{"id":3158,"date":"2021-06-01T01:03:00","date_gmt":"2021-06-01T01:03:00","guid":{"rendered":"https:\/\/ethics.crto.on.ca\/?page_id=3158"},"modified":"2021-06-01T17:02:08","modified_gmt":"2021-06-01T17:02:08","slug":"le-transfert-de-responsabilite","status":"publish","type":"page","link":"https:\/\/ethics.crto.on.ca\/fr\/le-transfert-de-responsabilite\/","title":{"rendered":"Le transfert de responsabilit\u00e9"},"content":{"rendered":"

[et_pb_section fb_built=\u00a0\u00bb1″ inner_shadow=\u00a0\u00bbon\u00a0\u00bb _builder_version=\u00a0\u00bb4.8.2″ use_background_color_gradient=\u00a0\u00bbon\u00a0\u00bb background_color_gradient_start=\u00a0\u00bb#ffffff\u00a0\u00bb background_color_gradient_end=\u00a0\u00bbrgba(255,255,255,0)\u00a0\u00bb background_color_gradient_direction=\u00a0\u00bb90deg\u00a0\u00bb background_color_gradient_overlays_image=\u00a0\u00bbon\u00a0\u00bb background_image=\u00a0\u00bbhttps:\/\/ethics.crto.on.ca\/wp-content\/uploads\/sites\/19\/2021\/05\/toa-crto-ethics-images.jpg\u00a0\u00bb custom_padding=\u00a0\u00bb50px||50px|\u00a0\u00bb][et_pb_row column_structure=\u00a0\u00bb3_5,2_5″ _builder_version=\u00a0\u00bb4.6.6″ background_size=\u00a0\u00bbinitial\u00a0\u00bb background_position=\u00a0\u00bbtop_left\u00a0\u00bb background_repeat=\u00a0\u00bbrepeat\u00a0\u00bb custom_padding=\u00a0\u00bb90px||90px||true|\u00a0\u00bb][et_pb_column type=\u00a0\u00bb3_5″ _builder_version=\u00a0\u00bb3.25″ custom_padding=\u00a0\u00bb|||\u00a0\u00bb custom_padding__hover=\u00a0\u00bb|||\u00a0\u00bb][et_pb_text admin_label=\u00a0\u00bbSTANDARD TITLE\u00a0\u00bb _builder_version=\u00a0\u00bb4.8.2″ text_font_size=\u00a0\u00bb18px\u00a0\u00bb text_line_height=\u00a0\u00bb1.6em\u00a0\u00bb header_font=\u00a0\u00bb|||on|||||\u00a0\u00bb module_alignment=\u00a0\u00bbleft\u00a0\u00bb custom_padding=\u00a0\u00bb|150px|||false|false\u00a0\u00bb]<\/p>\n

Le transfert de responsabilit\u00e9<\/strong><\/h1>\n

[\/et_pb_text][\/et_pb_column][et_pb_column type=\u00a0\u00bb2_5″ _builder_version=\u00a0\u00bb3.25″ custom_padding=\u00a0\u00bb|||\u00a0\u00bb custom_padding__hover=\u00a0\u00bb|||\u00a0\u00bb][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00a0\u00bb1″ _builder_version=\u00a0\u00bb4.8.2″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb background_image=\u00a0\u00bbhttps:\/\/ethics.crto.on.ca\/wp-content\/uploads\/sites\/19\/2021\/05\/crto-patternblue-tall.jpg\u00a0\u00bb background_position=\u00a0\u00bbbottom_left\u00a0\u00bb border_width_top=\u00a0\u00bb3px\u00a0\u00bb border_color_top=\u00a0\u00bb#019BD7″ border_width_bottom=\u00a0\u00bb3px\u00a0\u00bb border_color_bottom=\u00a0\u00bb#019BD7″][et_pb_row column_structure=\u00a0\u00bb1_3,2_3″ module_id=\u00a0\u00bbpenaltiesAbuse\u00a0\u00bb _builder_version=\u00a0\u00bb4.6.6″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb][et_pb_column type=\u00a0\u00bb1_3″ _builder_version=\u00a0\u00bb4.6.6″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb][et_pb_text admin_label=\u00a0\u00bbPerformance\u00a0\u00bb _builder_version=\u00a0\u00bb4.8.2″ header_font_size=\u00a0\u00bb45px\u00a0\u00bb custom_margin=\u00a0\u00bb||10px|\u00a0\u00bb]<\/p>\n

Le transfert de responsabilit\u00e9<\/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]La communication d\u2019information entre fournisseurs de soins de sant\u00e9 est une composante essentielle des soins offerts aux patients ou clients. Selon une \u00e9tude effectu\u00e9e en 2003 par la U.S. Joint Commission on Accreditation of Healthcare Organizations<\/em>, pr\u00e8s de 70 % de tous les \u00e9v\u00e9nements sentinelles sont caus\u00e9s par une non-communication. (Alvarado, K, et autres, 2006) C\u2019est pendant le transfert de responsabilit\u00e9 (parfois d\u00e9sign\u00e9 par \u00ab transfert de soins \u00bb) qu\u2019il existe le plus grand risque de tort pour le patient ou client.<\/p>\n

