{"id":74388,"date":"2025-02-25T13:04:31","date_gmt":"2025-02-25T12:04:31","guid":{"rendered":"https:\/\/vosgesinfo.fr\/saintdieinfo\/?p=74388"},"modified":"2025-02-25T13:06:18","modified_gmt":"2025-02-25T12:06:18","slug":"incomprehension-et-stupeur-apres-la-non-certification-par-la-haute-autorite-de-sante-des-hopitaux-du-massif-des-vosges","status":"publish","type":"post","link":"https:\/\/vosgesinfo.fr\/saintdieinfo\/2025\/02\/incomprehension-et-stupeur-apres-la-non-certification-par-la-haute-autorite-de-sante-des-hopitaux-du-massif-des-vosges\/","title":{"rendered":"\u00ab\u00a0Incompr\u00e9hension et stupeur\u00a0\u00bb apr\u00e8s la non-certification par la Haute Autorit\u00e9 de Sant\u00e9 des H\u00f4pitaux du Massif des Vosges"},"content":{"rendered":"
\"\"<\/a>

Le Centre Hospitalier de Saint-Di\u00e9-des-Vosges (Capture d’\u00e9cran Google Maps)<\/p><\/div>\n

La Haute Autorit\u00e9 de Sant\u00e9 \u2013 HAS \u2013 a men\u00e9 une \u00e9valuation de certification en novembre 2024<\/strong> dans les \u00e9tablissements du Centre Hospitalier Intercommunal des H\u00f4pitaux du Massif des Vosges \u2013 CHI HMV<\/strong> \u2013 Malgr\u00e9 un score global de 92,40 %<\/strong>, la HAS s’est prononc\u00e9e contre la certification.<\/strong><\/h2>\n

<\/p>\n

Une d\u00e9cision qui suscite incompr\u00e9hension et stupeur<\/strong><\/h3>\n

Une non-certification<\/strong> qui suscite \u00ab incompr\u00e9hension et stupeur \u00bb<\/strong> chez la Direction du CHI HMV<\/strong>. \u00ab Cette d\u00e9cision a suscit\u00e9 une onde de choc<\/strong> et une profonde incompr\u00e9hension<\/strong> parmi tous les professionnels des HMV, qui s’\u00e9taient fortement engag\u00e9s dans la d\u00e9marche de certification et qui s’interrogent sur les raisons de ce refus. \u00bb<\/p>\n

Des scores sont tr\u00e8s satisfaisants selon la Direction<\/strong><\/h3>\n

La Direction du CHI HMV<\/strong> nous a transmis ce mardi dans un communiqu\u00e9 le d\u00e9tail des \u00e9valuations, qui montre des scores globaux de 96 % pour le chapitre \u00ab Le patient \u00bb<\/strong>, 93 % pour le chapitre \u00ab Les \u00e9quipes de soins \u00bb<\/strong>, 88 % pour le chapitre \u00ab L’\u00e9tablissement \u00bb<\/strong>.<\/p>\n

Le score le plus bas \u00e9tant l’un des objectifs du chapitre \u00ab L’\u00e9tablissement \u00bb<\/strong>, intitul\u00e9 \u00ab L’\u00e9tablissement favorise le travail en \u00e9quipe et le d\u00e9veloppement des comp\u00e9tences \u00bb<\/strong>, qui a obtenu un score de 75 %<\/strong>.<\/p>\n

La Direction du CHI HMV<\/strong> estime que \u00ab les scores sont tr\u00e8s satisfaisants, notamment au regard des scores obtenus par les \u00e9tablissements de sant\u00e9 voisins et de taille comparable. \u00bb<\/strong> Pour illustrer ce propos, il est montr\u00e9 que le Centre Hospitalier de Remiremont<\/strong> a un score global de 92,70 %<\/strong>, celui de l’Ouest Vosgien 90 %<\/strong>, et \u00c9pinal 89,40 %<\/strong>.<\/p>\n

\u00ab Les \u00e9carts et anomalies relev\u00e9s<\/strong> par les experts-visiteurs<\/strong> ont \u00e9t\u00e9 rapidement pris en compte<\/strong>. Des r\u00e9ponses et mesures correctives<\/strong> ont \u00e9t\u00e9 imm\u00e9diatement mises en \u0153uvre<\/strong> lors de la visite de certification en novembre 2024<\/strong>, suivies de r\u00e9ponses formalis\u00e9es via la plateforme Calista<\/strong> \u00bb, assure la Direction du CHI HMV<\/strong>, qui, \u00ab face \u00e0 cette d\u00e9cision jug\u00e9e incompr\u00e9hensible \u00bb<\/strong>, envisage de d\u00e9poser un recours gracieux dans les meilleurs d\u00e9lais<\/strong>.<\/p>\n

