"content":5864},{"textAlign":102},[5865],{"text":5866,"type":298},"Celebrate successes and improvements highlighting the positive contributions to safety resulting from the incident management process ",{"_uid":5868,"title":5869,"ctaLeft":5870,"ctaRight":5871,"component":2415,"columnLeft":5872,"columnRight":5884},"f09c04b3-ced1-428c-9bf3-08ac2a008ede","Close the Loop",[],[],{"type":12,"content":5873},[5874,5879],{"type":15,"attrs":5875,"content":5876},{"textAlign":102},[5877],{"text":5878,"type":298},"Closing the loop involves sharing what was learned from a systems analysis, both within an organization and beyond, in order to make care safer, prevent the recurrence of similar events, and promote trust and healing. This concluding step, which applies to both patient safety and incident management, offers a valuable opportunity for reflection and the identification of opportunities to further improve quality and safety outcomes as well as the systems and processes supporting them. ",{"type":15,"attrs":5880,"content":5881},{"textAlign":102},[5882],{"text":5883,"type":298},"“Every time we take a patient safety incident, hazard through this reporting and learning cycle, we reduce risk, improve quality, and – more importantly – strengthen the patient safety culture which means that care becomes safer for patients.” -- Toolkit Faculty",{"type":12,"content":5885},[5886,5892,5897,5904,5985,5992,6031,6038],{"type":15,"attrs":5887,"content":5888},{"textAlign":102},[5889],{"text":5471,"type":298,"marks":5890},[5891],{"type":543},{"type":15,"attrs":5893,"content":5894},{"textAlign":102},[5895],{"text":5896,"type":298},"This step can take as much, if not more, time than the analysis however, it is very important for learning, improvement and moving the patient safety culture forward.  It is most successful when it is a regular process embedded within existing structures, includes established accountabilities and is aligned with local policies and legislation.   ",{"type":15,"attrs":5898,"content":5899},{"textAlign":102},[5900],{"text":5901,"type":298,"marks":5902},"Share what was learned internally. ",[5903],{"type":543},{"type":545,"content":5905},[5906,5913,5920,5957,5964,5971,5978],{"type":548,"content":5907},[5908],{"type":15,"attrs":5909,"content":5910},{"textAlign":102},[5911],{"text":5912,"type":298},"Share what was learned from the analysis with the patient/family, those involved in the incident, the person who reported it, senior management, the board, and others ",{"type":548,"content":5914},[5915],{"type":15,"attrs":5916,"content":5917},{"textAlign":102},[5918],{"text":5919,"type":298},"Communicate results of recommended actions, taking care to respect patient/family preferences in terms of what they want to know and when ",{"type":548,"content":5921},[5922,5927],{"type":15,"attrs":5923,"content":5924},{"textAlign":102},[5925],{"text":5926,"type":298},"Communicate what has been implemented and the results, ensuring messages and channels are appropriate for each audience: ",{"type":545,"content":5928},[5929,5936,5943,5950],{"type":548,"content":5930},[5931],{"type":15,"attrs":5932,"content":5933},{"textAlign":102},[5934],{"text":5935,"type":298},"review the purpose of analysis, methodology and the findings as appropriate ",{"type":548,"content":5937},[5938],{"type":15,"attrs":5939,"content":5940},{"textAlign":102},[5941],{"text":5942,"type":298},"share the factors that contributed to the incident, the defences that worked well, and what was learned about how to avoid similar incidents ",{"type":548,"content":5944},[5945],{"type":15,"attrs":5946,"content":5947},{"textAlign":102},[5948],{"text":5949,"type":298},"review the recommended actions, their current status and their impact ",{"type":548,"content":5951},[5952],{"type":15,"attrs":5953,"content":5954},{"textAlign":102},[5955],{"text":5956,"type":298},"maintain transparency and trust by being honest if plans have changed and share the reasons why ",{"type":548,"content":5958},[5959],{"type":15,"attrs":5960,"content":5961},{"textAlign":102},[5962],{"text":5963,"type":298},"In accordance with organizational policies, use multiple mechanisms that transfer learning from the analysis between care units including memos, storytelling, huddles, team based peer review rounds, journal clubs, patient safety workshops using case based learning methods and newsletters ",{"type":548,"content":5965},[5966],{"type":15,"attrs":5967,"content":5968},{"textAlign":102},[5969],{"text":5970,"type":298},"Maintain a record of communication to ensure all appropriate stakeholders have received the information ",{"type":548,"content":5972},[5973],{"type":15,"attrs":5974,"content":5975},{"textAlign":102},[5976],{"text":5977,"type":298},"Recognize that sharing is  a dialogue (not a one-way flow of information) and is ongoing (more than one time) ",{"type":548,"content":5979},[5980],{"type":15,"attrs":5981,"content":5982},{"textAlign":102},[5983],{"text":5984,"type":298},"Encourage respectful, open communication around the results of the incident analysis at all levels of the organization ",{"type":15,"attrs":5986,"content":5987},{"textAlign":102},[5988],{"text":5989,"type":298,"marks":5990},"Share what was learned externally. ",[5991],{"type":543},{"type":545,"content":5993},[5994,6001,6008,6024],{"type":548,"content":5995},[5996],{"type":15,"attrs":5997,"content":5998},{"textAlign":102},[5999],{"text":6000,"type":298},"To prevent harm on a broader scale, disseminate what was learned externally through provincial, national and international reporting and learning systems in accordance with applicable legislation ",{"type":548,"content":6002},[6003],{"type":15,"attrs":6004,"content":6005},{"textAlign":102},[6006],{"text":6007,"type":298},"Alerts, advisories and repositories can serve as vehicles for informing others about what happened, how and why, what actions were taken, and their impact ",{"type":548,"content":6009},[6010],{"type":15,"attrs":6011,"content":6012},{"textAlign":102},[6013,6015,6022],{"text":6014,"type":298},"If appropriate, develop an ",{"text":6016,"type":298,"marks":6017},"external communication plan",[6018],{"type":557,"attrs":6019},{"href":6020,"uuid":102,"anchor":102,"custom":6021,"target":560,"linktype":561},"http://hqca.ca/studies-and-reviews/continuity-of-patient-care-study/",{},{"text":6023,"type":298}," for informing the public about the actions taken, their impact, related relevant background and context, and include or exclude the patient/family perspective in accordance with their wishes ",{"type":548,"content":6025},[6026],{"type":15,"attrs":6027,"content":6028},{"textAlign":102},[6029],{"text":6030,"type":298},"For public announcements, prepare the staff and the patient/family in advance discussing what information will be shared, when and how  ",{"type":15,"attrs":6032,"content":6033},{"textAlign":102},[6034],{"text":6035,"type":298,"marks":6036},"Reflect and Improve. ",[6037],{"type":543},{"type":545,"content":6039},[6040,6047,6054,6061,6068,6112],{"type":548,"content":6041},[6042],{"type":15,"attrs":6043,"content":6044},{"textAlign":102},[6045],{"text":6046,"type":298},"Consider conducting a multi-incident analysis to better identify recurring system issues ",{"type":548,"content":6048},[6049],{"type":15,"attrs":6050,"content":6051},{"textAlign":102},[6052],{"text":6053,"type":298},"Determine if what was learned can be applied to other processes in the organization ",{"type":548,"content":6055},[6056],{"type":15,"attrs":6057,"content":6058},{"textAlign":102},[6059],{"text":6060,"type":298},"Communicate any noteworthy vulnerabilities and/or best practices through senior leadership or other appropriate body (e.g. quality committee, risk management, etc.) ",{"type":548,"content":6062},[6063],{"type":15,"attrs":6064,"content":6065},{"textAlign":102},[6066],{"text":6067,"type":298},"Combine findings with those from different systems (e.g. accreditation, insurers, performance systems at a health system level)  to help identify themes/patterns and accelerate learning ",{"type":548,"content":6069},[6070,6075],{"type":15,"attrs":6071,"content":6072},{"textAlign":102},[6073],{"text":6074,"type":298},"Assess the incident management process to identify strengths and opportunities for improvement, taking into consideration: ",{"type":545,"content":6076},[6077,6084,6091,6098,6105],{"type":548,"content":6078},[6079],{"type":15,"attrs":6080,"content":6081},{"textAlign":102},[6082],{"text":6083,"type":298},"the timeliness of the analysis ",{"type":548,"content":6085},[6086],{"type":15,"attrs":6087,"content":6088},{"textAlign":102},[6089],{"text":6090,"type":298},"the quality and effectiveness of the recommended actions ",{"type":548,"content":6092},[6093],{"type":15,"attrs":6094,"content":6095},{"textAlign":102},[6096],{"text":6097,"type":298},"organizational guidance and supporting structures ",{"type":548,"content":6099},[6100],{"type":15,"attrs":6101,"content":6102},{"textAlign":102},[6103],{"text":6104,"type":298},"communication and processes for sharing what was learned ",{"type":548,"content":6106},[6107],{"type":15,"attrs":6108,"content":6109},{"textAlign":102},[6110],{"text":6111,"type":298},"the experience of those involved in the incident and the analysis ",{"type":548,"content":6113},[6114],{"type":15,"attrs":6115,"content":6116},{"textAlign":102},[6117],{"text":6118,"type":298},"Support research and innovation focussed on learning from incidents",{"_uid":6120,"title":6121,"ctaLeft":6122,"ctaRight":6123,"component":2415,"columnLeft":6124,"columnRight":6141},"81c12f23-77c7-4d5a-9ccf-d3c867db635e","Peer-to-Peer Support",[],[],{"type":12,"content":6125},[6126,6131,6136],{"type":15,"attrs":6127,"content":6128},{"textAlign":102},[6129],{"text":6130,"type":298},"Peer-to-Peer Support (Second Victim Phenomenon) - An ever-growing body of evidence demonstrates that health professionals feel emotionally distressed after a patient safety incident (PSI), and there is an emerging recognition of the potential negative impact on both the health professionals’ health and on patient safety. As a result of this recognition, healthcare organizations are seeking ways to support health professionals who are emotionally traumatized after a PSI. ",{"type":15,"attrs":6132,"content":6133},{"textAlign":102},[6134],{"text":6135,"type":298},"The Second Victim Phenomenon is a real and serious consequence related to health care roles. Different studies estimate that the prevalence of the Second Victim Phenomenon ranges from 10.4% up to 43.3 %. Although there seems to be great interest in the topic, there are very few comprehensive programs specifically designed to address second victim phenomenon with even fewer and less developed Canadian programs. ",{"type":15,"attrs":6137,"content":6138},{"textAlign":102},[6139],{"text":6140,"type":298},"The distress caused by patient safety incidents, particularly harmful incidents can have negative effects on the care providers health and well-being and the safety of patient care. If not addressed, the provider may suffer in silence, change their role, leave the profession and some very unfortunately, will become victims of suicide. As a result, Healthcare Excellence Canada (HEC) has been working to increase awareness of the second victim phenomenon and available resources.  ",{"type":12,"content":6142},[6143,6149,6154,6161],{"type":15,"attrs":6144,"content":6145},{"textAlign":102},[6146],{"text":5471,"type":298,"marks":6147},[6148],{"type":543},{"type":15,"attrs":6150,"content":6151},{"textAlign":102},[6152],{"text":6153,"type":298},"While provider support programs are mainly targeted at emotionally supporting health care providers that have experienced a patient safety incident, HEC’s commitment to patient safety remains the same.  As part of a comprehensive program, there is a critical need to support patients and families on their journey from harm to healing.  Providers, patients, families and leaders are part of the same system and to do better we need to support and collaborate in a manner that allows us to maximize learning and improvement.  A provider support program will enable healthcare professionals to re-establish or improve their previous levels of work performance and improve patient safety.  Provider programs should not be designed simply to help the provider but must be designed to improve the system and help make patient care safe.  The walking wounded, the silent mistake, the loss of providers all contribute to lost opportunities for, and potential liabilities to patient safety. ",{"type":15,"attrs":6155,"content":6156},{"textAlign":102},[6157],{"text":6158,"type":298,"marks":6159},"Immediate care and support for patient(s), family, providers and others. ",[6160],{"type":543},{"type":545,"content":6162},[6163,6170],{"type":548,"content":6164},[6165],{"type":15,"attrs":6166,"content":6167},{"textAlign":102},[6168],{"text":6169,"type":298},"Peer-to-peer support programs, where health professionals can discuss their experience with a PSI in a non-judgmental environment with colleagues who can relate to what they are going through, are now seen as a potentially useful approach to helping health professionals cope with the PSI. ",{"type":548,"content":6171},[6172],{"type":15,"attrs":6173,"content":6174},{"textAlign":102},[6175],{"text":6176,"type":298,"marks":6177},"Creating a Safe Space: Addressing Confidentiality for Peer-to-Peer Support Programs for Health Professionals ",[6178],{"type":557,"attrs":6179},{"href":6180,"uuid":331,"anchor":102,"custom":6181,"target":1193,"linktype":839,"story":6182},"/resources/creating-a-safe-space-psychological-safety-of-healthcare-workers-peer-to-peer-support",{},{"name":6183,"id":6184,"uuid":331,"slug":6185,"url":6186,"translated_name":6187,"full_slug":6188,"_stopResolving":459},"Creating a Safe Space: Psychological Safety of Healthcare Workers (Peer to Peer Support)",113880502320667,"creating-a-safe-space-psychological-safety-of-healthcare-workers-peer-to-peer-support","resources/creating-a-safe-space-psychological-safety-of-healthcare-workers-peer-to-peer-support","Création d'un espace sûr : sécurité psychologique des travailleurs de la santé (soutien entre pairs)","fr/ressources/creation-dun-espace-sur-securite-psychologique-des-travailleurs-de-la-sante-soutien-entre-pairs","Gestion des incidents",{"type":12,"content":6191},[6192],{"type":15,"attrs":6193,"content":6194},{"textAlign":102},[6195],{"text":6196,"type":298},"Cette section de la Trousse à outils pour la sécurité des patients et la gestion des incidents propose un ensemble de ressources intégrées sur les mesures – immédiates et permanentes – à prendre après un incident lié à la sécurité du patient (y compris un quasi-incident). Ces ressources aident les personnes responsables de la gestion des incidents à réagir et à réduire les conséquences sur les patients, les familles et les prestataires. ",{"_uid":6198,"items":6199,"title":6581,"component":3950,"description":6582},"51307eb8-01b5-4003-8fa1-af31f16a758b",[6200],{"_uid":6201,"title":6202,"ctaLeft":6203,"ctaRight":6204,"component":2415,"columnLeft":6205,"columnRight":6212},"5026ec1e-868a-42c6-bda6-cbb1dce58c88","Facteurs systémiques",[],[],{"type":12,"content":6206},[6207],{"type":15,"attrs":6208,"content":6209},{"textAlign":102},[6210],{"text":6211,"type":298},"Le système de soins de santé comprend plusieurs sous-systèmes fonctionnant à différents niveaux (à l’extérieur ou à l’intérieur de l’organisme, au niveau du programme, au point d’intervention, etc.) avec des objectifs, des ressources (humaines, financières et matérielles) et des processus officiels ou informels distincts. Le maintien d’une perspective systémique et l’évaluation régulière des sous-systèmes et de leur connectivité sont essentiels pour comprendre comment ils s’influencent, ce qui peut éclairer les mesures nécessaires pour renforcer la gestion des incidents et de la sécurité des patients.  ",{"type":12,"content":6213},[6214,6221,6517,6524],{"type":15,"attrs":6215,"content":6216},{"textAlign":102},[6217],{"text":6218,"type":298,"marks":6219},"Évaluation des principaux facteurs systémiques et compréhension de leurs rapports avec la gestion des incidents et de la sécurité des patients ",[6220],{"type":543},{"type":545,"content":6222},[6223,6336,6459],{"type":548,"content":6224},[6225,6230],{"type":15,"attrs":6226,"content":6227},{"textAlign":102},[6228],{"text":6229,"type":298},"À l’extérieur des limites de l’organisme : ",{"type":545,"content":6231},[6232,6239,6264,6271,6294,6301,6308,6315,6322,6329],{"type":548,"content":6233},[6234],{"type":15,"attrs":6235,"content":6236},{"textAlign":102},[6237],{"text":6238,"type":298},"Sensibilisation et mobilisation du public et de la collectivité à l’égard de la sécurité des patients ",{"type":548,"content":6240},[6241],{"type":15,"attrs":6242,"content":6243},{"textAlign":102},[6244,6246,6253,6255,6262],{"text":6245,"type":298},"Lois, normes, politiques, ",{"text":6247,"type":298,"marks":6248},"règles",[6249],{"type":557,"attrs":6250},{"href":6251,"uuid":102,"anchor":102,"custom":6252,"target":560,"linktype":561},"https://www.canada.ca/fr/sante-canada/organisation/transparence/transparence-ouverture-en-matiere-reglementation.html",{},{"text":6254,"type":298}," et ",{"text":6256,"type":298,"marks":6257},"conditions d’agrément",[6258],{"type":557,"attrs":6259},{"href":6260,"uuid":102,"anchor":102,"custom":6261,"target":560,"linktype":561},"https://accreditation.ca/ca-fr/",{},{"text":6263,"type":298}," dans le cadre des soins de santé ",{"type":548,"content":6265},[6266],{"type":15,"attrs":6267,"content":6268},{"textAlign":102},[6269],{"text":6270,"type":298},"Infrastructure des soins de santé et ressources (financières, humaines, matérielles, installations et sites) ",{"type":548,"content":6272},[6273],{"type":15,"attrs":6274,"content":6275},{"textAlign":102},[6276,6278,6292],{"text":6277,"type":298},"Éducation des ",{"text":6279,"type":298,"marks":6280},"prestataires de soins",[6281],{"type":557,"attrs":6282},{"href":6283,"uuid":419,"anchor":102,"custom":6284,"target":1193,"linktype":839,"story":6285},"/fr/ressources/cadre-des-competences-liees-a-la-securite-des-patients",{},{"name":6286,"id":6287,"uuid":419,"slug":6288,"url":6289,"translated_name":6290,"full_slug":6291,"_stopResolving":459},"Safety Competencies Framework",113881434001201,"safety-competencies-framework","resources/safety-competencies-framework","Cadre des compétences liées à la sécurité des patients","fr/ressources/cadre-des-competences-liees-a-la-securite-des-patients",{"text":6293,"type":298},", conventions de travail et tendances du marché du travail ",{"type":548,"content":6295},[6296],{"type":15,"attrs":6297,"content":6298},{"textAlign":102},[6299],{"text":6300,"type":298},"Déterminants sociaux de la santé, tendances sociétales (revenu, statut social, éducation, emploi, logement, culture, etc.) ",{"type":548,"content":6302},[6303],{"type":15,"attrs":6304,"content":6305},{"textAlign":102},[6306],{"text":6307,"type":298},"Tendances, problèmes et défis de la santé (flambées épidémiques, santé de la population, etc.) ",{"type":548,"content":6309},[6310],{"type":15,"attrs":6311,"content":6312},{"textAlign":102},[6313],{"text":6314,"type":298},"Environnements politique (local, provincial ou territorial, national), économique et technologique, et tendances qui influencent le secteur des soins de santé (par une analyse PESTEL, par exemple) ",{"type":548,"content":6316},[6317],{"type":15,"attrs":6318,"content":6319},{"textAlign":102},[6320],{"text":6321,"type":298},"Infrastructure, tendances et financement de la recherche sur la sécurité des patients, de son évaluation et de son amélioration ",{"type":548,"content":6323},[6324],{"type":15,"attrs":6325,"content":6326},{"textAlign":102},[6327],{"text":6328,"type":298},"Tendances dans d’autres secteurs qui peuvent recouper les soins de santé (technologie, médias sociaux, etc.) ",{"type":548,"content":6330},[6331],{"type":15,"attrs":6332,"content":6333},{"textAlign":102},[6334],{"text":6335,"type":298},"Emplacement géographique et caractéristiques régionales (région éloignée, rurale ou urbaine) ",{"type":548,"content":6337},[6338,6343],{"type":15,"attrs":6339,"content":6340},{"textAlign":102},[6341],{"text":6342,"type":298},"Au niveau de l’organisme et des programmes ou des services : ",{"type":545,"content":6344},[6345,6352,6359,6375,6382,6389,6396,6403,6424,6431,6438,6445,6452],{"type":548,"content":6346},[6347],{"type":15,"attrs":6348,"content":6349},{"textAlign":102},[6350],{"text":6351,"type":298},"Plans stratégiques, priorités, valeurs et principes organisationnels ",{"type":548,"content":6353},[6354],{"type":15,"attrs":6355,"content":6356},{"textAlign":102},[6357],{"text":6358,"type":298},"Engagement et gouvernance de l’équipe de direction et du conseil d’administration, y compris leurs connaissances en science de la sécurité des patients et en pratiques exemplaires ",{"type":548,"content":6360},[6361],{"type":15,"attrs":6362,"content":6363},{"textAlign":102},[6364,6366,6373],{"text":6365,"type":298},"Visibilité et engagement de la ",{"text":6367,"type":298,"marks":6368},"direction",[6369],{"type":557,"attrs":6370},{"href":6371,"uuid":102,"anchor":102,"custom":6372,"target":560,"linktype":561},"http://www.ihi.org/resources/Pages/Tools/PatientSafetyLeadershipWalkRounds.aspx",{},{"text":6374,"type":298}," en matière de sécurité des patients ",{"type":548,"content":6376},[6377],{"type":15,"attrs":6378,"content":6379},{"textAlign":102},[6380],{"text":6381,"type":298},"Priorité accordée à la sécurité des patients par la direction – en haut de l’ordre du jour des réunions, ou au moins 25 % du temps de la réunion y est consacré ",{"type":548,"content":6383},[6384],{"type":15,"attrs":6385,"content":6386},{"textAlign":102},[6387],{"text":6388,"type":298},"Obligation de la direction de l’organisme de rendre compte des performances en matière de sécurité des patients, harmonisation face aux mesures incitatives (officielles et informelles) ",{"type":548,"content":6390},[6391],{"type":15,"attrs":6392,"content":6393},{"textAlign":102},[6394],{"text":6395,"type":298},"Intégration du point de vue des patients ou de leur famille aux réunions de la direction et du conseil d’administration, dans la prise de décision et la conception des processus de soins et des initiatives pour la sécurité des patients ",{"type":548,"content":6397},[6398],{"type":15,"attrs":6399,"content":6400},{"textAlign":102},[6401],{"text":6402,"type":298},"Stabilité, expérience et style de l’équipe de direction ",{"type":548,"content":6404},[6405],{"type":15,"attrs":6406,"content":6407},{"textAlign":102},[6408,6422],{"text":6409,"type":298,"marks":6410},"Culture de la sécurité des