{"id":183,"date":"2024-03-18T12:08:27","date_gmt":"2024-03-18T11:08:27","guid":{"rendered":"https:\/\/www.hopital-lanmeur.fr\/?page_id=183"},"modified":"2026-09-09T12:11:59","modified_gmt":"2026-09-09T10:11:59","slug":"la-demarche-qualite","status":"publish","type":"page","link":"https:\/\/hopital-lanmeur.fr\/index.php\/la-demarche-qualite\/","title":{"rendered":"La d\u00e9marche qualit\u00e9"},"content":{"rendered":"\n<h4 class=\"wp-block-heading has-vivid-red-color has-text-color has-link-color has-x-large-font-size wp-elements-1\">L&rsquo;am\u00e9lioration de la qualit\u00e9 des soins et de la s\u00e9curit\u00e9 des patients et des r\u00e9sidents sont au c\u0153ur de nos pratiques.<\/h4>\n\n\n\n<h2 class=\"wp-block-heading filet-sur-titre-bleu-clair has-bleu-color has-text-color has-link-color wp-elements-2\">La politique Qualit\u00e9 et Gestion des risques<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">D\u00e8s 2011, l&rsquo;\u00e9tablissement a d\u00e9fini et mis en place une politique qualit\u00e9 et gestion des risques.                                                                                                                                                   Cette politique a aujourd&rsquo;hui pour objectif : <\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>De structurer et de p\u00e9renniser la d\u00e9marche \u00ab\u00a0Qualit\u00e9 et Gestion des Risques\u00a0\u00bb<\/li>\n\n\n\n<li>D&rsquo;inciter les professionnels \u00e0 \u00eatre acteur de cette politique<\/li>\n\n\n\n<li>De renforcer la satisfaction des patients et des usagers en \u00e9tant \u00e0 leur \u00e9coute<\/li>\n\n\n\n<li>D&rsquo;am\u00e9liorer la s\u00e9curit\u00e9 et la prise en charge du patient.<\/li>\n\n\n\n<li>D&rsquo;am\u00e9liorer la qualit\u00e9 de vie au travail pour am\u00e9liorer la qualit\u00e9 des soins.<\/li>\n\n\n\n<li>D&rsquo;accentuer la d\u00e9marche de d\u00e9veloppement durable.<\/li>\n<\/ul>\n\n\n\n<div style=\"height:52px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<hr class=\"wp-block-separator has-text-color has-ast-global-color-7-color has-alpha-channel-opacity has-ast-global-color-7-background-color has-background is-style-wide\"\/>\n\n\n\n<h2 class=\"wp-block-heading filet-sur-titre-bleu-clair has-bleu-color has-text-color has-link-color wp-elements-3\">La certification du service de M\u00e9decine\/SMR<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">En 2024, le Centre Hospitalier a \u00e9t\u00e9 certifi\u00e9 par la Haute Autorit\u00e9 de Sant\u00e9 : \u00ab\u00a0Qualit\u00e9 des Soins Confirm\u00e9e\u00a0\u00bb  : <strong><a href=\"https:\/\/www.has-sante.fr\/upload\/docs\/application\/pdf\/2024-03\/rapport_de_certification_cqss_-_30991.pdf\">consultez le rapport.<\/a><\/strong><\/p>\n\n\n\n<div class=\"wp-block-group alignfull is-layout-constrained wp-block-group-is-layout-constrained\">\n<div class=\"wp-block-columns alignfull is-layout-flex wp-container-core-columns-is-layout-7387b849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:66.66%\">\n<figure class=\"wp-block-image aligncenter size-medium is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"215\" height=\"300\" src=\"https:\/\/hopital-lanmeur.fr\/wp-content\/uploads\/2024\/03\/Macaron-de-niveau-de-certification-1-1-215x300.png\" alt=\"\" class=\"wp-image-343\" style=\"aspect-ratio:0.7166884531590414;width:223px;height:auto\" srcset=\"https:\/\/hopital-lanmeur.fr\/wp-content\/uploads\/2024\/03\/Macaron-de-niveau-de-certification-1-1-215x300.png 215w, https:\/\/hopital-lanmeur.fr\/wp-content\/uploads\/2024\/03\/Macaron-de-niveau-de-certification-1-1-733x1024.png 733w, https:\/\/hopital-lanmeur.fr\/wp-content\/uploads\/2024\/03\/Macaron-de-niveau-de-certification-1-1-768x1073.png 768w, https:\/\/hopital-lanmeur.fr\/wp-content\/uploads\/2024\/03\/Macaron-de-niveau-de-certification-1-1-1099x1536.png 1099w, https:\/\/hopital-lanmeur.fr\/wp-content\/uploads\/2024\/03\/Macaron-de-niveau-de-certification-1-1.png 1395w\" sizes=\"auto, (max-width: 215px) 100vw, 215px\" \/><\/figure>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Les \u00e9valuations par les Experts visiteurs de la HAS se font<strong> tous les 4 ans.