Les crit\u00e8res d\u2019am\u00e9lioration demand\u00e9s par la HAS<\/strong><\/h3>\n

Dans son rapport de certification<\/strong>, valid\u00e9 en f\u00e9vrier 2025<\/strong>, la HAS conclut \u00e0 une non-certification de l’\u00e9tablissement<\/strong> et pointe plusieurs crit\u00e8res \u00e0 am\u00e9liorer prioritairement<\/strong> d’ici la prochaine \u00e9valuation, qui sera programm\u00e9e \u00ab au plus tard dans 2 ans \u00bb<\/strong>.<\/p>\n

Ces crit\u00e8res sont de :<\/p>\n

    \n
  • S\u2019assurer du respect de l\u2019intimit\u00e9 et de la dignit\u00e9 des patients sur le site de G\u00e9rardmer ;<\/li>\n
  • S\u00e9curiser la prise en charge m\u00e9dicamenteuse en respectant les bonnes pratiques de stockage des m\u00e9dicaments \u00e0 risque ;<\/li>\n
  • \u00c9laborer les protocoles sp\u00e9cifiques d\u2019antibioprophylaxie pour chaque type de chirurgie ;<\/li>\n
  • R\u00e9\u00e9valuer syst\u00e9matiquement l\u2019antibioth\u00e9rapie ;<\/li>\n
  • S\u00e9curiser le chariot de prise en charge des HPPI ;<\/li>\n
  • Perfectionner l\u2019information patient quant aux produits sanguins labiles qui lui sont administr\u00e9s, au droit \u00e0 r\u00e9diger des directives anticip\u00e9es, aux repr\u00e9sentants des usagers, ainsi qu\u2019aux modalit\u00e9s pour soumettre une r\u00e9clamation ou un \u00e9v\u00e9nement ind\u00e9sirable ;<\/li>\n
  • Poursuivre l\u2019analyse et l\u2019\u00e9valuation concernant l\u2019am\u00e9lioration des pratiques, les informations transmises entre secteurs, l\u2019occupation des lits, le dispositif de rep\u00e9rage des maltraitances ;<\/li>\n
  • D\u00e9ployer le questionnement \u00e9thique au sein de l\u2019\u00e9tablissement.<\/li>\n<\/ul>\n

    Une certification sous conditions en 2023<\/strong><\/h3>\n

    Lors de la pr\u00e9c\u00e9dente \u00e9valuation de certification<\/strong> par la HAS<\/strong>, en date du 6 septembre 2023<\/strong>, l’h\u00f4pital de Saint-Di\u00e9-des-Vosges du CHI HMV<\/strong> avait obtenu la certification sous conditions<\/strong>. La HAS<\/strong> pr\u00e9cisant alors dans son verdict que \u00ab la qualit\u00e9 des soins est \u00e0 am\u00e9liorer. \u00bb<\/strong><\/p>\n

    En place depuis 20 ans<\/strong>, la certification par la HAS<\/strong> est une proc\u00e9dure ind\u00e9pendante<\/strong> d\u2019\u00e9valuation obligatoire<\/strong> du niveau de qualit\u00e9 et de s\u00e9curit\u00e9 des soins<\/strong> dans les \u00e9tablissements de sant\u00e9<\/strong>, publics et priv\u00e9s. Elle est r\u00e9alis\u00e9e tous les 4 ans<\/strong> par des professionnels (des pairs) mandat\u00e9s par la HAS<\/strong>, les experts-visiteurs<\/strong>.<\/p>\n

    J.J.<\/p>\n","protected":false},"excerpt":{"rendered":"

    La Haute Autorit\u00e9 de Sant\u00e9 \u2013 HAS \u2013 a men\u00e9 une \u00e9valuation de certification en novembre 2024 dans les \u00e9tablissements […]<\/p>\n","protected":false},"author":46,"featured_media":62694,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[460,5392,5391,5389,4099,167,2915,4152,18],"tags":[16300,16302,16299,16301],"class_list":["post-74388","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-a-la-une","category-epinal","category-gerardmer","category-la-plaine-des-vosges","category-remiremont","category-saint-die-des-vosges","category-saint-die-son-canton","category-sante","category-vosges","tag-centre-hospitalier-intercommunal-hopitaux-du-massif-des-vosges","tag-evaluation-de-certification-par-la-haute-autorite-de-sante","tag-haute-autorite-de-sante","tag-non-certification-par-la-haute-autorite-de-sante-du-centre-hospitalier-intercommunal-des-hopitaux-du-massif-des-vosges"],"acf":[],"yoast_head":"\n\u00ab\u00a0Incompr\u00e9hension et stupeur\u00a0\u00bb apr\u00e8s la non-certification 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