patients",[6411],{"type":557,"attrs":6412},{"href":6413,"uuid":306,"anchor":102,"custom":6414,"target":1193,"linktype":839,"story":6415},"/fr/ressources/ensemble-de-culture-de-la-securite-des-patients",{},{"name":6416,"id":6417,"uuid":306,"slug":6418,"url":6419,"translated_name":6420,"full_slug":6421,"_stopResolving":459},"A Framework for Establishing a Patient Safety Culture",116783685107956,"a-framework-for-establishing-a-patient-safety-culture","resources/a-framework-for-establishing-a-patient-safety-culture","Ensemble de culture de la sécurité des patients","fr/ressources/ensemble-de-culture-de-la-securite-des-patients",{"text":6423,"type":298}," de l’organisme ",{"type":548,"content":6425},[6426],{"type":15,"attrs":6427,"content":6428},{"textAlign":102},[6429],{"text":6430,"type":298},"Expérience organisationnelle, performances et progrès actuels en matière de sécurité des patients  ",{"type":548,"content":6432},[6433],{"type":15,"attrs":6434,"content":6435},{"textAlign":102},[6436],{"text":6437,"type":298},"Financement et situation financière de l’organisme, y compris les besoins d’investissement en infrastructure et en technologie ",{"type":548,"content":6439},[6440],{"type":15,"attrs":6441,"content":6442},{"textAlign":102},[6443],{"text":6444,"type":298},"Conception ou refonte proactive des politiques et des pratiques en matière de sécurité ",{"type":548,"content":6446},[6447],{"type":15,"attrs":6448,"content":6449},{"textAlign":102},[6450],{"text":6451,"type":298},"Expertise et compétence de la main-d’œuvre en matière de sécurité des patients ",{"type":548,"content":6453},[6454],{"type":15,"attrs":6455,"content":6456},{"textAlign":102},[6457],{"text":6458,"type":298},"Harmonisation entre la sécurité des patients, l’amélioration de la qualité des soins et la gestion du risque ",{"type":548,"content":6460},[6461,6466],{"type":15,"attrs":6462,"content":6463},{"textAlign":102},[6464],{"text":6465,"type":298},"Au point d’intervention : ",{"type":545,"content":6467},[6468,6475,6482,6489,6503,6510],{"type":548,"content":6469},[6470],{"type":15,"attrs":6471,"content":6472},{"textAlign":102},[6473],{"text":6474,"type":298},"Partenariat avec les patients et leur famille dans les soins et la sécurité ",{"type":548,"content":6476},[6477],{"type":15,"attrs":6478,"content":6479},{"textAlign":102},[6480],{"text":6481,"type":298},"Communication, rétroaction, culture, composition, hiérarchie de l’équipe ",{"type":548,"content":6483},[6484],{"type":15,"attrs":6485,"content":6486},{"textAlign":102},[6487],{"text":6488,"type":298},"Aisance et capacité des patients et de leur famille à signaler les incidents, leurs préoccupations et les réussites ",{"type":548,"content":6490},[6491],{"type":15,"attrs":6492,"content":6493},{"textAlign":102},[6494,6501],{"text":6495,"type":298,"marks":6496},"Compétences",[6497],{"type":557,"attrs":6498},{"href":6283,"uuid":419,"anchor":102,"custom":6499,"target":1193,"linktype":839,"story":6500},{},{"name":6286,"id":6287,"uuid":419,"slug":6288,"url":6289,"translated_name":6290,"full_slug":6291,"_stopResolving":459},{"text":6502,"type":298},", aptitudes et expérience du personnel quant à la gestion des incidents et de la sécurité des patients, et exigences professionnelles à cet égard ",{"type":548,"content":6504},[6505],{"type":15,"attrs":6506,"content":6507},{"textAlign":102},[6508],{"text":6509,"type":298},"Accès à des ressources de gestion de la sécurité et des incidents ",{"type":548,"content":6511},[6512],{"type":15,"attrs":6513,"content":6514},{"textAlign":102},[6515],{"text":6516,"type":298},"Roulement du personnel, niveaux de dotation, temps réservé à des projets ",{"type":15,"attrs":6518,"content":6519},{"textAlign":102},[6520],{"text":6521,"type":298,"marks":6522},"Détermination des mesures de renforcement de la gestion des incidents et de la sécurité des patients ",[6523],{"type":543},{"type":545,"content":6525},[6526,6537,6548,6559,6570],{"type":548,"content":6527},[6528],{"type":15,"attrs":6529,"content":6530},{"textAlign":102},[6531,6535],{"text":6532,"type":298,"marks":6533},"Réponse ",[6534],{"type":543},{"text":6536,"type":298},"– Surveiller et anticiper les facteurs systémiques qui influencent et touchent la sécurité des patients (modifications de règlements, pénuries de main-d’œuvre, changements au financement de la santé, etc.), s’assurer que la sécurité des patients demeure à l’avant-plan de la prise de décision (mises à jour régulières lors des réunions importantes, obligation pour les dirigeants de rester au courant, etc.) et prendre les mesures nécessaires au besoin. ",{"type":548,"content":6538},[6539],{"type":15,"attrs":6540,"content":6541},{"textAlign":102},[6542,6546],{"text":6543,"type":298,"marks":6544},"Alignement ",[6545],{"type":543},{"text":6547,"type":298},"– Utiliser les facteurs systémiques internes et externes pour évaluer la priorité des initiatives de gestion des incidents et de la sécurité des patients. Les initiatives qui s’alignent sur différents niveaux du système se traduisent par plusieurs gains. Ces derniers en accéléreront la mise en œuvre et la diffusion et favoriseront les meilleures pratiques reconnues pour réduire les préjudices. ",{"type":548,"content":6549},[6550],{"type":15,"attrs":6551,"content":6552},{"textAlign":102},[6553,6557],{"text":6554,"type":298,"marks":6555},"Levier ",[6556],{"type":543},{"text":6558,"type":298},"– Tirer avantage des facteurs systémiques pour améliorer la gestion des incidents et de la sécurité des patients (utiliser les pratiques organisationnelles requises par Agrément Canada en guise de levier pour mettre en place les meilleures pratiques reconnues pour améliorer la sécurité des patients, par exemple). ",{"type":548,"content":6560},[6561],{"type":15,"attrs":6562,"content":6563},{"textAlign":102},[6564,6568],{"text":6565,"type":298,"marks":6566},"Partenariat et collaboration",[6567],{"type":543},{"text":6569,"type":298}," – Travailler avec les autres pour apporter des changements qui ont un impact positif sur les soins de santé dans l’établissement; appuyer ou souligner le travail et les succès des autres. ",{"type":548,"content":6571},[6572],{"type":15,"attrs":6573,"content":6574},{"textAlign":102},[6575,6579],{"text":6576,"type":298,"marks":6577},"Sensibilisation ",[6578],{"type":543},{"text":6580,"type":298},"– Favoriser l’apprentissage en matière de gestion des incidents liés à la sécurité des patients pour façonner les facteurs systémiques en faveur de l’organisme de santé et de ses prestataires de soins, ainsi que d’autres personnes (travailler avec des groupes de défense des intérêts pour changer les politiques publiques, obtenir le soutien de bailleurs de fonds pour les problématiques bien connues liées à la sécurité, par exemple).","Facteurs systémiques ",{"type":12,"content":6583},[6584],{"type":15,"attrs":6585,"content":6586},{"textAlign":102},[6587],{"text":6588,"type":298},"Pour assurer la sécurité des patients, il est essentiel de comprendre les facteurs qui la façonnent et qui ont une influence sur la gestion des incidents et de la sécurité des patients, puis de déterminer les mesures à prendre pour aligner la réponse et en tirer parti. Ils proviennent de différents niveaux du système (à l’intérieur et à l’extérieur de l’organisme) et comprennent les lois, les politiques, la culture, le personnel, les processus et les ressources. ",{"_uid":6590,"title":6591,"columns":6592,"component":6724,"description":6725},"824a0811-8046-47ee-8e53-bb84f8212913","Équipe",[6593,6679],{"_uid":6594,"image":6595,"title":6597,"content":6598,"component":6678},"a18a274e-e661-41ff-9992-d4fc203c1849",{"id":102,"alt":102,"name":16,"focus":102,"title":102,"source":102,"filename":16,"copyright":102,"fieldtype":286,"meta_data":6596},{},"Experts pour la trousse ",[6599],{"_uid":6600,"content":6601,"component":589},"93db4059-43d4-4feb-8f66-f8737f9c3138",{"type":12,"content":6602},[6603,6608,6613,6618,6623,6628,6633,6638,6643,6648,6653,6658,6663,6668,6673],{"type":15,"attrs":6604,"content":6605},{"textAlign":102},[6606],{"text":6607,"type":298},"Voici les enseignants et les postes qu’ils occupaient au moment de la création de la Trousse à outils pour la sécurité des patients et la gestion des incidents. ",{"type":15,"attrs":6609,"content":6610},{"textAlign":102},[6611],{"text":6612,"type":298},"Dr Amir Ginzburg, Directeur médical de la qualité et de la performance, Trillium Health Partners; professeur adjoint, Institute of Health Management, Policy and Evaluation, Université de Toronto ",{"type":15,"attrs":6614,"content":6615},{"textAlign":102},[6616],{"text":6617,"type":298},"Dre Amy Nakajima, MD, FRCSC, Consultante, Soins continus Bruyère ",{"type":15,"attrs":6619,"content":6620},{"textAlign":102},[6621],{"text":6622,"type":298},"Dr John Maxted, Professeur adjoint, département de médecine familiale et communautaire, Université de Toronto ",{"type":15,"attrs":6624,"content":6625},{"textAlign":102},[6626],{"text":6627,"type":298},"Julie Greenall, Directrice des projets et de la formation, Institut pour la sécurité des médicaments aux patients du Canada ",{"type":15,"attrs":6629,"content":6630},{"textAlign":102},[6631],{"text":6632,"type":298},"Margot Harvie, IA, BN, Med, Chef d’équipe, formation en qualité et sécurité, Health Quality Council of Alberta ",{"type":15,"attrs":6634,"content":6635},{"textAlign":102},[6636],{"text":6637,"type":298},"Annemarie Taylor, Directrice provinciale, Patient Safety & Learning System de Colombie-Britannique ",{"type":15,"attrs":6639,"content":6640},{"textAlign":102},[6641],{"text":6642,"type":298},"Brent Windwick, Associé, Field Law (services à l’industrie de la santé et vie privée) ",{"type":15,"attrs":6644,"content":6645},{"textAlign":102},[6646],{"text":6647,"type":298},"Carolyn Hoffman, Vice-présidente principale, amélioration de la qualité et des soins, Services de santé Alberta  ",{"type":15,"attrs":6649,"content":6650},{"textAlign":102},[6651],{"text":6652,"type":298},"Deborah Prowse, Membre, Patients pour la sécurité des patients du Canada ",{"type":15,"attrs":6654,"content":6655},{"textAlign":102},[6656],{"text":6657,"type":298},"Heather Howley, Spécialiste de la recherche dans le secteur de la santé, Agrément Canada ",{"type":15,"attrs":6659,"content":6660},{"textAlign":102},[6661],{"text":6662,"type":298},"Heon-Jae Jeong, Boursier postdoctoral, département de politique et de gestion de la santé, Université John Hopkins ",{"type":15,"attrs":6664,"content":6665},{"textAlign":102},[6666],{"text":6667,"type":298},"Jennifer White, Coordonnatrice provinciale de la qualité des soins, ministère de la Santé de la Saskatchewan  ",{"type":15,"attrs":6669,"content":6670},{"textAlign":102},[6671],{"text":6672,"type":298},"Sharon Nettleton, Coprésidente, Patients pour la sécurité des patients du Canada ",{"type":15,"attrs":6674,"content":6675},{"textAlign":102},[6676],{"text":6677,"type":298},"Sherry Espin, Professeure agrégée, Université Ryerson ","wysiwyg-column",{"_uid":6680,"image":6681,"title":6683,"content":6684,"component":6678},"40239f5d-70bc-4192-9983-5a14bb6c7b83",{"id":102,"alt":102,"name":16,"focus":102,"title":102,"source":102,"filename":16,"copyright":102,"fieldtype":286,"meta_data":6682},{},"Toolkit Project Team",[6685],{"_uid":6686,"content":6687,"component":589},"c381e535-7578-4104-befa-7eaa4a4ec7f9",{"type":12,"content":6688},[6689,6694,6699,6704,6709,6714,6719],{"type":15,"attrs":6690,"content":6691},{"textAlign":102},[6692],{"text":6693,"type":298},"Voici