<\/strong><\/p>\n\n\n\n<div style=\"height:49px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<hr class=\"wp-block-separator has-text-color has-ast-global-color-7-color has-alpha-channel-opacity has-ast-global-color-7-background-color has-background is-style-wide\"\/>\n\n\n\n<h2 class=\"wp-block-heading filet-sur-titre-bleu-clair has-bleu-color has-text-color has-link-color wp-elements-4\">L&rsquo;\u00e9valuation de l&rsquo;EHPAD, de l&rsquo;accueil de jour et du SAD (ex-SSIAD)<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Ces trois services ont \u00e9t\u00e9 \u00e9valu\u00e9s en 2014 dans le cadre d&rsquo;une \u00e9valuation externe.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Cette \u00e9valuation a port\u00e9 sur le management, les droits des usagers, la politique de bientraitance, la prise en charge de l&rsquo;usager et la d\u00e9marche qualit\u00e9. Au regard de ces diff\u00e9rents axes, les services ont \u00e9t\u00e9 \u00e9valu\u00e9s avec les niveaux de qualit\u00e9 ci-dessous :<\/p>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-7387b849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-thumbnail is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/hopital-lanmeur.fr\/wp-content\/uploads\/2024\/03\/1-3-150x150.png\" alt=\"\" class=\"wp-image-304\" style=\"width:188px;height:188px\" srcset=\"https:\/\/hopital-lanmeur.fr\/wp-content\/uploads\/2024\/03\/1-3-150x150.png 150w, https:\/\/hopital-lanmeur.fr\/wp-content\/uploads\/2024\/03\/1-3-300x300.png 300w, https:\/\/hopital-lanmeur.fr\/wp-content\/uploads\/2024\/03\/1-3-1024x1024.png 1024w, https:\/\/hopital-lanmeur.fr\/wp-content\/uploads\/2024\/03\/1-3-768x768.png 768w, https:\/\/hopital-lanmeur.fr\/wp-content\/uploads\/2024\/03\/1-3.png 1080w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-thumbnail is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/hopital-lanmeur.fr\/wp-content\/uploads\/2024\/03\/2-3-150x150.png\" alt=\"\" class=\"wp-image-305\" style=\"width:188px;height:188px\" srcset=\"https:\/\/hopital-lanmeur.fr\/wp-content\/uploads\/2024\/03\/2-3-150x150.png 150w, https:\/\/hopital-lanmeur.fr\/wp-content\/uploads\/2024\/03\/2-3-300x300.png 300w, https:\/\/hopital-lanmeur.fr\/wp-content\/uploads\/2024\/03\/2-3-1024x1024.png 1024w, https:\/\/hopital-lanmeur.fr\/wp-content\/uploads\/2024\/03\/2-3-768x768.png 768w, https:\/\/hopital-lanmeur.fr\/wp-content\/uploads\/2024\/03\/2-3.png 1080w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-thumbnail is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/hopital-lanmeur.fr\/wp-content\/uploads\/2024\/03\/3-4-150x150.png\" alt=\"\" class=\"wp-image-306\" style=\"width:188px;height:188px\" srcset=\"https:\/\/hopital-lanmeur.fr\/wp-content\/uploads\/2024\/03\/3-4-150x150.png 150w, https:\/\/hopital-lanmeur.fr\/wp-content\/uploads\/2024\/03\/3-4-300x300.png 300w, https:\/\/hopital-lanmeur.fr\/wp-content\/uploads\/2024\/03\/3-4-1024x1024.png 1024w, https:\/\/hopital-lanmeur.fr\/wp-content\/uploads\/2024\/03\/3-4-768x768.png 768w, https:\/\/hopital-lanmeur.fr\/wp-content\/uploads\/2024\/03\/3-4.png 1080w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/figure>\n<\/div>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Une nouvelle \u00e9valuation est pr\u00e9vue en 2027.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-text-color has-ast-global-color-7-color has-alpha-channel-opacity has-ast-global-color-7-background-color has-background is-style-wide\"\/>\n\n\n\n<h2 class=\"wp-block-heading filet-sur-titre-bleu-clair has-bleu-color has-text-color has-link-color wp-elements-5\">Indicateurs de Qualit\u00e9 et de S\u00e9curit\u00e9 des Soins (IQSS)<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Chaque ann\u00e9e l&rsquo;\u00e9tablissement doit renseigner des Indicateurs Qualit\u00e9 et S\u00e9curit\u00e9 des Soins (IQSS) fix\u00e9s par le Minist\u00e8re de la Sant\u00e9 et la HAS.