we are now at take off
TRANSCRIPT
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We are now at take off
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nements indésirables (mortalité & morbidithôpitaux selon les pays
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48% problèmes communication
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Etude de cas
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onatologues non informés
Absence de préparation de la salle de r
Manque de matériel (qui fait quoi?)
rences
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Indirecte: par programmation
avance des tâches
� Directe: par feed
Echanges dtemps r
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protocolesCahiers de procédureOrdres de service
Programme opératoire
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Chef de clinique-Etudiantre chef-infirmière en formation
Ajustements mutuels (rapport non-hiétudiants en médecine
decins consultants-médecin du service
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RUPTURERUPTURE
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Changements d’équipe jour/nuitChangements liés au début de l’année acadéChangements d’unité; d’établissement
quipe (rupture interprofessionnelle)
RUPTURERUPTURE
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Association between cross-coverage and potentially preventable adverse events*
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Undesirable events
Evolution au cours de l’année
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70% des accidents et erreurs médicales en obst
Ils surviennent dans des situation de rupture dans les routines, les lieux et lors de travaux en
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