les membres de l’équipe et les postes qu’elles occupaient au moment de la création de la Trousse à outils pour la sécurité des patients et la gestion des incidents. ",{"type":15,"attrs":6695,"content":6696},{"textAlign":102},[6697],{"text":6698,"type":298},"Abigail Hain, Directrice générale du renforcement des capacités et du transfert de connaissances, Institut canadien pour la sécurité des patients ",{"type":15,"attrs":6700,"content":6701},{"textAlign":102},[6702],{"text":6703,"type":298},"Ioana Popescu, Chef de l’amélioration de la sécurité des patients, Institut canadien pour la sécurité des patients ",{"type":15,"attrs":6705,"content":6706},{"textAlign":102},[6707],{"text":6708,"type":298},"Jennifer Rodgers, Chef de l’amélioration de la sécurité des patients, Institut canadien pour la sécurité des patients ",{"type":15,"attrs":6710,"content":6711},{"textAlign":102},[6712],{"text":6713,"type":298},"Monique Thibodeau, Coordonnatrice de projet, Institut canadien pour la sécurité des patients ",{"type":15,"attrs":6715,"content":6716},{"textAlign":102},[6717],{"text":6718,"type":298},"Marie Pinard, Gestionnaire, gestion de la qualité, The Hospital For Sick Children ",{"type":15,"attrs":6720,"content":6721},{"textAlign":102},[6722],{"text":6723,"type":298},"Jocelyne Pepin, Adjointe au chef, Département de pharmacie, Hôpital général juif ","wysiwyg-double-column",{"type":12,"content":6726},[6727],{"type":15},{"id":16,"_uid":6729,"content":6730,"component":599},"01cc2d9b-3c22-4f9c-a3d3-1a6a6e43517f",[6731],{"_uid":6732,"content":6733,"component":589},"a5dc5e27-376c-4e0d-bfef-a94ec719246d",{"type":12,"content":6734},[6735,6739,6743,6752,6756,6760,6764,6771,6778,6785,6789,6793,6831,6835,6839,6872],{"type":15,"attrs":6736,"content":6737},{"textAlign":102},[6738],{"text":2019,"type":298},{"type":15,"attrs":6740,"content":6741},{"textAlign":102},[6742],{"text":2052,"type":298},{"type":15,"attrs":6744,"content":6745},{"textAlign":102},[6746,6747,6751],{"text":2057,"type":298},{"text":2059,"type":298,"marks":6748},[6749],{"type":557,"attrs":6750},{"href":2063,"uuid":102,"anchor":102,"custom":102,"target":102,"linktype":561},{"text":991,"type":298},{"type":535,"attrs":6753,"content":6754},{"level":537,"textAlign":102},[6755],{"text":2069,"type":298},{"type":15,"attrs":6757,"content":6758},{"textAlign":102},[6759],{"text":2074,"type":298},{"type":15,"attrs":6761,"content":6762},{"textAlign":102},[6763],{"text":2079,"type":298},{"type":15,"attrs":6765,"content":6766},{"textAlign":102},[6767,6770],{"text":2084,"type":298,"marks":6768},[6769],{"type":543},{"text":2088,"type":298},{"type":15,"attrs":6772,"content":6773},{"textAlign":102},[6774,6777],{"text":2093,"type":298,"marks":6775},[6776],{"type":543},{"text":2097,"type":298},{"type":15,"attrs":6779,"content":6780},{"textAlign":102},[6781,6784],{"text":2102,"type":298,"marks":6782},[6783],{"type":543},{"text":2106,"type":298},{"type":535,"attrs":6786,"content":6787},{"level":537,"textAlign":102},[6788],{"text":2111,"type":298},{"type":15,"attrs":6790,"content":6791},{"textAlign":102},[6792],{"text":2116,"type":298},{"type":545,"content":6794},[6795,6804,6813,6822],{"type":548,"content":6796},[6797],{"type":15,"attrs":6798,"content":6799},{"textAlign":102},[6800,6803],{"text":2125,"type":298,"marks":6801},[6802],{"type":543},{"text":2129,"type":298},{"type":548,"content":6805},[6806],{"type":15,"attrs":6807,"content":6808},{"textAlign":102},[6809,6812],{"text":2136,"type":298,"marks":6810},[6811],{"type":543},{"text":2140,"type":298},{"type":548,"content":6814},[6815],{"type":15,"attrs":6816,"content":6817},{"textAlign":102},[6818,6821],{"text":2147,"type":298,"marks":6819},[6820],{"type":543},{"text":2151,"type":298},{"type":548,"content":6823},[6824],{"type":15,"attrs":6825,"content":6826},{"textAlign":102},[6827,6830],{"text":2158,"type":298,"marks":6828},[6829],{"type":543},{"text":2162,"type":298},{"type":535,"attrs":6832,"content":6833},{"level":537,"textAlign":102},[6834],{"text":2167,"type":298},{"type":15,"attrs":6836,"content":6837},{"textAlign":102},[6838],{"text":2172,"type":298},{"type":545,"content":6840},[6841,6847,6853,6866],{"type":548,"content":6842},[6843],{"type":15,"attrs":6844,"content":6845},{"textAlign":102},[6846],{"text":2181,"type":298},{"type":548,"content":6848},[6849],{"type":15,"attrs":6850,"content":6851},{"textAlign":102},[6852],{"text":2188,"type":298},{"type":548,"content":6854},[6855],{"type":15,"attrs":6856,"content":6857},{"textAlign":102},[6858,6859,6865],{"text":2195,"type":298},{"text":2197,"type":298,"marks":6860},[6861],{"type":557,"attrs":6862},{"href":2201,"uuid":385,"anchor":102,"custom":6863,"target":1193,"linktype":839,"story":6864},{},{"name":2204,"id":2205,"uuid":385,"slug":2206,"url":2207,"translated_name":2208,"full_slug":2209,"_stopResolving":459},{"text":2211,"type":298},{"type":548,"content":6867},[6868],{"type":15,"attrs":6869,"content":6870},{"textAlign":102},[6871],{"text":2218,"type":298},{"type":15,"attrs":6873,"content":6874},{"textAlign":102},[6875,6876,6880],{"text":2223,"type":298},{"text":2225,"type":298,"marks":6877},[6878],{"type":557,"attrs":6879},{"href":2063,"uuid":102,"anchor":102,"custom":102,"target":102,"linktype":561},{"text":991,"type":298},{"id":16,"_uid":6882,"items":6883,"title":7280,"component":3950,"description":7281},"9111b6c7-4bde-44d2-8d63-4bb5c0ce1d9b",[6884],{"_uid":6885,"title":6886,"ctaLeft":6887,"ctaRight":6888,"component":2415,"columnLeft":6889,"columnRight":6951},"caf5344f-9c37-43ea-a758-0a79831e152a","Afficher la liste complète des termes",[],[],{"type":12,"content":6890},[6891,6899,6904,6911,6916,6921,6926,6931,6936,6941,6946],{"type":15,"attrs":6892,"content":6893},{"textAlign":102},[6894,6898],{"text":6895,"type":298,"marks":6896},"Note à l’intention des lecteurs du Québec",[6897],{"type":543},{"text":1200,"type":298},{"type":15,"attrs":6900,"content":6901},{"textAlign":102},[6902],{"text":6903,"type":298},"Cette trousse a été conçue par et à l’intention des Canadiens de langue anglaise et française et les termes qu’on y retrouve ont été choisis par consensus. Toutefois, en raison des clauses de la Loi sur les services de santé et les services sociaux (SRQ, chapitre S-4.2) en vigueur au Québec, certains termes ont été adaptés. Nous avons également consulté Agrément Canada lors de la conception de cette trousse afin de rester cohérents avec la version révisée des Pratiques opérationnelles requises en matière de divulgation et de gestion des incidents (2014) et la terminologie de sécurité des patients qu’on y utilise. Veuillez faire les conversions nécessaires en consultant le texte de la trousse. ",{"type":15,"attrs":6905,"content":6906},{"textAlign":102},[6907],{"text":6908,"type":298,"marks":6909},"Termes utilisés dans la trousse d’outils : Termes utilisés au Québec en raison de la loi  ",[6910],{"type":543},{"type":15,"attrs":6912,"content":6913},{"textAlign":102},[6914],{"text":6915,"type":298},"Patient : Usager ",{"type":15,"attrs":6917,"content":6918},{"textAlign":102},[6919],{"text":6920,"type":298},"Divulgation des incidents : Divulgation des accidents ",{"type":15,"attrs":6922,"content":6923},{"textAlign":102},[6924],{"text":6925,"type":298},"Préjudices : Conséquences ",{"type":15,"attrs":6927,"content":6928},{"textAlign":102},[6929],{"text":6930,"type":298},"Incident lié à la sécurité des patients : Événements découlant de la prestation de soins de santé ou de services sociaux ",{"type":15,"attrs":6932,"content":6933},{"textAlign":102},[6934],{"text":6935,"type":298},"Incident préjudiciable : Accident avec conséquences pour l’usager ",{"type":15,"attrs":6937,"content":6938},{"textAlign":102},[6939],{"text":6940,"type":298},"Incident sans préjudice : Accident sans conséquence, mais l’usager a été touché ",{"type":15,"attrs":6942,"content":6943},{"textAlign":102},[6944],{"text":6945,"type":298},"Incident évité de justesse : Incident ou échappée belle ",{"type":15,"attrs":6947,"content":6948},{"textAlign":102},[6949],{"text":6950,"type":298},"Incident préjudiciable, incident sans préjudice et incident évité de justesse : Événements ",{"type":12,"content":6952},[6953,6958,6967,6976,6985,6994,7003,7012,7021,7030,7039,7048,7057,7066,7075,7084,7093,7102,7111,7119,7128,7137,7146,7155,7164,7173,7182,7191,7200,7209,7218,7227,7236,7245,7253,7262,7271],{"type":15,"attrs":6954,"content":6955},{"textAlign":102},[6956],{"text":6957,"type":298},"Le glossaire ci-dessous n’est pas exhaustif, mais fournit une liste concise de termes clés que l’on retrouve souvent dans la trousse d’outils. ",{"type":15,"attrs":6959,"content":6960},{"textAlign":102},[6961,6965],{"text":6962,"type":298,"marks":6963},"Actions (prises pour réduire les risques de préjudice)",[6964],{"type":543},{"text":6966,"type":298}," : Actions prises pour réduire, gérer ou maîtriser toute éventualité d’un préjudice. ",{"type":15,"attrs":6968,"content":6969},{"textAlign":102},[6970,6974],{"text":6971,"type":298,"marks":6972},"Alerte ou avis",[6973],{"type":543},{"text":6975,"type":298}," : Une alerte ou un avis est une information produite et publiquement affichée, qui décrit un type particulier d’incident lié à la sécurité des patients ou une série d’incidents qui sont survenus ou pourraient survenir. ",{"type":15,"attrs":6977,"content":6978},{"textAlign":102},[6979,6983],{"text":6980,"type":298,"marks":6981},"Amélioration de la qualité (AQ) ",[6982],{"type":543},{"text":6984,"type":298},": Approche officielle pour analyser le rendement et les efforts systémiques faits pour l’améliorer. De nombreux modèles d’amélioration de la qualité sont utilisés. ",{"type":15,"attrs":6986,"content":6987},{"textAlign":102},[6988,6992],{"text":6989,"type":298,"marks":6990},"Analyse des incidents",[6991],{"type":543},{"text":6993,"type":298}," : Processus structuré dont le but est de déterminer les causes de l’incident, la façon dont il s’est produit, les actions à réaliser pour réduire les risques que l’incident se reproduise et pour améliorer la sécurité des soins, ainsi que les leçons apprises. Ce concept est aussi désigné sous le nom d’analyse fondée sur le système. ",{"type":15,"attrs":6995,"content":6996},{"textAlign":102},[6997,7001],{"text":6998,"type":298,"marks":6999},"Analyse prospective",[7000],{"type":543},{"text":7002,"type":298}," : Outil d’analyse servant à analyser et atténuer les préjudices ou les pertes en analysant une situation ou un processus auquel un risque est inhérent. L’objectif est de déterminer un moyen par lequel un processus peut échouer, avec pour but d’éliminer ou réduire la probabilité ou la gravité d’un tel échec. ",{"type":15,"attrs":7004,"content":7005},{"textAlign":102},[7006,7010],{"text":7007,"type":298,"marks":7008},"Atténuation du risque ",[7009],{"type":543},{"text":7011,"type":298},": Processus qui consiste à déterminer puis mettre en œuvre les précautions ou les mesures de contrôle qui pourront le plus efficacement réduire les conséquences ou la probabilité d’un risque donné. ",{"type":15,"attrs":7013,"content":7014},{"textAlign":102},[7015,7019],{"text":7016,"type":298,"marks":7017},"Autorité ",[7018],{"type":543},{"text":7020,"type":298},": Organe ayant la responsabilité de rendre des comptes et la responsabilité légale quant au rendement de l’ensemble d’un organisme, ainsi que la supervision du contrôle décisionnel.  ",{"type":15,"attrs":7022,"content":7023},{"textAlign":102},[7024,7028],{"text":7025,"type":298,"marks":7026},"Culture, sécurité des patients",[7027],{"type":543},{"text":7029,"type":298}," : La culture concerne les valeurs communes (ce qui est important) et les croyances communes (ce qui est tenu pour vrai), lesquelles interagissent avec les structures et les mécanismes de contrôle d’un système, produisant des normes comportementales. ",{"type":15,"attrs":7031,"content":7032},{"textAlign":102},[7033,7037],{"text":7034,"type":298,"marks":7035},"Danger ",[7036],{"type":543},{"text":7038,"type":298},": Situation où il existe un risque de préjudice. ",{"type":15,"attrs":7040,"content":7041},{"textAlign":102},[7042,7046],{"text":7043,"type":298,"marks":7044},"Déclaration ",[7045],{"type":543},{"text":7047,"type":298},": Communication par des prestataires de soins de santé sur un événement indésirable ou un accident évité de justesse par les canaux appropriés, tant à l’intérieur qu’à l’extérieur des établissements de soins de santé, afin de réduire le risque que cet événement se reproduise. ",{"type":15,"attrs":7049,"content":7050},{"textAlign":102},[7051,7055],{"text":7052,"type":298,"marks":7053},"Divulgation ",[7054],{"type":543},{"text":7056,"type":298},": Processus par lequel un incident en matière de sécurité d’un patient est communiqué au patient par les prestataires de soins de santé. ",{"type":15,"attrs":7058,"content":7059},{"textAlign":102},[7060,7064],{"text":7061,"type":298,"marks":7062},"Échelons du système",[7063],{"type":543},{"text":7065,"type":298}," : Les systèmes sont généralement vus depuis différents échelons, car chaque échelon a différents buts, structures et façons de travailler. ",{"type":15,"attrs":7067,"content":7068},{"textAlign":102},[7069,7073],{"text":7070,"type":298,"marks":7071},"Équipe ",[7072],{"type":543},{"text":7074,"type":298},": Deux personnes ou plus qui interagissent de manière dynamique, interdépendante et adaptative en vue de réaliser une mission, un but ou un objectif commun qu’elles perçoivent comme important. Les patients et leur famille font partie de l’équipe. ",{"type":15,"attrs":7076,"content":7077},{"textAlign":102},[7078,7082],{"text":7079,"type":298,"marks":7080},"Excuse ",[7081],{"type":543},{"text":7083,"type":298},": Expression sincère de sympathie ou de regret, énoncé où une personne se dit désolée de ce qui s’est produit. Des excuses renferment la reconnaissance de la responsabilité si une telle responsabilité a été établie au cours de l’analyse de l’événement indésirable. ",{"type":15,"attrs":7085,"content":7086},{"textAlign":102},[7087,7091],{"text":7088,"type":298,"marks":7089},"Facteurs contributifs",[7090],{"type":543},{"text":7092,"type":298}," : Situation, action ou influence qui aurait joué un rôle à l’origine ou dans l’évolution d’un incident, ou qui aurait accru le risque d’un incident. ",{"type":15,"attrs":7094,"content":7095},{"textAlign":102},[7096,7100],{"text":7097,"type":298,"marks":7098},"Facteurs humains ",[7099],{"type":543},{"text":7101,"type":298},": Une discipline portant sur les comportements, les capacités, les limites et les relations des êtres humains par rapport à leur milieu de travail (physique, organisationnel, culturel), qui a pour but d’améliorer la conception des technologies, des processus et des systèmes de travail pour promouvoir l’efficacité, l’efficience et la sécurité. ",{"type":15,"attrs":7103,"content":7104},{"textAlign":102},[7105,7109],{"text":7106,"type":298,"marks":7107},"Famille ",[7108],{"type":543},{"text":7110,"type":298},": Personne(s) dont le patient souhaite la participation à ses soins, et qui agissent au nom et dans l’intérêt du patient. ",{"type":15,"attrs":7112,"content":7113},{"textAlign":102},[7114,7117],{"text":6189,"type":298,"marks":7115},[7116],{"type":543},{"text":7118,"type":298}," : Les divers actions et processus requis pour mener à bien les activités immédiates et continues à la suite d’un incident. L’analyse des incidents est une composante de la gestion des incidents. ",{"type":15,"attrs":7120,"content":7121},{"textAlign":102},[7122,7126],{"text":7123,"type":298,"marks":7124},"Gestion des risques",[7125],{"type":543},{"text":7127,"type":298}," : Effort organisé pour déterminer, évaluer et réduire, le cas échéant, les risques pour les patients, visiteurs, membres du personnel et actifs de l’organisme. Des activités sont mises en œuvre pour déterminer, analyser et éduquer et pour organiser des processus afin de réduire les probabilités d’événements indésirables. ",{"type":15,"attrs":7129,"content":7130},{"textAlign":102},[7131,7135],{"text":7132,"type":298,"marks":7133},"Incident lié à la sécurité du patient",[7134],{"type":543},{"text":7136,"type":298}," : Un événement ou une circonstance qui aurait pu entraîner ou qui a entraîné un préjudice accessoire à un patient. Il y en a trois types : ",{"type":15,"attrs":7138,"content":7139},{"textAlign":102},[7140,7144],{"text":7141,"type":298,"marks":7142},"Incident préjudiciable",[7143],{"type":543},{"text":7145,"type":298}," : Un incident lié à la sécurité des patients qui a causé un préjudice au patient. Remplace le terme « événement indésirable évitable ». ",{"type":15,"attrs":7147,"content":7148},{"textAlign":102},[7149,7153],{"text":7150,"type":298,"marks":7151},"Incident évité de justesse",[7152],{"type":543},{"text":7154,"type":298}," : Un incident lié à la sécurité d’un patient qui n’a pas atteint le patient et n’a pas causé de préjudice. ",{"type":15,"attrs":7156,"content":7157},{"textAlign":102},[7158,7162],{"text":7159,"type":298,"marks":7160},"Incident sans préjudice",[7161],{"type":543},{"text":7163,"type":298}," : Un incident lié à la sécurité d’un patient qui a atteint le patient, sans toutefois entraîner de préjudice discernable. ",{"type":15,"attrs":7165,"content":7166},{"textAlign":102},[7167,7171],{"text":7168,"type":298,"marks":7169},"Niveau d’autorité",[7170],{"type":543},{"text":7172,"type":298}," : Équilibre dans le pouvoir de prendre des décisions ou le niveau hiérarchique ou d’autorité dans une situation donnée. ",{"type":15,"attrs":7174,"content":7175},{"textAlign":102},[7176,7180],{"text":7177,"type":298,"marks":7178},"Organisations à haute fiabilité (OHF)",[7179],{"type":543},{"text":7181,"type":298}," : Organisations qui ont connu peu d’accidents bien qu’appartenant à des secteurs hautement dynamiques, technologiques et dangereux. ",{"type":15,"attrs":7183,"content":7184},{"textAlign":102},[7185,7189],{"text":7186,"type":298,"marks":7187},"Organisme de santé",[7188],{"type":543},{"text":7190,"type":298}," : Organisme qui fournit des services ou des soins de santé. ",{"type":15,"attrs":7192,"content":7193},{"textAlign":102},[7194,7198],{"text":7195,"type":298,"marks":7196},"Patient ",[7197],{"type":543},{"text":7199,"type":298},": Personne qui reçoit, a reçu ou a demandé des services ou des soins de santé. ",{"type":15,"attrs":7201,"content":7202},{"textAlign":102},[7203,7207],{"text":7204,"type":298,"marks":7205},"Pensée systémique",[7206],{"type":543},{"text":7208,"type":298}," : Approche qui se concentre sur les interactions, la synchronisation et l’intégration dynamiques des éléments et sous-éléments du système (par exemple, les personnes, processus, technologies, incitatifs, décisions et cultures). ",{"type":15,"attrs":7210,"content":7211},{"textAlign":102},[7212,7216],{"text":7213,"type":298,"marks":7214},"Préjudice ",[7215],{"type":543},{"text":7217,"type":298},": Incapacité d’une structure ou d’une fonction corporelle et/ou tout effet néfaste causés par des maladies, des blessures, de la souffrance, une incapacité ou le décès. ",{"type":15,"attrs":7219,"content":7220},{"textAlign":102},[7221,7225],{"text":7222,"type":298,"marks":7223},"Prestataires ",[7224],{"type":543},{"text":7226,"type":298},": Terme qui désigne les médecins, les professionnels de la santé, les membres du personnel non réglementé et les autres membres du personnel qui participent à la prestation des soins de santé. ",{"type":15,"attrs":7228,"content":7229},{"textAlign":102},[7230,7234],{"text":7231,"type":298,"marks":7232},"Résilience ",[7233],{"type":543},{"text":7235,"type":298},": Capacité d’un système à prévenir, détecter, réduire les risques ou le nombre d’incidents ou améliorer la situation par rapport à ceux-ci et « rebondir » afin de retrouver sa capacité initiale à fournir son cœur de services. ",{"type":15,"attrs":7237,"content":7238},{"textAlign":102},[7239,7243],{"text":7240,"type":298,"marks":7241},"Risque ",[7242],{"type":543},{"text":7244,"type":298},": Probabilité qu’un événement indésirable donné se produise pendant une certaine période ou en raison d’une certaine situation. ",{"type":15,"attrs":7246,"content":7247},{"textAlign":102},[7248,7251],{"text":76,"type":298,"marks":7249},[7250],{"type":543},{"text":7252,"type":298}," : La recherche de la réduction des pratiques des actes dangereux, l’atténuation de leurs effets, et le recours à de bonnes pratiques qui contribuent à des soins plus sécuritaires pour les patients. ",{"type":15,"attrs":7254,"content":7255},{"textAlign":102},[7256,7260],{"text":7257,"type":298,"marks":7258},"Système d’alerte précoce",[7259],{"type":543},{"text":7261,"type":298}," : Processus systémique pour évaluer et mesurer les risques de manière précoce afin de prendre des mesures préventives et réduire leurs conséquences. 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Change management for effective quality improvement: a primer. ",[12910],{"type":1453,"attrs":12911},{"color":16},{"text":12913,"type":298,"marks":12914},"American Journal of Medical Quality. ",[12915,12917],{"type":1453,"attrs":12916},{"color":16},{"type":776},{"text":12919,"type":298,"marks":12920},"2010; 25(4): 268–273. DOI: 10.1177/1062860610361625. ",[12921],{"type":1453,"attrs":12922},{"color":16},{"text":11660,"type":298,"marks":12924},[12925,12927],{"type":1453,"attrs":12926},{"color":16},{"type":543},{"text":1670,"type":298},{"type":15,"attrs":12930,"content":12931},{"textAlign":1162},[12932,12937,12945,12946,12952,12957,12962],{"text":12933,"type":298,"marks":12934},"Wallace L. 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",[13017],{"type":1453,"attrs":13018},{"color":16},{"text":13020,"type":298,"marks":13021},"Promoting health care safety through training high reliability teams",[13022,13025],{"type":557,"attrs":13023},{"href":13024,"uuid":102,"anchor":102,"custom":102,"target":102,"linktype":561},"http://qualitysafety.bmj.com/content/14/4/303.full.pdf+html?sid=fa6797d4-129b-4900-aa97-9bcba322ddca",{"type":1453,"attrs":13026},{"color":16},{"text":8018,"type":298,"marks":13028},[13029],{"type":1453,"attrs":13030},{"color":16},{"text":13032,"type":298,"marks":13033},"Qual Saf Health Care",[13034,13036],{"type":1453,"attrs":13035},{"color":16},{"type":776},{"text":13038,"type":298,"marks":13039},". 2005; 14: 303-309. doi: 10.1136/qshc.2004.010090. 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",[13148],{"type":1453,"attrs":13149},{"color":16},{"text":13151,"type":298,"marks":13152},"Disclosing Adverse Events to Patients: International norms and trends",[13153,13156,13158],{"type":557,"attrs":13154},{"href":13155,"uuid":102,"anchor":102,"custom":102,"target":102,"linktype":561},"http://www.ncbi.nlm.nih.gov/pubmed/24717530",{"type":1453,"attrs":13157},{"color":16},{"type":776},{"text":991,"type":298,"marks":13160},[13161,13163],{"type":1453,"attrs":13162},{"color":16},{"type":776},{"text":8750,"type":298,"marks":13165},[13166],{"type":1453,"attrs":13167},{"color":16},{"text":11318,"type":298,"marks":13169},[13170,13172],{"type":1453,"attrs":13171},{"color":16},{"type":543},{"text":1670,"type":298},{"type":15,"attrs":13175,"content":13176},{"textAlign":1162},[13177],{"text":13178,"type":298},"5 Million Lives Campaign. Getting started kit: Governance leadership \"boards on board\" how-to guide. Cambridge, MA: Institute for Healthcare Improvement; 2008. 