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.has-sante.fr\/jcms\/806_FicheEtablissement\/fr\/centre-hospitalier-lanmeur#certifAnchor\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>Consultez les r\u00e9sultats des IQSS du Centre Hospitalier de Lanmeur sur le site de la HAS.<\/strong><\/a><\/p>\n\n\n\n<p class=\"has-medium-font-size wp-block-paragraph\"><strong>Dans le cadre du recueil des indicateurs nous sommes amen\u00e9s cependant \u00e0 renseigner des donn\u00e9es qui concernent votre accompagnement et votre prise en charge. <mark style=\"background-color:rgba(0, 0, 0, 0);color:#cf2e2e\" class=\"has-inline-color\">Vous pouvez \u00e0 tout moment vous opposer \u00e0 l\u2019utilisation de vos donn\u00e9es personnelles.<\/mark> Faites-le savoir aux professionnels, oralement ou par \u00e9crit, qui le noteront dans votre dossier.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Acc\u00e9der \u00e0 la <a href=\"https:\/\/www.has-sante.fr\/upload\/docs\/application\/pdf\/2025-03\/notice_protection_donnees_personnelles_enquetepatient_nov2024.pdf\" target=\"_blank\" rel=\"noopener\">notice de protection des donn\u00e9es personnelles recueil e-Satis<\/a><br>Acc\u00e9der \u00e0 la <a href=\"https:\/\/www.has-sante.fr\/upload\/docs\/application\/pdf\/2019-10\/notice_protection_donnees_personnelles.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">notice protection des donn\u00e9es personnelles recueil \u00e0 partir du dossier patient et du PMSI.<\/a><\/p>\n\n\n\n<h3 class=\"wp-block-heading\">1. Prise en charge clinique<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">La prise en charge clinique d\u00e9signe l\u2019ensemble des soins apport\u00e9s \u00e0 un patient. Sa qualit\u00e9 est \u00e9valu\u00e9e par des indicateurs mesurant par exemple une pratique professionnelle ou la survenue de complications<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"902\" height=\"207\" src=\"https:\/\/hopital-lanmeur.fr\/wp-content\/uploads\/2026\/06\/Capture-decran-2026-06-03-120227.png\" alt=\"\" class=\"wp-image-1387\" srcset=\"https:\/\/hopital-lanmeur.fr\/wp-content\/uploads\/2026\/06\/Capture-decran-2026-06-03-120227.png 902w, https:\/\/hopital-lanmeur.fr\/wp-content\/uploads\/2026\/06\/Capture-decran-2026-06-03-120227-300x69.png 300w, https:\/\/hopital-lanmeur.fr\/wp-content\/uploads\/2026\/06\/Capture-decran-2026-06-03-120227-768x176.png 768w\" sizes=\"auto, (max-width: 902px) 100vw, 902px\" \/><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\">2. Coordination des prises en charge<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">La coordination des prises en charge d\u00e9signe la coordination entre les diff\u00e9rents acteurs tout au long de la prise en charge du patient. Sa qualit\u00e9 est essentielle pour assurer la continuit\u00e9, la s\u00e9curit\u00e9 et l\u2019efficacit\u00e9 des soins<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"820\" height=\"214\" src=\"https:\/\/hopital-lanmeur.fr\/wp-content\/uploads\/2026\/06\/Capture-decran-2026-06-03-120235.png\" alt=\"\" class=\"wp-image-1386\" srcset=\"https:\/\/hopital-lanmeur.fr\/wp-content\/uploads\/2026\/06\/Capture-decran-2026-06-03-120235.png 820w, https:\/\/hopital-lanmeur.fr\/wp-content\/uploads\/2026\/06\/Capture-decran-2026-06-03-120235-300x78.png 300w, https:\/\/hopital-lanmeur.fr\/wp-content\/uploads\/2026\/06\/Capture-decran-2026-06-03-120235-768x200.png 768w\" sizes=\"auto, (max-width: 820px) 100vw, 820px\" \/><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\">3. Pr\u00e9vention des infections associ\u00e9es aux soins<\/h3>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-7387b849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image alignright