La divulgation relativement aux incidents critiques en mati\u00e8re de s\u00e9curit\u00e9
\n<\/strong><\/h2>\n[\/et_pb_text][\/et_pb_column][et_pb_column type=\u00a0\u00bb2_3″ _builder_version=\u00a0\u00bb4.6.6″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb][et_pb_text admin_label=\u00a0\u00bbPerformance Expectations\u00a0\u00bb _builder_version=\u00a0\u00bb4.8.2″ custom_padding=\u00a0\u00bb0px|||\u00a0\u00bb]<\/p>\n
Chaque th\u00e9rapeute respiratoire a une responsabilit\u00e9 morale, professionnelle et juridique de fournir une divulgation compl\u00e8te de tous les incidents <\/strong>touchant la s\u00e9curit\u00e9 des patients qui entra\u00eenent un pr\u00e9judice ou une possibilit\u00e9 de pr\u00e9judice futur, et ce, d\u00e8s qu\u2019il est raisonnablement possible de le faire. De plus, des modifications r\u00e9centes apport\u00e9es au r\u00e8glement sur l\u2019administration d\u2019h\u00f4pital<\/em> en application de la Loi sur les h\u00f4pitaux publics<\/em> stipulent que les administrateurs sont tenus de mettre sur pied un moyen d\u2019assurer la divulgation rapide de tout incident critique<\/strong> \u00e0 toutes les personnes concern\u00e9es.(R\u00e9g.Ont.423\/07, 2007) Les incidents touchant la s\u00e9curit\u00e9 des patients sont class\u00e9s comme des incidents \u00e9vit\u00e9s de justesse, des incidents qui ne causent pas de tort ou des incidents critiques. Bien que tous les incidents doivent \u00eatre examin\u00e9s afin de bien comprendre leurs causes et mettre en place des politiques de pr\u00e9vention pour l\u2019avenir, les incidents \u00e9vit\u00e9s <\/em>de justesse ne sont pas habituellement divulgu\u00e9s aux patients ou familles.<\/p>\n[\/et_pb_text][et_pb_text admin_label=\u00a0\u00bbPerformance Expectations\u00a0\u00bb _builder_version=\u00a0\u00bb4.8.2″ text_text_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb background_color=\u00a0\u00bb#019BD7″ custom_padding=\u00a0\u00bb25px|25px|25px|25px|true|true\u00a0\u00bb]<\/p>\n
Un th\u00e9rapeute respiratoire de nuit est appel\u00e9 imm\u00e9diatement pour aider un b\u00e9b\u00e9 dont la canule trach\u00e9ale s\u2019est d\u00e9tach\u00e9e du connecteur de 15 mm. La canule est rendue dans les voies a\u00e9riennes du b\u00e9b\u00e9 et le th\u00e9rapeute respiratoire doit utiliser des forceps Magill pour la r\u00e9cup\u00e9rer. Le b\u00e9b\u00e9 saigne un peu et conna\u00eet un bref moment de d\u00e9saturation. On voit que le th\u00e9rapeute respiratoire de jour n\u2019a pas bien fix\u00e9 la canule trach\u00e9ale, ce qui a camoufl\u00e9 le d\u00e9branchement jusqu\u2019\u00e0 ce qu\u2019il soit trop tard. S\u2019agit-il d\u2019un incident critique et que devrait faire le th\u00e9rapeute respiratoire concernant l\u2019erreur de son
\ncoll\u00e8gue?<\/p>\n
[\/et_pb_text][et_pb_accordion open_toggle_text_color=\u00a0\u00bb#019BD7″ _builder_version=\u00a0\u00bb4.8.2″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb toggle_font=\u00a0\u00bb|600|||||||\u00a0\u00bb module_alignment=\u00a0\u00bbcenter\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb][et_pb_accordion_item title=\u00a0\u00bbLe principe moral en jeu est de faire le bien et d\u2019\u00e9viter de causer du tort.\u00a0\u00bb open=\u00a0\u00bbon\u00a0\u00bb _builder_version=\u00a0\u00bb4.8.2″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb toggle_level=\u00a0\u00bbh3″ toggle_font=\u00a0\u00bb|600|||||||\u00a0\u00bb]<\/p>\n
L\u2019incident d\u00e9crit ici serait probablement d\u00e9fini comme un accident \u00e9vit\u00e9 de justesse<\/span>, car le b\u00e9b\u00e9 n\u2019a subi aucun tort. Par cons\u00e9quent, il n\u2019est pas obligatoire de divulguer l\u2019incident \u00e0 la famille du patient ou client. Toutefois, le th\u00e9rapeute respiratoire doit suivre le proc\u00e9d\u00e9 de rapport d\u2019incident de l\u2019h\u00f4pital. Il est \u00e9galement important de r\u00e9gler la question de fixation inappropri\u00e9e de canule trach\u00e9ale, car cela peut avoir contribu\u00e9 \u00e0 son d\u00e9placement.<\/p>\n[\/et_pb_accordion_item][\/et_pb_accordion][et_pb_text admin_label=\u00a0\u00bbPerformance Expectations\u00a0\u00bb _builder_version=\u00a0\u00bb4.8.2″ text_text_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb background_color=\u00a0\u00bb#019BD7″ custom_padding=\u00a0\u00bb25px|25px|25px|25px|true|true\u00a0\u00bb]<\/p>\n
Un th\u00e9rapeute respiratoire effectue une analyse de gaz dans le sang pour un patient dans l\u2019unit\u00e9 d’AVC. Une fois termin\u00e9, il ne remonte pas le rail de lit et, pendant la pr\u00e9paration de l’\u00e9chantillon pour le labo, le patient tombe et se fracture la hanche. Que doit alors faire le th\u00e9rapeute respiratoire?<\/p>\n