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Leur engagement authentique permet de veiller à ce que les programmes et les services reflètent la diversité des besoins médicaux et sociaux des personnes aînées, et les aident ainsi à vieillir en toute sécurité et de manière autonome là où elles se sentent chez elles.",{"type":15,"attrs":13255,"content":13256},{"textAlign":1162},[13257],{"text":13258,"type":298},"En éliminant les obstacles à la participation des communautés, qu’il s’agisse d’un manque d’accès, de ressources limitées ou de défis systémiques, nous pouvons créer des solutions plus inclusives. Lorsque les personnes disposent des outils et des renseignements nécessaires pour apporter leur contribution, et qu’elles ont l’occasion de le faire, elles peuvent jouer un rôle actif dans l’amélioration des soins et du soutien aux personnes aînées, en collaboration avec ces dernières.",{"type":15,"attrs":13260,"content":13261},{"textAlign":1162},[13262],{"text":13263,"type":298},"La confiance et la collaboration sont fondamentales pour instaurer des changements durables à long terme. En encourageant la collaboration entre les organismes, les prestataires de soins, les personnes aînées et leurs communautés, nous pouvons créer des programmes qui non seulement répondent aux besoins actuels, mais continuent d’évoluer et de croître pour l’avenir.",{"_uid":13265,"image":13266,"title":13271,"content":13272,"component":6678},"fbd06607-1712-42ad-ba97-1a4a9c53b195",{"id":13267,"alt":13268,"name":16,"focus":16,"title":16,"source":16,"filename":13269,"copyright":16,"fieldtype":286,"meta_data":13270,"is_external_url":288},121671021142675,"Illustration of a healthcare worker on a computer","https://a-ca.storyblok.com/f/850807391887861/1345x1347/9a5945fc4a/healthcare-worker.webp",{"alt":13268,"title":16,"source":16,"copyright":16},"À qui s’adresse cette ressource?",[13273],{"_uid":13274,"content":13275,"component":589},"de8ebdf1-442f-418d-8887-41ee5f04c20b",{"type":12,"content":13276},[13277],{"type":545,"content":13278},[13279,13286,13293],{"type":548,"content":13280},[13281],{"type":15,"attrs":13282,"content":13283},{"textAlign":102},[13284],{"text":13285,"type":298},"Aux professionnelles et professionnels de la santé et des services sociaux (cadres des établissements de soins de longue durée, personnel de santé communautaire, responsables des politiques, etc.), qui souhaitent améliorer leurs interactions avec les personnes aînées et bâtir des relations plus solides.",{"type":548,"content":13287},[13288],{"type":15,"attrs":13289,"content":13290},{"textAlign":102},[13291],{"text":13292,"type":298},"Aux organismes et aux groupes communautaires (organismes à but non lucratif, centres pour personnes aînées, initiatives locales, etc.), qui peuvent appliquer ces stratégies pour améliorer leurs programmes et leurs partenariats.",{"type":548,"content":13294},[13295],{"type":15,"attrs":13296,"content":13297},{"textAlign":102},[13298],{"text":13299,"type":298},"Aux personnes aînées, personnes proches aidantes et responsables communautaires, dont les résidentes et résidents et les conseils, qui peuvent utiliser cette ressource pour demander des pratiques de mobilisation plus adaptées à leurs besoins et expériences.",{"_uid":13301,"image":13302,"title":13307,"content":13308,"component":6678},"b2c2d3e4-5fda-44da-bcb2-2442c1df1c8d",{"id":13303,"alt":13304,"name":16,"focus":16,"title":16,"source":16,"filename":13305,"copyright":16,"fieldtype":286,"meta_data":13306,"is_external_url":288},121671244886676,"Illustration of four case studies","https://a-ca.storyblok.com/f/850807391887861/1345x1346/594abdec42/case-studies.webp",{"alt":13304,"title":16,"source":16,"copyright":16},"À propos du projet",[13309],{"_uid":13310,"content":13311,"component":589},"d0232b43-ed93-42a4-93aa-8d93471dd383",{"type":12,"content":13312},[13313,13318,13328],{"type":15,"attrs":13314,"content":13315},{"textAlign":102},[13316],{"text":13317,"type":298},"Afin de comprendre comment la mobilisation communautaire peut soutenir les initiatives de soins aux personnes aînées et d’aide au vieillir chez soi, ESC a chargé l’unité de recherche Long-Term Care and Assisted Living de la Régie de la santé de la vallée du Fraser d’explorer la documentation et les pratiques de pointe. Ce travail a abouti à l’élaboration d’une revue métanarrative rapide et de quatre études de cas présentant des initiatives réussies d’aide au vieillir chez soi au Canada et à l’étranger.",{"type":15,"attrs":13319,"content":13320},{"textAlign":1162},[13321,13322,13326],{"text":771,"type":298},{"text":13323,"type":298,"marks":13324},"Sept éléments pour une mobilisation communautaire réussie dans les soins aux personnes aînées",[13325],{"type":776},{"text":13327,"type":298}," a été développée à la lumière des thèmes communs à ces quatre études de cas, et met en avant des approches efficaces pour impliquer les personnes aînées et améliorer les soins.",{"type":15,"attrs":13329,"content":13330},{"textAlign":1162},[13331],{"text":13332,"type":298},"Conçue pour être pratique et adaptable, elle fournit des conseils pour aider les organismes et les communautés à mettre en œuvre ces stratégies pour répondre à leurs besoins spécifiques.",{"type":12,"content":13334},[13335],{"type":15,"attrs":13336,"content":13337},{"textAlign":102},[13338,13340,13343],{"text":13339,"type":298},"Une mobilisation authentique est une première étape essentielle pour améliorer les soins et le soutien aux personnes aînées ayant divers besoins médicaux et sociaux. La ressource ",{"text":13208,"type":298,"marks":13341},[13342],{"type":776},{"text":13344,"type":298},", alignée sur l’engagement d’ESC à amplifier la voix des patientes et patients, des personnes proches aidantes et des communautés, fournit des conseils pratiques tirés d’exemples concrets au Canada et à l’étranger. Elle aide le personnel de santé, les organismes communautaires et les personnes aînées à travailler de concert pour mettre en place des programmes pérennes qui aident les personnes aînées à vieillir en toute sécurité et de manière autonome.",{"_uid":13346,"items":13347,"title":13445,"component":13446,"description":13447},"42b4e149-ff16-4980-b0ee-38770a53b580",[13348,13373,13397,13421],{"_uid":13349,"link":13350,"image":13362,"title":13364,"component":13365,"description":13366},"11e1e15b-2a39-4a05-8eac-e0eb9ed97fea",[13351],{"_uid":13352,"link":13353,"label":1993,"component":3971},"f9882759-eb56-4a84-89a2-d5f8ac214ed2",{"id":324,"url":16,"linktype":839,"fieldtype":596,"cached_url":13354,"prep":459,"story":13355},"/fr/resources/case-study-nursing-home-without-walls",{"name":13356,"id":13357,"uuid":324,"slug":13358,"url":13359,"translated_name":13360,"full_slug":13361,"_stopResolving":459},"Case Study: Nursing Home Without 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sociaux.",{"_uid":13374,"link":13375,"image":13387,"title":13389,"component":13365,"description":13390},"7e66956c-d3e8-4bfb-accc-18a18806618a",[13376],{"_uid":13377,"link":13378,"label":1993,"component":3971},"bab75697-4612-4bf9-b86a-d11ab8b6927d",{"id":323,"url":16,"linktype":839,"fieldtype":596,"cached_url":13379,"prep":459,"story":13380},"/fr/resources/case-study-naturally-occurring-retirement-communities",{"name":13381,"id":13382,"uuid":323,"slug":13383,"url":13384,"translated_name":13385,"full_slug":13386,"_stopResolving":459},"Case Study: Naturally Occurring Retirement Communities",123815915611362,"case-study-naturally-occurring-retirement-communities","resources/case-study-naturally-occurring-retirement-communities","Étude de cas : Communautés de retraite naturelle","fr/ressources/etude-de-cas-communautes-de-retraite-naturelle",{"id":102,"alt":102,"name":16,"focus":102,"title":102,"source":102,"filename":16,"copyright":102,"fieldtype":286,"meta_data":13388},{},"Communautés de retraite naturelle (CRN), Toronto",{"type":12,"content":13391},[13392],{"type":15,"attrs":13393,"content":13394},{"textAlign":102},[13395],{"text":13396,"type":298},"Une initiative collaborative conçue pour favoriser le vieillir chez soi des personnes aînées en milieu urbain en leur offrant des services à domicile.",{"_uid":13398,"link":13399,"image":13411,"title":13413,"component":13365,"description":13414},"c522285e-b7cf-43d5-a028-9701aacf63f5",[13400],{"_uid":13401,"link":13402,"label":1993,"component":3971},"90b2adc3-082b-4625-a2ef-5891abc950d2",{"id":322,"url":16,"linktype":839,"fieldtype":596,"cached_url":13403,"prep":459,"story":13404},"/fr/resources/case-study-better-at-home",{"name":13405,"id":13406,"uuid":322,"slug":13407,"url":13408,"translated_name":13409,"full_slug":13410,"_stopResolving":459},"Case Study: Better at Home",123812388140256,"case-study-better-at-home","resources/case-study-better-at-home","Étude de cas : Better at Home","fr/ressources/etude-de-cas-better-at-home",{"id":102,"alt":102,"name":16,"focus":102,"title":102,"source":102,"filename":16,"copyright":102,"fieldtype":286,"meta_data":13412},{},"Better at Home – United Way BC",{"type":12,"content":13415},[13416],{"type":15,"attrs":13417,"content":13418},{"textAlign":102},[13419],{"text":13420,"type":298},"Un programme provincial offrant un soutien non médical personnalisé aux personnes aînées pour les aider à rester plus longtemps chez elles et dans leur communauté.",{"_uid":13422,"link":13423,"image":13435,"title":13437,"component":13365,"description":13438},"ed65a711-9e78-45d0-972e-adf3da539698",[13424],{"_uid":13425,"link":13426,"label":1993,"component":3971},"730ccf8a-0027-4041-a279-cc19851ab006",{"id":325,"url":16,"linktype":839,"fieldtype":596,"cached_url":13427,"prep":459,"story":13428},"/fr/resources/Case-Study-Sammen",{"name":13429,"id":13430,"uuid":325,"slug":13431,"url":13432,"translated_name":13433,"full_slug":13434,"_stopResolving":459},"Case Study: Sammen om Rødovre",121672538043216,"Case-Study-Sammen","resources/Case-Study-Sammen","Étude de cas : Sammen","fr/ressources/etude-de-cas-sammen",{"id":102,"alt":102,"name":16,"focus":102,"title":102,"source":102,"filename":16,"copyright":102,"fieldtype":286,"meta_data":13436},{},"Sammen om Rødovre – Ensemble avec les citoyennes et citoyens aînés, Danemark",{"type":12,"content":13439},[13440],{"type":15,"attrs":13441,"content":13442},{"textAlign":102},[13443],{"text":13444,"type":298},"Une approche dirigée par la communauté et axée sur des partenariats inclusifs et équitables pour favoriser le vieillir chez soi.","Quatre études de cas réels témoignant d’une mobilisation communautaire réussie","ressources-redirection",{"type":12,"content":13448},[13449,13454],{"type":15,"attrs":13450,"content":13451},{"textAlign":102},[13452],{"text":13453,"type":298},"L’unité de recherche Long-Term Care and Assisted Living de la Régie de la santé de la vallée du Fraser a sélectionné trois études de cas au Canada et une au Danemark, reconnues comme des exemples novateurs et remarquables de mobilisation des personnes aînées et