C\u2019est \u00e9galement pendant ce transfert que les manquements \u00e0 la confidentialit\u00e9<\/strong> des renseignements personnels des patients ou clients se produisent souvent. Ce n\u2019est pas seulement la question de manquer ou de mal comprendre l\u2019information qui doit \u00eatre transmise, mais aussi la question que parfois certains membres du personnel qui ne devraient pas \u00eatre mis au courant le sont. Il est essentiel, lorsqu\u2019on divulgue des renseignements personnels sur la sant\u00e9, de se rappeler de qui fait partie du cercle de soins<\/strong> du patient ou client. Cette expression n\u2019est pas d\u00e9finie dans la Loi de 2004 sur la protection des renseignements personnels sur la sant\u00e9<\/em>, mais on admet g\u00e9n\u00e9ralement qu\u2019elle d\u00e9signe l\u2019ensemble des fournisseurs de soins de sant\u00e9 qui offrent des soins et services aux fins de traitement primaire des patients ou clients. Elle d\u00e9signe \u00e9galement les activit\u00e9s connexes comme les travaux de laboratoire et la consultation aupr\u00e8s d\u2019autres fournisseurs de soins de sant\u00e9\u00b2.<\/p>\n

Certaines organisations se sont dot\u00e9es de m\u00e9thodes normalis\u00e9es fond\u00e9es sur les preuves afin d\u2019am\u00e9liorer l\u2019efficacit\u00e9 et la coordination des communications dans le transfert de responsabilit\u00e9. Certains services d\u2019h\u00f4pital ont un format genre liste de v\u00e9rification (code, exigences de lutte contre les infections, pr\u00e9occupations quant aux risques) afin de s\u2019assurer de ne rien oublier d\u2019important lors du changement. L\u2019OTRO incite les membres \u00e0 \u00e9valuer leur propre processus de transfert de responsabilit\u00e9 et \u00e0 personnaliser possiblement les outils utilis\u00e9s au sein de leur \u00e9tablissement.
\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 locked=\u00a0\u00bboff\u00a0\u00bb]Au cours d\u2019un rapport verbal dans la salle des employ\u00e9s, un th\u00e9rapeute respiratoire r\u00e9v\u00e8le \u00e0 toutes les personnes pr\u00e9sentes qu\u2019une patiente ou cliente qui \u00e9tait venue aux urgences pr\u00e9c\u00e9demment est revenue suite \u00e0 une tentative de suicide. La porte est ouverte et il y a dans le couloir un va-et-vient du personnel infirmier qui arrive au travail ou qui termine. En outre, la patiente ou cliente est la belle-soeur du technicien en \u00e9chographie qui est dans la salle du personnel au moment o\u00f9 le th\u00e9rapeute respiratoire raconte l\u2019histoire. Quelles valeurs et principes moraux ont \u00e9t\u00e9 enfreints et quelles mesures peut-on prendre pour \u00e9viter que cela se produise?
\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]Le th\u00e9rapeute respiratoire parlant ainsi a fait preuve de manque de respect envers la dignit\u00e9 du patient ou client en question. De plus, il a enfreint \u00e0 la confidentialit\u00e9 du patient ou client, car il n\u2019a pas divulgu\u00e9 l\u2019information de fa\u00e7on \u00e0 la prot\u00e9ger des personnes hors du cercle de soins. Il faut s\u2019efforcer de s\u2019assurer que l\u2019information que l\u2019on divulgue est exacte, compl\u00e8te et de r\u00e9duire les risques de divulgation inappropri\u00e9e de renseignements personnels sur la sant\u00e9.
\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 locked=\u00a0\u00bboff\u00a0\u00bb]Une th\u00e9rapeute respiratoire travaille \u00e0 temps partiel \u00e0 un h\u00f4pital, et de fa\u00e7on occasionnelle \u00e0 un autre h\u00f4pital. Un soir, elle doit partir avant la fin de son quart de travail afin d’arriver \u00e0 temps \u00e0 son autre emploi. Le th\u00e9rapeute respiratoire qui la remplace n\u2019est pas encore arriv\u00e9. Si elle obtient la permission de son employeur de partir t\u00f4t, peut-\u00eatre partir selon les normes de l\u2019OTRO?
\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

La th\u00e9rapeute respiratoire est responsable de fournir des soins respiratoires jusqu\u2019au transfert de responsabilit\u00e9. Elle doit \u00eatre pr\u00e9sente physiquement pour fournir un rapport de vive voix, \u00e0 moins qu\u2019il n’existe un autre m\u00e9canisme pour ce faire. Cette situation pr\u00e9sente un potentiel de risque important (p. ex. retard du deuxi\u00e8me th\u00e9rapeute respiratoire).<\/p>\n

Le fait que l\u2019employeur donne sa permission n’est qu\u2019une partie de l\u2019\u00e9quation. \u00c0 titre de professionnel de la sant\u00e9 r\u00e9glement\u00e9, votre responsabilit\u00e9 est finalement envers vos patients.<\/p>\n

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NOTES DE BAS DE PAGE<\/strong><\/h4>\n

2. <\/span>Transfer of Accountability:<\/em> Transforming Shift Handover to Enhance Patient Safety.<\/span><\/p>\n

 <\/p>\n

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Le transfert de responsabilit\u00e9 Le transfert de responsabilit\u00e9 La communication d\u2019information entre fournisseurs de soins de sant\u00e9 est une composante essentielle des soins offerts aux patients ou clients. Selon une \u00e9tude effectu\u00e9e en 2003 par la U.S. Joint Commission on Accreditation of Healthcare Organizations, pr\u00e8s de 70 % de tous les \u00e9v\u00e9nements sentinelles sont caus\u00e9s […]<\/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-3158","page","type-page","status-publish","hentry"],"yoast_head":"\nLe transfert de responsabilit\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\/le-transfert-de-responsabilite\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Le transfert de responsabilit\u00e9 - Commitment to Ethical Practice\" \/>\n<meta property=\"og:description\" content=\"Le transfert de responsabilit\u00e9 Le transfert de responsabilit\u00e9 La communication d\u2019information entre fournisseurs de soins de sant\u00e9 est une composante essentielle des soins offerts aux patients ou clients. 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