[\/et_pb_text][et_pb_accordion open_toggle_text_color=\u00a0\u00bb#019BD7″ _builder_version=\u00a0\u00bb4.8.2″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb toggle_font=\u00a0\u00bb|600|||||||\u00a0\u00bb module_alignment=\u00a0\u00bbcenter\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb][et_pb_accordion_item title=\u00a0\u00bbLe principe moral en jeu est de faire le bien et d\u2019\u00e9viter de causer du tort.\u00a0\u00bb open=\u00a0\u00bbon\u00a0\u00bb _builder_version=\u00a0\u00bb4.8.2″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb toggle_level=\u00a0\u00bbh3″ toggle_font=\u00a0\u00bb|600|||||||\u00a0\u00bb]<\/p>\n
Le sc\u00e9nario d\u00e9crit ci-dessus serait consid\u00e9r\u00e9 comme un incident critique, car le patient a subi un pr\u00e9judice important caus\u00e9 directement par la n\u00e9gligence du th\u00e9rapeute respiratoire. Le th\u00e9rapeute respiratoire doit suivre les proc\u00e9dures de communication en cas d\u2019incident \u00e9tablies par son h\u00f4pital, et signaler imm\u00e9diatement l\u2019incident. Il faut communiquer l\u2019incident \u00e0 la famille du patient ou client. Un tel incident doit aussi servir d\u2019occasion de croissance et d’am\u00e9lioration.<\/p>\n
La Loi sur la pr\u00e9sentation d\u2019excuses<\/em> a pour but de permettre aux professionnels de la sant\u00e9 de pr\u00e9senter des excuses sans que cela ne soit utilis\u00e9 pour \u00e9tablir une responsabilit\u00e9 en relation \u00e0 un incident.(Loi de 2009 sur la pr\u00e9sentation d’excuses.) Pour obtenir de plus amples renseignements sur cette loi, visitez : www.ontario.ca\/fr\/lois\/loi\/09a03<\/a><\/p>\n[\/et_pb_accordion_item][\/et_pb_accordion][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00a0\u00bb1″ inner_shadow=\u00a0\u00bbon\u00a0\u00bb module_id=\u00a0\u00bbfootnote\u00a0\u00bb _builder_version=\u00a0\u00bb3.22″ use_background_color_gradient=\u00a0\u00bbon\u00a0\u00bb background_color_gradient_start=\u00a0\u00bb#ffffff\u00a0\u00bb background_color_gradient_end=\u00a0\u00bb#ededed\u00a0\u00bb background_color_gradient_type=\u00a0\u00bbradial\u00a0\u00bb background_color_gradient_start_position=\u00a0\u00bb53%\u00a0\u00bb custom_padding=\u00a0\u00bb20px||20px|\u00a0\u00bb][et_pb_row column_structure=\u00a0\u00bb1_2,1_4,1_4″ _builder_version=\u00a0\u00bb3.25″][et_pb_column type=\u00a0\u00bb1_2″ _builder_version=\u00a0\u00bb3.25″ custom_padding=\u00a0\u00bb|||\u00a0\u00bb custom_padding__hover=\u00a0\u00bb|||\u00a0\u00bb][\/et_pb_column][et_pb_column type=\u00a0\u00bb1_4″ _builder_version=\u00a0\u00bb3.25″ custom_padding=\u00a0\u00bb|||\u00a0\u00bb custom_padding__hover=\u00a0\u00bb|||\u00a0\u00bb][et_pb_button button_url=\u00a0\u00bb\/fr\/conflict-of-interest\/\u00a0\u00bb button_text=\u00a0\u00bbPr\u00e9c\u00e9dent\u00a0\u00bb button_alignment=\u00a0\u00bbright\u00a0\u00bb admin_label=\u00a0\u00bbPrevious\u00a0\u00bb _builder_version=\u00a0\u00bb4.8.2″ animation_style=\u00a0\u00bbfade\u00a0\u00bb button_text_size__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_one_text_size__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_two_text_size__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_text_color__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_one_text_color__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_two_text_color__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_border_width__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_one_border_width__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_two_border_width__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_border_color__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_one_border_color__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_two_border_color__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_border_radius__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_one_border_radius__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_two_border_radius__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_letter_spacing__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_one_letter_spacing__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_two_letter_spacing__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_bg_color__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_one_bg_color__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_two_bg_color__hover_enabled=\u00a0\u00bboff\u00a0\u00bb][\/et_pb_button][\/et_pb_column][et_pb_column