d’aide au vieillir chez soi. Ces études de cas présentent des approches efficaces et éprouvées pour établir des partenariats solides et durables entre les personnes aînées et les organismes.",{"type":15,"attrs":13455,"content":13456},{"textAlign":102},[13457,13459,13462],{"text":13458,"type":298},"Explorez ces exemples concrets des ",{"text":13208,"type":298,"marks":13460},[13461],{"type":776},{"text":13463,"type":298},", et découvrez comment différentes stratégies permettent de les concrétiser, de favoriser le vieillir chez soi et d’ouvrir des perspectives pour votre communauté.",{"_uid":13465,"content":13466,"component":599},"f64829b3-facf-4417-8049-3a8acef7837b",[13467,13516],{"_uid":13468,"content":13469,"component":589},"a00801af-33a5-4f6b-8c2a-873bc4100b1c",{"type":12,"content":13470},[13471,13478,13483,13488,13493],{"type":535,"attrs":13472,"content":13473},{"level":537,"textAlign":1162},[13474],{"text":13475,"type":298,"marks":13476},"Examen approfondi des données probantes",[13477],{"type":543},{"type":15,"attrs":13479,"content":13480},{"textAlign":1162},[13481],{"text":13482,"type":298},"Au-delà des stratégies mises en avant dans les quatre études de cas, l’équipe du projet a reconnu l’intérêt d’explorer plus largement la littérature dans divers domaines afin de comprendre les facteurs d’une mobilisation communautaire réussie dans les soins aux personnes aînées.",{"type":15,"attrs":13484,"content":13485},{"textAlign":1162},[13486],{"text":13487,"type":298},"Pour soutenir cette démarche, le groupe de recherche Long-Term Care and Assisted Living de la Régie de la santé de la vallée du Fraser a mené une revue métanarrative rapide (en anglais), qui a abouti à un rapport complet sur les leviers d’une mobilisation communautaire réussie dans les soins aux personnes aînées. Ces travaux rassemblent des perspectives issues de différents domaines et fournissent des outils utiles, des grands principes et des exemples concrets pour vous aider à lancer, à améliorer ou à pérenniser des initiatives de mobilisation auprès des personnes aînées.",{"type":15,"attrs":13489,"content":13490},{"textAlign":1162},[13491],{"text":13492,"type":298},"Consultez le résumé de la revue ou lisez le rapport complet pour découvrir des données probantes sur divers sujets :",{"type":545,"content":13494},[13495,13502,13509],{"type":548,"content":13496},[13497],{"type":15,"attrs":13498,"content":13499},{"textAlign":102},[13500],{"text":13501,"type":298},"Les principes directeurs de la mobilisation communautaire",{"type":548,"content":13503},[13504],{"type":15,"attrs":13505,"content":13506},{"textAlign":102},[13507],{"text":13508,"type":298},"Diverses approches et étapes relatives à votre parcours de mobilisation communautaire",{"type":548,"content":13510},[13511],{"type":15,"attrs":13512,"content":13513},{"textAlign":102},[13514],{"text":13515,"type":298},"Des méthodes, outils et ressources pratiques pour mobiliser la communauté",{"_uid":13517,"file":13518,"link":13520,"label":13522,"linkType":557,"component":597,"linkLabel":13523},"ed860d8a-2c8a-4e95-8780-e6c50c971363",{"id":102,"alt":102,"name":16,"focus":102,"title":102,"source":102,"filename":16,"copyright":102,"fieldtype":286,"meta_data":13519},{},{"id":16,"url":13521,"target":560,"linktype":561,"fieldtype":596,"cached_url":13521},"https://fraserhealth.ca/Community-engagement-for-care-of-older-adults-report","Revue métanarrative rapide (en anglais)","Lire la revue",{"id":16,"_uid":13525,"items":13526,"title":13614,"component":13615,"description":13616},"ada9d5e5-3b87-497e-b53b-b349f42e6424",[13527,13542,13554,13566,13578,13590,13602],{"_uid":13528,"image":13529,"title":13533,"component":13534,"description":13535},"5d142905-4519-4d36-ae29-d8148e27af7e",{"id":13530,"alt":16,"name":16,"focus":16,"title":16,"source":16,"filename":13531,"copyright":16,"fieldtype":286,"meta_data":13532,"is_external_url":288},119537678778928,"https://a-ca.storyblok.com/f/850807391887861/600x600/c301964117/checkmark-icon.png",{},"Donner un rôle central aux personnes aînées et à leurs partenaires de soins","small-text-image-item",{"type":12,"content":13536},[13537],{"type":15,"attrs":13538,"content":13539},{"textAlign":102},[13540],{"text":13541,"type":298},"permet d’établir un objectif commun : répondre aux besoins réels, et non perçus, des personnes aînées pour améliorer leur bien-être.",{"_uid":13543,"image":13544,"title":13546,"component":13534,"description":13547},"4332ad45-a48e-43d4-aacb-8d8ff05e2441",{"id":13530,"alt":16,"name":16,"focus":16,"title":16,"source":16,"filename":13531,"copyright":16,"fieldtype":286,"meta_data":13545,"is_external_url":288},{},"L’inclusivité ",{"type":12,"content":13548},[13549],{"type":15,"attrs":13550,"content":13551},{"textAlign":102},[13552],{"text":13553,"type":298},"vise à offrir un accès équitable et à réduire les obstacles à la participation.",{"_uid":13555,"image":13556,"title":13558,"component":13534,"description":13559},"194a6348-abc8-4673-af17-c0a6e15efe0a",{"id":13530,"alt":16,"name":16,"focus":16,"title":16,"source":16,"filename":13531,"copyright":16,"fieldtype":286,"meta_data":13557,"is_external_url":288},{},"Le respect et la compréhension",{"type":12,"content":13560},[13561],{"type":15,"attrs":13562,"content":13563},{"textAlign":102},[13564],{"text":13565,"type":298},"renforcent la compassion parmi les partenaires, conformément aux pratiques tenant compte des traumatismes.",{"_uid":13567,"image":13568,"title":13570,"component":13534,"description":13571},"585019a8-ef4a-49c5-9010-671102877e38",{"id":13530,"alt":16,"name":16,"focus":16,"title":16,"source":16,"filename":13531,"copyright":16,"fieldtype":286,"meta_data":13569,"is_external_url":288},{},"La confiance ",{"type":12,"content":13572},[13573],{"type":15,"attrs":13574,"content":13575},{"textAlign":102},[13576],{"text":13577,"type":298},"dans la fiabilité et la sincérité d’autrui est essentielle à l’échange d’informations, de ressources et d’expertise.",{"_uid":13579,"image":13580,"title":13582,"component":13534,"description":13583},"b930fbe0-c818-42e7-8998-2d4bfbac0eea",{"id":13530,"alt":16,"name":16,"focus":16,"title":16,"source":16,"filename":13531,"copyright":16,"fieldtype":286,"meta_data":13581,"is_external_url":288},{},"L’optimisation des ressources ",{"type":12,"content":13584},[13585],{"type":15,"attrs":13586,"content":13587},{"textAlign":102},[13588],{"text":13589,"type":298},"est capitale pour encourager les partenaires à échanger des informations, des ressources et de l’expertise, et ce, afin d’accomplir les tâches et les objectifs et d’économiser du temps et de l’argent.",{"_uid":13591,"image":13592,"title":13594,"component":13534,"description":13595},"d9d04d61-a9d3-4389-b442-9de83817bd48",{"id":13530,"alt":16,"name":16,"focus":16,"title":16,"source":16,"filename":13531,"copyright":16,"fieldtype":286,"meta_data":13593,"is_external_url":288},{},"Des attentes et des objectifs communs",{"type":12,"content":13596},[13597],{"type":15,"attrs":13598,"content":13599},{"textAlign":102},[13600],{"text":13601,"type":298},"favorisent la cohésion du groupe dans le cadre de collaborations communautaires interorganismes.",{"_uid":13603,"image":13604,"title":13606,"component":13534,"description":13607},"8feb75b1-a885-4185-9fa6-da58be9bc7f0",{"id":13530,"alt":16,"name":16,"focus":16,"title":16,"source":16,"filename":13531,"copyright":16,"fieldtype":286,"meta_data":13605,"is_external_url":288},{},"Une communication efficace",{"type":12,"content":13608},[13609],{"type":15,"attrs":13610,"content":13611},{"textAlign":102},[13612],{"text":13613,"type":298},"appuie l’échange d’informations et d’idées indispensable à toute collaboration communautaire favorable aux personnes aînées.","Résumé de la revue","small-text-image",{"type":12,"content":13617},[13618,13623],{"type":15,"attrs":13619,"content":13620},{"textAlign":102},[13621],{"text":13622,"type":298},"L’adoption de pratiques prometteuses de mobilisation communautaire pour les soins aux personnes aînées constitue une occasion d’optimiser les ressources, d’échanger des connaissances et de faire progresser les initiatives favorisant le vieillir chez soi dans la communauté. Cette revue rapide visait à déterminer comment préparer, mettre en œuvre et pérenniser avec succès la mobilisation de la communauté et des organismes communautaires dans le domaine des soins aux personnes aînées. Elle propose des approches, des pratiques et des principes directeurs éclairés par des données probantes, ainsi que des liens vers des ressources et des outils pratiques de mobilisation communautaire.",{"type":535,"attrs":13624,"content":13625},{"level":959,"textAlign":1162},[13626],{"text":13627,"type":298,"marks":13628},"Principes directeurs de la mobilisation communautaire :",[13629],{"type":543},{"_uid":13631,"content":13632,"component":599},"d1213d74-13cb-47b9-b60e-badb2b96105e",[13633],{"_uid":13634,"content":13635,"component":589},"cbaf25d5-cce2-4ab1-ab03-fe8a7cf56c96",{"type":12,"content":13636},[13637,13642,13647,13652,13657,13695,13700,13705,13795,13800,13805,13810,13815,13820,13825,13830,13835],{"type":535,"attrs":13638,"content":13639},{"level":537,"textAlign":1162},[13640],{"text":13641,"type":298},"Méthodes",{"type":15,"attrs":13643,"content":13644},{"textAlign":1162},[13645],{"text":13646,"type":298},"Une analyse contextuelle et une revue rapide ont été réalisées entre novembre 2023 et mars 2024. En utilisant la méthode du métarécit, l’équipe a recensé, analysé et synthétisé des publications de divers domaines traitant de la mobilisation communautaire pour les soins aux personnes aînées. Au total, 98 sources (61 issues de la recherche et 37 de la littérature grise) ont été incluses dans la revue. Les résultats ont été présentés de façon à correspondre aux thèmes prédominants de la littérature et évalués par les partenaires.",{"type":535,"attrs":13648,"content":13649},{"level":959,"textAlign":1162},[13650],{"text":13651,"type":298},"Approches de mobilisation communautaire",{"type":15,"attrs":13653,"content":13654},{"textAlign":1162},[13655],{"text":13656,"type":298},"Cette revue rapide a mis en évidence trois approches clés en matière de mobilisation communautaire.",{"type":13658,"attrs":13659,"content":13661},"ordered_list",{"order":13660},1,[13662,13673,13684],{"type":548,"content":13663},[13664],{"type":15,"attrs":13665,"content":13666},{"textAlign":102},[13667,13671],{"text":13668,"type":298,"marks":13669}," Développement communautaire fondé sur les atouts",[13670],{"type":543},{"text":13672,"type":298}," : cette approche s’appuie sur les liens sociaux et la mobilisation du capital social pour permettre aux communautés de favoriser le changement désiré en repérant, en reliant et en utilisant les atouts existants.",{"type":548,"content":13674},[13675],{"type":15,"attrs":13676,"content":13677},{"textAlign":102},[13678,13682],{"text":13679,"type":298,"marks":13680},"Innovations sociales communautaires",[13681],{"type":543},{"text":13683,"type":298}," : cette approche promeut des innovations qui aident les personnes aînées à prendre soin d’elles-mêmes et de leurs pairs, et renforcent la cohésion sociale et l’inclusivité.",{"type":548,"content":13685},[13686],{"type":15,"attrs":13687,"content":13688},{"textAlign":102},[13689,13693],{"text":13690,"type":298,"marks":13691},"Recherche ouverte en innovation",[13692],{"type":543},{"text":13694,"type":298}," : cette approche fait appel à