{"id":18911,"date":"2023-02-21T07:59:32","date_gmt":"2023-02-21T06:59:32","guid":{"rendered":"https:\/\/www.m-q.ch\/?p=17584"},"modified":"2024-11-18T12:33:56","modified_gmt":"2024-11-18T11:33:56","slug":"neue-qualitaetsindikatoren-fuer-spitaeler-eingefuehrt","status":"publish","type":"post","link":"https:\/\/www.organisator.ch\/fr\/operational-excellence\/2023-02-21\/neue-qualitaetsindikatoren-fuer-spitaeler-eingefuehrt\/","title":{"rendered":"Introduction de nouveaux indicateurs de qualit\u00e9 pour les h\u00f4pitaux"},"content":{"rendered":"
\"Qlize\r\n
Nombreuses possibilit\u00e9s d'\u00e9valuation et de repr\u00e9sentation : Capture d'\u00e9cran du logiciel \"Qlize !\" avec un jeu de donn\u00e9es type. (Image : Universit\u00e9 de Lucerne)<\/figcaption>\r\n<\/figure>\r\n

De nouveaux indicateurs de qualit\u00e9 pour les h\u00f4pitaux ainsi que le logiciel \"Qlize !\" ont \u00e9t\u00e9 d\u00e9velopp\u00e9s \u00e0 partir de plusieurs projets de recherche financ\u00e9s par l'Agence suisse pour la promotion de l'innovation (Innosuisse) \u00e0 l'Universit\u00e9 de Lucerne. Michael Havranek, directeur de recherche du centre de comp\u00e9tences Health Data Science, en coop\u00e9ration avec le partenaire industriel INMED et diff\u00e9rents partenaires hospitaliers. Les indicateurs font d\u00e9sormais partie du plan de mesure obligatoire de l'Association nationale pour le d\u00e9veloppement de la qualit\u00e9 dans les h\u00f4pitaux et les cliniques (ANQ). L'ANQ accorde une licence et finance le syst\u00e8me logiciel et le met \u00e0 la disposition de tous les h\u00f4pitaux et cliniques suisses ainsi que des d\u00e9partements cantonaux de la sant\u00e9. La derni\u00e8re partie du \"rollout\" du programme a eu lieu le 17 f\u00e9vrier.<\/p>\r\n

Premier focus sur les r\u00e9admissions non planifi\u00e9es<\/h3>\r\n

Dans une premi\u00e8re phase, treize indicateurs de qualit\u00e9 relatifs aux r\u00e9admissions non planifi\u00e9es apr\u00e8s l'hospitalisation seront utilis\u00e9s pour \u00e9valuer la qualit\u00e9 des soins des h\u00f4pitaux. Le logiciel contient cependant plus de 30 autres indicateurs de qualit\u00e9 concernant les complications et les d\u00e9c\u00e8s pendant l'hospitalisation, qui pourront \u00e9galement \u00eatre utilis\u00e9s \u00e0 l'avenir. Tous les indicateurs ont \u00e9t\u00e9 d\u00e9velopp\u00e9s sur la base de principes \u00e9tablis au niveau international, perfectionn\u00e9s en fonction des r\u00e9alit\u00e9s du syst\u00e8me de sant\u00e9 suisse et test\u00e9s en collaboration avec sept partenaires hospitaliers.<\/p>\r\n

La particularit\u00e9 du logiciel d\u00e9velopp\u00e9 r\u00e9side dans le fait qu'il permet aux h\u00f4pitaux d'analyser eux-m\u00eames la qualit\u00e9 de leurs traitements dans les moindres d\u00e9tails. Les h\u00f4pitaux peuvent d'une part v\u00e9rifier leurs propres r\u00e9sultats de qualit\u00e9 en les comparant statistiquement \u00e0 ceux d'autres h\u00f4pitaux. D'autre part, ils peuvent \u00e9galement d\u00e9limiter leurs r\u00e9sultats sur diff\u00e9rents groupes de patients jusqu'au cas individuel et les mettre en relation avec les taux attendus des mod\u00e8les de pr\u00e9diction. Les mod\u00e8les de pr\u00e9diction utilis\u00e9s ont \u00e9t\u00e9 calcul\u00e9s sur la base de tous les s\u00e9jours hospitaliers suisses et utilisent des proc\u00e9d\u00e9s issus du domaine de l'intelligence artificielle.<\/p>\r\n