type=\u00a0\u00bb1_4″ _builder_version=\u00a0\u00bb3.25″ custom_padding=\u00a0\u00bb|||\u00a0\u00bb custom_padding__hover=\u00a0\u00bb|||\u00a0\u00bb][et_pb_button button_url=\u00a0\u00bb\/fr\/diversity-equity-and-inclusion\/\u00a0\u00bb button_text=\u00a0\u00bbSuivant\u00a0\u00bb button_alignment=\u00a0\u00bbleft\u00a0\u00bb admin_label=\u00a0\u00bbNext\u00a0\u00bb _builder_version=\u00a0\u00bb4.8.2″ animation_style=\u00a0\u00bbfade\u00a0\u00bb button_text_size__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_one_text_size__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_two_text_size__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_text_color__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_one_text_color__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_two_text_color__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_border_width__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_one_border_width__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_two_border_width__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_border_color__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_one_border_color__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_two_border_color__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_border_radius__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_one_border_radius__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_two_border_radius__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_letter_spacing__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_one_letter_spacing__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_two_letter_spacing__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_bg_color__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_one_bg_color__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_two_bg_color__hover_enabled=\u00a0\u00bboff\u00a0\u00bb][\/et_pb_button][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"
La divulgation relativement aux incidents critiques en mati\u00e8re de s\u00e9curit\u00e9 La divulgation relativement aux incidents critiques en mati\u00e8re de s\u00e9curit\u00e9 Chaque th\u00e9rapeute respiratoire a une responsabilit\u00e9 morale, professionnelle et juridique de fournir une divulgation compl\u00e8te de tous les incidents touchant la s\u00e9curit\u00e9 des patients qui entra\u00eenent un pr\u00e9judice ou une possibilit\u00e9 de pr\u00e9judice futur, et […]<\/p>\n","protected":false},"author":4,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"class_list":["post-3084","page","type-page","status-publish","hentry"],"yoast_head":"\n
La divulgation relativement aux incidents critiques en mati\u00e8re de s\u00e9curit\u00e9 - Commitment to Ethical Practice<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/ethics.crto.on.ca\/fr\/la-divulgation-relativement-aux-incidents-critiques-en-matiere-de-securite\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"La divulgation relativement aux incidents critiques en mati\u00e8re de s\u00e9curit\u00e9 - Commitment to Ethical Practice\" \/>\n<meta property=\"og:description\" content=\"La divulgation relativement aux incidents critiques en mati\u00e8re de s\u00e9curit\u00e9 La divulgation relativement aux incidents critiques en mati\u00e8re de s\u00e9curit\u00e9 Chaque th\u00e9rapeute respiratoire a une responsabilit\u00e9 morale, professionnelle et juridique de fournir une divulgation compl\u00e8te de tous les incidents touchant la s\u00e9curit\u00e9 des patients qui entra\u00eenent un pr\u00e9judice ou une possibilit\u00e9 de pr\u00e9judice futur, et […]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/ethics.crto.on.ca\/fr\/la-divulgation-relativement-aux-incidents-critiques-en-matiere-de-securite\/\" \/>\n<meta property=\"og:site_name\" content=\"Commitment to Ethical Practice\" \/>\n<meta property=\"article:modified_time\" content=\"2021-05-31T22:44:27+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"7 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/ethics.crto.on.ca\/fr\/la-divulgation-relativement-aux-incidents-critiques-en-matiere-de-securite\/\",\"url\":\"https:\/\/ethics.crto.on.ca\/fr\/la-divulgation-relativement-aux-incidents-critiques-en-matiere-de-securite\/\",\"name\":\"La divulgation relativement aux incidents critiques en mati\u00e8re de s\u00e9curit\u00e9 - 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