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(Can or must the patient participate to risk management in radiotherapy?).
Mollo V., Pernet A., Moutel G., Duchange N., Giraud P.
Cancer/Radiothérapie 15, 3 (2011) 176-81 - http://www.hal.inserm.fr/inserm-00557208
(21237694)
[Can or must the patient participate to risk management in radiotherapy?].
Vanina Mollo () 1, Adeline Pernet1, Grégoire Moutel2, Nathalie Duchange2, Philippe Giraud3
1 :  CRTD - Laboratoire d'Ergonomie - Centre de Recherche sur le Travail et le Développement
Conservatoire National des Arts et Métiers (CNAM) : EA4132
Case 210 - 41 rue Gay-Lussac - 75005 Paris
France
2 :  LEM - Laboratoire d'éthique médicale et médecine légale
Université Paris V - Paris Descartes
Faculté de médecine, 45 rue des Saints-Pères, Paris 75006
France
3 :  Service d'oncologie-radiothérapie
http://www.radiotherapie-hegp.fr/
Hôpital européen Georges Pompidou
20 Rue Leblanc 75015 Paris
France
Le patient et le risque en radiothérapie
PURPOSE: The present study aimed at analyzing if patient participation constitutes a promising way of improvement of patient safety, or not. The hypothesis is that patient participation is a means to develop a safety culture based on the cooperation between patients and healthcare providers, to improve patients' satisfaction and to reduce the costs associated to adverse events. PATIENTS AND METHODS: A half-day session was organized on this theme during a training of radiotherapy professionals on risk management. Professionals were first distributed in three subgroups according to their specialty (radiation oncologists, radiation physicists and medical technicians), and had to work on four main questions relating to participation, among which the collection of real situations in which patients effectively contributed (positively or negatively) to patient safety. Results were then collectively discussed. RESULTS: Patient participation allows not only to detect and recover some mistakes or errors made by the professionals (error of identity), but also to decrease patients' risk behaviors (purposely taking the place of another patient in order to be treated faster). However, it must be seen as a possibility offered to patients, and not as an obligation. CONCLUSION: Patient participation to patient safety is a field of study, which requires to be developed in order to define the conditions enhancing such participation and to implement a set of actions to improve healthcare safety by a cooperative management of this one.
Sciences du Vivant/Cancérologie
Sciences du Vivant/Ethique
Français
1769-6658

Articles dans des revues avec comité de lecture
10.1016/j.canrad.2010.09.003
Cancer/Radiothérapie
internationale
06/2011
14/01/2011
15
3
176-81

Participation des patients – sécurité des soins – radiothérapie
Attitude of Health Personnel – Cost Control – Education – Continuing – Medical – France – Health Physics – Humans – Informed Consent – Organizational Culture – Patient Participation – Patient Satisfaction – Professional-Patient Relations – Radiation Injuries – Radiation Oncology – Radiotherapy – Risk Management – Technology
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