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Analyse des dimensions organisationnelles clés déterminant la culture de sécurité-patient du personnel infirmier: analyse comparée entre six services médicaux

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Brun, Messaline ULiège
Promotor(s) : Van Caillie, Didier ULiège
Date of defense : 5-Sep-2018/11-Sep-2018 • Permalink : http://hdl.handle.net/2268.2/5688
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Title : Analyse des dimensions organisationnelles clés déterminant la culture de sécurité-patient du personnel infirmier: analyse comparée entre six services médicaux
Author : Brun, Messaline ULiège
Date of defense  : 5-Sep-2018/11-Sep-2018
Advisor(s) : Van Caillie, Didier ULiège
Committee's member(s) : Kamto Kenmogne, Marius ULiège
DELGAUDINE, Marie ULiège
Language : French
Number of pages : 100
Keywords : [en] patient safety culture, organizational factors, safety culture, hospital, nurses, medical services
Discipline(s) : Business & economic sciences > General management & organizational theory
Institution(s) : Université de Liège, Liège, Belgique
Degree: Master en ingénieur de gestion, à finalité spécialisée en Performance Management and Control
Faculty: Master thesis of the HEC-Ecole de gestion de l'Université de Liège

Abstract

[en] Over time, industrial companies were facing many disasters and industrial accidents. Progressively, technical issues no longer explained accidents or improve safety and so, the concepts of human error and organizational factors appeared. After the nuclear environment, the healthcare sector was inspired by industrial methods and the human and organizational factors approach to improve the quality and safety of care. In addition, in hospitals, many adverse events are reported each year during the hospitalization of patients. However, most of them could be avoided and so, adverse events can no longer be considered as secondary. First developed in the nuclear sector, the concept of safety culture is now well established in the healthcare sector. Developing a patient safety culture would ensure that safety is a priority for hospital staff.
The study aims at analyzing five organizational factors in six medical services in a Belgian hospital. These factors are: communication, incompatibles goals, organization, training and procedures. Our objective is to determine which factors are developed into these services or on the contrary must be improved. To do so, we submitted a questionnaire to ninety nurses from these services within the hospital.
The first part of this master’s thesis will be dedicated to clarifying the different concepts that will be used in this study, such as safety culture, patient safety culture and the human and organizational factors. The Swiss Cheese Model (Reason, 1997) and the Tripod Delta method were used to understand the basic principles of organizational accidents and defenses set up in the services participating in the study. Once these theoretical concepts are in place, the second part will be dedicated to the description of the methodology. After that, we will expose the results of the survey and we will concluded with a comparison of the service’s organizational factors. At the end of this analysis, we will see that the six services have not reached the same level for each factor and that there are still improvements to be made. Following these analyses, a few recommendations will be provided.


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  • Brun, Messaline ULiège Université de Liège > Master ingé. gest., à fin.

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