size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"423\" height=\"259\" src=\"https:\/\/hopital-lanmeur.fr\/wp-content\/uploads\/2026\/06\/Capture-decran-2026-06-03-120419.png\" alt=\"\" class=\"wp-image-1389\" srcset=\"https:\/\/hopital-lanmeur.fr\/wp-content\/uploads\/2026\/06\/Capture-decran-2026-06-03-120419.png 423w, https:\/\/hopital-lanmeur.fr\/wp-content\/uploads\/2026\/06\/Capture-decran-2026-06-03-120419-300x184.png 300w\" sizes=\"auto, (max-width: 423px) 100vw, 423px\" \/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\">\n<p class=\"wp-block-paragraph\">Une infection est dite associ\u00e9e aux soins si elle survient au cours de la prise en charge du patient. La pr\u00e9vention des infections est \u00e9valu\u00e9e par des indicateurs mesurant par exemple les mesures de pr\u00e9caution ou la survenue d\u2019infections post-op\u00e9ratoires.<\/p>\n<\/div>\n<\/div>\n\n\n\n<hr class=\"wp-block-separator has-text-color has-ast-global-color-7-color has-alpha-channel-opacity has-ast-global-color-7-background-color has-background is-style-wide\"\/>\n\n\n\n<h2 class=\"wp-block-heading filet-sur-titre-bleu-clair has-bleu-color has-text-color has-link-color wp-elements-6\">Tous acteurs pour la s\u00e9curit\u00e9 des soins ! <\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Patient, visiteur ou proche, votre participation est pr\u00e9cieuse. Aux c\u00f4t\u00e9s des professionnels de sant\u00e9, vous contribuez \u00e0 la s\u00e9curit\u00e9 et \u00e0 la qualit\u00e9 des soins gr\u00e2ce \u00e0 votre implication dans :<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>La v\u00e9rification de l\u2019identit\u00e9<\/li>\n\n\n\n<li>La prise en charge de la douleur<\/li>\n\n\n\n<li>La lutte contre les infections associ\u00e9es aux soins<\/li>\n\n\n\n<li>La s\u00e9curit\u00e9 de la prise en charge m\u00e9dicamenteuse<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-text-color has-ast-global-color-7-color has-alpha-channel-opacity has-ast-global-color-7-background-color has-background is-style-wide\"\/>\n\n\n\n<h2 class=\"wp-block-heading filet-sur-titre-bleu-clair has-bleu-color has-text-color has-link-color wp-elements-7\">A l&rsquo;\u00e9coute de votre avis<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Nos professionnels sont en permanence \u00e0 l\u2019\u00e9coute de vos suggestions d\u2019am\u00e9lioration. T\u00e9moignez de votre satisfaction, mais aussi des difficult\u00e9s que vous avez pu rencontrer lors de votre s\u00e9jour en cliquant <a rel=\"noreferrer noopener\" href=\"https:\/\/hopital-lanmeur.fr\/contact\/\" target=\"_blank\"><strong>ici<\/strong>. <\/a><\/p>\n\n\n\n<div style=\"height:32px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n","protected":false},"excerpt":{"rendered":"<p>L&rsquo;am\u00e9lioration de la qualit\u00e9 des soins et de la s\u00e9curit\u00e9 des patients et des r\u00e9sidents sont au c\u0153ur de nos [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"inline_featured_image":false,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"disabled","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"_themeisle_gutenberg_block_has_review":false,"footnotes":""},"class_list":["post-183","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/hopital-lanmeur.fr\/index.php\/wp-json\/wp\/v2\/pages\/183","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/hopital-lanmeur.fr\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/hopital-lanmeur.fr\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/hopital-lanmeur.fr\/index.php\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/hopital-lanmeur.fr\/index.php\/wp-json\/wp\/v2\/comments?post=183"}],"version-history":[{"count":9,"href":"https:\/\/hopital-lanmeur.fr\/index.php\/wp-json\/wp\/v2\/pages\/183\/revisions"}],"predecessor-version":[{"id":1851,"href":"https:\/\/hopital-lanmeur.fr\/index.php\/wp-json\/wp\/v2\/pages\/183\/revisions\/1851"}],"wp:attachment":[{"href":"https:\/\/hopital-lanmeur.fr\/index.php\/wp-json\/wp\/v2\/media?parent=183"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}