Proc\u00e9dure conforme \u00e0 la protection des donn\u00e9es<\/h3>\r\n

Afin de pouvoir proposer de telles possibilit\u00e9s d'\u00e9valuation d\u00e9taill\u00e9es malgr\u00e9 les conditions strictes de protection des donn\u00e9es, il a \u00e9t\u00e9 n\u00e9cessaire de d\u00e9velopper une proc\u00e9dure en deux \u00e9tapes. Tout d'abord, les donn\u00e9es nationales fournies par l'Office f\u00e9d\u00e9ral de la statistique (OFS) sont \u00e9valu\u00e9es chaque ann\u00e9e afin de transmettre aux h\u00f4pitaux leurs r\u00e9sultats officiels en mati\u00e8re de qualit\u00e9 en comparaison statistique avec les autres \u00e9tablissements hospitaliers. Ensuite, les mod\u00e8les de pr\u00e9diction calcul\u00e9s sont appliqu\u00e9s aux donn\u00e9es fournies par les h\u00f4pitaux eux-m\u00eames, afin de leur permettre d'effectuer des comparaisons au cas par cas avec les taux attendus.<\/p>\r\n

De cette mani\u00e8re, il est possible pour les h\u00f4pitaux d'analyser de mani\u00e8re cibl\u00e9e certains groupes de patients ou m\u00eame des cas individuels. Ils peuvent par exemple identifier les cas pour lesquels une faible probabilit\u00e9 d'un \u00e9v\u00e9nement pertinent pour la qualit\u00e9 (comme une r\u00e9admission non planifi\u00e9e) a \u00e9t\u00e9 pr\u00e9dite, mais pour lesquels un tel \u00e9v\u00e9nement s'est n\u00e9anmoins produit (par exemple en raison d'une complication chirurgicale). Afin de faire conna\u00eetre les nombreuses possibilit\u00e9s d'\u00e9valuation \u00e0 cet \u00e9gard, Michael Havranek avait organis\u00e9 d\u00e9but f\u00e9vrier, sur mandat de l'ANQ, deux s\u00e9ances de formation \u00e0 l'\u00e9chelle nationale avec traduction simultan\u00e9e en fran\u00e7ais et en italien, auxquelles environ 150 h\u00f4pitaux ont particip\u00e9.<\/p>\r\n

Source : Universit\u00e9 de Lucerne<\/a><\/em><\/p>\n

Cet article est paru initialement sur m-q.ch - https:\/\/www.m-q.ch\/de\/neue-qualitaetsindikatoren-fuer-spitaeler-eingefuehrt\/<\/a><\/p>","protected":false},"excerpt":{"rendered":"

Aus mehreren, durch die Schweizerische Agentur f\u00fcr Innovationsf\u00f6rderung (Innosuisse) finanzierten Forschungsprojekten an der Universit\u00e4t Luzern wurden neue Qualit\u00e4tsindikatoren f\u00fcr Spit\u00e4ler sowie die Software \u00abQlize!\u00bb entwickelt. Die Entwicklung erfolgte unter der Leitung von Dr. Dr. Michael Havranek, dem Forschungsdirektor des Kompetenzzentrums f\u00fcr Health Data Science, in Kooperation mit dem Industriepartner INMED und verschiedenen Spitalpartnern. Die Indikatoren [\u2026]<\/p>\n","protected":false},"author":8,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_yoast_wpseo_focuskw":"Qlize Qualit\u00e4tsindikatoren","_yoast_wpseo_metadesc":"Neue Qlize-Software: Qualit\u00e4tsindikatoren zur Behandlungsqualit\u00e4t in Schweizer Spit\u00e4lern. 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