Le texte pr\u00e9cise la d\u00e9finition r\u00e9glementaire des \u00e9v\u00e9nements ind\u00e9sirables graves associ\u00e9s aux soins (EIGS), tels que d\u00e9finis \u00e0 l\u2019article R. 1413-67 du code de la sant\u00e9 publique : il s\u2019agit d\u2019\u00e9v\u00e9nements inattendus au regard de l\u2019\u00e9tat de sant\u00e9 et de la pathologie de la personne, entra\u00eenant un d\u00e9c\u00e8s, une mise en jeu du pronostic vital ou un d\u00e9ficit fonctionnel permanent probable, y compris une anomalie ou malformation cong\u00e9nitale. Depuis 2017, la Haute Autorit\u00e9 de sant\u00e9 (HAS) re\u00e7oit, au niveau national, les d\u00e9clarations d\u2019EIGS effectu\u00e9es par les professionnels de sant\u00e9, apr\u00e8s pseudonymisation par les agences r\u00e9gionales de sant\u00e9 (ARS). Elle a pour mission d\u2019analyser ces d\u00e9clarations afin d\u2019\u00e9laborer un bilan annuel accompagn\u00e9 de pr\u00e9conisations visant \u00e0 am\u00e9liorer la s\u00e9curit\u00e9 des patients.<\/p>\n
La HAS souligne qu\u2019il persiste une sous-d\u00e9claration importante des EIGS en France. En cons\u00e9quence, les donn\u00e9es recueillies ne peuvent pas \u00eatre utilis\u00e9es comme base \u00e9pid\u00e9miologique ou statistique g\u00e9n\u00e9ralisable \u00e0 l\u2019ensemble de la population ou des prises en charge, ni pour caract\u00e9riser de mani\u00e8re fiable un profil de risques par secteur d\u2019activit\u00e9. Elles fournissent en revanche des informations sur les circonstances des accidents d\u00e9clar\u00e9s, permettant d\u2019orienter les actions de pr\u00e9vention et les politiques de s\u00e9curit\u00e9 des soins. La HAS rappelle \u00e9galement que l\u2019erreur humaine est fr\u00e9quente et inh\u00e9rente \u00e0 toute activit\u00e9, en particulier dans un environnement complexe et \u00e9volutif comme le secteur de la sant\u00e9 : l\u2019objectif est de r\u00e9duire autant que possible la fr\u00e9quence des erreurs et de g\u00e9rer de mani\u00e8re adapt\u00e9e celles qui surviennent, plut\u00f4t que de pr\u00e9tendre les supprimer totalement.<\/p>\n
Le texte situe ces enjeux dans le contexte des \u00e9tablissements d\u2019h\u00e9bergement pour personnes \u00e2g\u00e9es d\u00e9pendantes (Ehpad), cr\u00e9\u00e9s juridiquement en 2002 pour accueillir des personnes \u00e2g\u00e9es pr\u00e9sentant une d\u00e9pendance physique ou psychique. Fin 2023, 573 100 personnes \u00e9taient h\u00e9berg\u00e9es dans 7 400 Ehpad. Selon le dernier bilan de la HAS relatif aux \u00e9valuations des \u00e9tablissements et services sociaux et m\u00e9dico-sociaux (ESSMS), la politique de d\u00e9marche qualit\u00e9 et de gestion des risques constitue un point de fragilit\u00e9. Pour les ESSMS accueillant des personnes \u00e2g\u00e9es (dont 56 % sont des Ehpad), la th\u00e9matique \u00ab d\u00e9marche qualit\u00e9 et gestion des risques \u00bb obtient la moins bonne cotation moyenne (3,14\/4). Cela refl\u00e8te une insuffisante maturit\u00e9 des comp\u00e9tences transversales n\u00e9cessaires \u00e0 la ma\u00eetrise de cette th\u00e9matique : coordination entre acteurs, structuration du parcours, formalisation documentaire, ainsi que diffusion d\u2019une culture de la qualit\u00e9 et de la s\u00e9curit\u00e9. S\u2019agissant plus sp\u00e9cifiquement de la gestion des \u00e9v\u00e9nements ind\u00e9sirables, y compris ceux associ\u00e9s aux soins, un \u00e9cart est mis en \u00e9vidence entre un taux de satisfaction relativement \u00e9lev\u00e9 sur le crit\u00e8re imp\u00e9ratif portant sur l\u2019organisation th\u00e9orique des processus de recueil et de traitement (73 %) et la r\u00e9alit\u00e9 de leur mise en \u0153uvre, sugg\u00e9rant une fragilit\u00e9 dans l\u2019application concr\u00e8te des dispositifs annonc\u00e9s.\u00a0(contenu r\u00e9sum\u00e9 par l’IA)\u200bLire la Suite<\/a>\u200b<\/p>","protected":false},"excerpt":{"rendered":" Le texte pr\u00e9cise la d\u00e9finition r\u00e9glementaire des \u00e9v\u00e9nements ind\u00e9sirables graves associ\u00e9s aux soins (EIGS), tels que d\u00e9finis \u00e0 l\u2019article R. 1413-67 du code de la sant\u00e9 publique : il s\u2019agit […]<\/p>\n","protected":false},"author":1,"featured_media":4149,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"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":"","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 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