un processus d’innovation dans une optique de cocréation avec des utilisateurs finaux et utilisatrices finales (personnes aînées, partenaires de soins, communauté et organismes communautaires).",{"type":535,"attrs":13696,"content":13697},{"level":959,"textAlign":1162},[13698],{"text":13699,"type":298},"Pratiques de mobilisation des communautés",{"type":15,"attrs":13701,"content":13702},{"textAlign":1162},[13703],{"text":13704,"type":298},"Ces approches mettent en évidence de nombreuses pratiques de mobilisation, notamment :",{"type":545,"content":13706},[13707,13718,13729,13740,13751,13762,13773,13784],{"type":548,"content":13708},[13709],{"type":15,"attrs":13710,"content":13711},{"textAlign":102},[13712,13716],{"text":13713,"type":298,"marks":13714},"la cartographie des atouts",[13715],{"type":543},{"text":13717,"type":298},", qui permet aux communautés de recenser, de décrire et, souvent, d’illustrer leurs forces et atouts sur une carte;",{"type":548,"content":13719},[13720],{"type":15,"attrs":13721,"content":13722},{"textAlign":102},[13723,13727],{"text":13724,"type":298,"marks":13725},"l’évaluation des besoins",[13726],{"type":543},{"text":13728,"type":298},", qui fournit de l’information sur les problèmes ou les besoins sociaux de la communauté et détermine les problèmes à traiter en priorité;",{"type":548,"content":13730},[13731],{"type":15,"attrs":13732,"content":13733},{"textAlign":102},[13734,13738],{"text":13735,"type":298,"marks":13736},"le plan d’action communautaire en matière de mobilisation",[13737],{"type":543},{"text":13739,"type":298},", qui établit des buts et des objectifs afin de mieux prioriser les besoins de la communauté. Le plan d’action peut relever d’un plan stratégique général pour la communauté ou de mesures liées à l’initiative qui peuvent être combinées aux priorités et processus existants;",{"type":548,"content":13741},[13742],{"type":15,"attrs":13743,"content":13744},{"textAlign":102},[13745,13749],{"text":13746,"type":298,"marks":13747},"les championnes et champions",[13748],{"type":543},{"text":13750,"type":298},", soit les personnes au sein et hors des communautés qui appuient et maintiennent l’élan de l’initiative;",{"type":548,"content":13752},[13753],{"type":15,"attrs":13754,"content":13755},{"textAlign":102},[13756,13760],{"text":13757,"type":298,"marks":13758},"les comités directeurs de personnes aînées",[13759],{"type":543},{"text":13761,"type":298},", qui créent des structures, comme un conseil consultatif composé de personnes aînées ou de leurs partenaires de soins au sein de la communauté, pour orienter les initiatives de façon à ce qu’elles suivent les besoins de leur communauté;",{"type":548,"content":13763},[13764],{"type":15,"attrs":13765,"content":13766},{"textAlign":102},[13767,13771],{"text":13768,"type":298,"marks":13769},"la mobilisation systémique",[13770],{"type":543},{"text":13772,"type":298},", soit la participation d’entités gouvernementales municipales, provinciales ou fédérales dans le cadre d’une approche collaborative;",{"type":548,"content":13774},[13775],{"type":15,"attrs":13776,"content":13777},{"textAlign":102},[13778,13782],{"text":13779,"type":298,"marks":13780},"la cocréation",[13781],{"type":543},{"text":13783,"type":298},", soit la mobilisation d’utilisateurs finaux ou d’utilisatrices finales dans l’élaboration et la mise en œuvre d’idées et de concepts axés sur l’amélioration de la qualité de vie des personnes aînées;",{"type":548,"content":13785},[13786],{"type":15,"attrs":13787,"content":13788},{"textAlign":102},[13789,13793],{"text":13790,"type":298,"marks":13791},"le capital social",[13792],{"type":543},{"text":13794,"type":298},", soit le fait de tirer profit des réseaux de relations existants dans une société afin de permettre aux personnes de collaborer en vue d’un objectif commun.",{"type":535,"attrs":13796,"content":13797},{"level":959,"textAlign":1162},[13798],{"text":13799,"type":298},"Phases du parcours de mobilisation",{"type":15,"attrs":13801,"content":13802},{"textAlign":1162},[13803],{"text":13804,"type":298},"La littérature met en évidence des phases distinctes de mobilisation dans le cadre des initiatives. Préparation : mobiliser en priorité les personnes aînées et leurs partenaires de soins est un point de départ essentiel des initiatives favorisant le vieillir chez soi. Il est également fondamental d’établir des priorités pour mettre sur pied des initiatives aux cibles précises. Le recours à des outils comme la cartographie des atouts et l’évaluation des besoins peut s’avérer utile. Une fois que les priorités ont été établies, il est temps d’identifier les parties prenantes clés à mobiliser à titre de partenaires dans l’initiative.",{"type":535,"attrs":13806,"content":13807},{"level":4334,"textAlign":1162},[13808],{"text":13809,"type":298},"Mise en œuvre",{"type":15,"attrs":13811,"content":13812},{"textAlign":1162},[13813],{"text":13814,"type":298},"Un leadership à plusieurs niveaux et une vision commune garantissent l’engagement et l’alignement sur des objectifs communs pour la mise en œuvre. La réussite de la mise en œuvre repose sur une bonne gestion des conflits et des relations positives lors de l’établissement de partenariats diversifiés. En outre, les obstacles interorganismes devraient être réduits de façon proactive. La création d’un comité directeur diversifié et favorable aux personnes aînées qui tire parti du vécu expérientiel et veille à la mobilisation continue des membres de la communauté tout au long de l’initiative en facilitera la gouvernance et la gestion. L’utilisation d’indicateurs d’évaluation lors de la phase de mise en œuvre est essentielle pour mesurer le succès de l’initiative visant à favoriser le vieillir chez soi.",{"type":535,"attrs":13816,"content":13817},{"level":4334,"textAlign":1162},[13818],{"text":13819,"type":298},"Pérennisation",{"type":15,"attrs":13821,"content":13822},{"textAlign":1162},[13823],{"text":13824,"type":298},"La mobilisation de championnes et champions communautaires et la pérennisation de partenariats diversifiés sont essentielles pour maintenir l’élan de l’initiative visant à favoriser le vieillir chez soi. Une mobilisation directe forte à l’échelle municipale, notamment par l’intégration des initiatives au sein des administrations locales, appuie une mobilisation systémique continue. Une pérennisation réussie repose sur des sources de financement variées et l’élimination proactive des obstacles interorganismes. Enfin, et surtout, la pérennisation est assurée par l’évaluation et le suivi des progrès, qui permettent de démontrer la valeur de l’initiative.",{"type":15,"attrs":13826,"content":13827},{"textAlign":1162},[13828],{"text":13829,"type":298},"Veuillez consulter le schéma dans le rapport final pour une représentation visuelle des liens et recoupements entre les approches, les pratiques et les phases.",{"type":535,"attrs":13831,"content":13832},{"level":959,"textAlign":1162},[13833],{"text":13834,"type":298},"Ressources et outils",{"type":15,"attrs":13836,"content":13837},{"textAlign":1162},[13838],{"text":13839,"type":298},"Ce rapport fournit un tableau abrégé de 27 sources issues de la revue, offrant un aperçu et des liens vers des outils et des ressources utiles. Consultez ce tableau pour accéder rapidement à des outils pratiques et concrets classés selon la phase du parcours de mobilisation (préparation, mise en œuvre et pérennisation), l’approche de mobilisation communautaire (développement communautaire fondé sur les atouts, innovations sociales communautaires et recherche ouverte en innovation) et le type de source (répertoire de ressources en ligne, trousses d’outils et études de cas). Le tableau présente d’abord des ressources générales, puis des outils plus spécialisés pour chaque approche, pratique ou phase de mobilisation. Sont incluses des ressources nationales (gouvernement du Canada, Agence de la santé publique du Canada, Centraide, etc.) et internationales (Organisation mondiale de la Santé, Nations Unies, etc.).",{"_uid":13841,"content":13842,"component":599},"548f8760-df10-4911-9ae9-401bd7e2340e",[13843,13868],{"_uid":13844,"content":13845,"component":589},"5fb21da2-524b-40ca-b42b-d44d0847e094",{"type":12,"content":13846},[13847,13853,13858,13863],{"type":535,"attrs":13848,"content":13849},{"level":537,"textAlign":1162},[13850],{"text":1951,"type":298,"marks":13851},[13852],{"type":543},{"type":15,"attrs":13854,"content":13855},{"textAlign":1162},[13856],{"text":13857,"type":298},"Janice Sorensen, Ian Fyffe, Sherin Jamal, Kirsten Rossiter, Leah Coppella, Benajir Shams, Paulina Santaella, Simran Dhadda, Catherine Youngren, Karim Chagani, Satinder Jassal, Annette Berndt et Sultan Akba.",{"type":15,"attrs":13859,"content":13860},{"textAlign":1162},[13861],{"text":13862,"type":298},"Carol Fancott, Miranda Saroli et Adrienne Zarem.",{"type":15,"attrs":13864,"content":13865},{"textAlign":1162},[13866],{"text":13867,"type":298},"Suzanne Dupuis, Shoshana Hahn-Goldberg, Lisa Meschino, Bobbi Symes, Beverley Pitman, Marcy Cohen, Laura Kadowaki, Annie Arnoldsen Petersen et Lotte Kragh.",{"_uid":13869,"file":13870,"link":13872,"label":13208,"linkType":842,"component":597,"linkLabel":16},"93fd31fc-9fa0-4633-8e06-c2ba5a12241f",{"id":13218,"alt":13219,"name":16,"focus":16,"title":13219,"source":16,"filename":13220,"copyright":16,"fieldtype":286,"meta_data":13871,"is_external_url":288},{},{"id":16,"url":16,"linktype":839,"fieldtype":596,"cached_url":840,"prep":459},{"cta":13874,"_uid":13887,"items":13888,"title":13892,"component":1009},[13875],{"_uid":13876,"link":13877,"label":13886,"component":1005},"b7e91ac3-6edf-4abe-95d0-cccb83fe346e",{"id":13878,"url":16,"linktype":839,"fieldtype":596,"cached_url":13879,"prep":459,"story":13880},"0bcf270b-ea15-44cb-9887-b2d44e5d49b1","/fr/programs/",{"name":13881,"id":13882,"uuid":13878,"slug":13883,"url":13884,"full_slug":13885,"_stopResolving":459},"Programs",118076890587396,"programs","programs/","fr/programmes/","Voir tous les programmes","c54f939b-9885-43e3-abb6-6505eb83ec40",[13889,13890,13891],"92479fac-7b41-4f7b-85e8-365d7630a9b2","55ec5ec1-cdad-4ca3-8923-16d512d9201d","23a32a2d-928f-4e3f-acc8-9e56903354e5","Programmes connexes",{"cta":13894,"_uid":13899,"items":13900,"title":1008,"component":1009},[13895],{"_uid":13896,"link":13897,"label":1004,"component":1005},"e662457b-d61a-4c32-bee9-bc16bab118d3",{"id":272,"url":16,"linktype":839,"fieldtype":596,"cached_url":1002,"prep":459,"story":13898},{"name":267,"id":271,"uuid":272,"slug":455,"url":465,"full_slug":456,"_stopResolving":459},"b3918bf0-b86b-487d-bb1d-7f605fbe690c",[339,412,377],[113,141,148],[198,190,183],"seven-elements-for-successful-community-engagement-in-the-care-of-older-adults","fr/ressources/sept-elements-essentiels-a-une-mobilisation-communautaire-reussie-dans-les-soins-aux-personnes-ainees",-13810,[],{"parent_slug":455,"umbraco_path":13908,"umbraco_uuid":13909},"/HealthcareExcellenceCanada/Resources/SevenElementsForSuccessfulCommunityEngagementInTheCareOfOlderAdults","1b6c9338-14fa-4d99-95dd-f1608e06550b","a60646fb-74db-41d4-96eb-a4e985046bab","2025-11-18T18:59:59.176Z",[],"resources/seven-elements-for-successful-community-engagement-in-the-care-of-older-adults",[13915],{"path":13916,"name":13208,"lang":463,"published":459},"ressources/sept-elements-essentiels-a-une-mobilisation-communautaire-reussie-dans-les-soins-aux-personnes-ainees",206,1783024440920]