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Published on: September 3, 2011
[Implementation of quality assurance program ISO 9001 in a department of paediatric oncology]
J Kanold1, P Halle, C Paillard
1Service de pédiatrie B, centre régional de cancérologie pédiatrique, CHU de Clermont-Ferrand, Hôtel-Dieu, 63001 Clermont-Ferrand, France. jkanold@chu-clermontferrand.fr
Insights
Implementing ISO9001/2000 standards improved pediatric cancer care organization. This quality assurance system enhanced team spirit, standardized practices, and benefited children, families, and healthcare teams.
Area of Science:
- Healthcare Management
- Quality Assurance in Medicine
- Pediatric Oncology
Background:
- Improving care for pediatric cancer and leukemia patients is crucial.
- French legislation requires adherence to specific healthcare standards.
- Existing organizational structures may not fully meet patient and family needs.
Purpose of the Study:
- To enhance the organization and management of pediatric cancer care facilities.
- To ensure alignment with current French healthcare legislation.
- To implement a quality assurance system based on ISO9001/2000 standards.
Main Methods:
- A quality assurance program based on ISO9001/2000 standards was implemented at the Regional Centre for Paediatric Oncology (CRCP).
- The implementation was treated as a research and medical project, supported by the management team.
- Clinical services were analyzed as interconnected processes to identify value-added transformations for patients and families.
Main Results:
- Ten key processes, such as diagnosis and care, were identified and mapped.
- Process cartography provided a comprehensive overview of the CRCP's care activities and their interactions.
- The systematic representation of processes facilitated a global vision of care delivery.
Conclusions:
- The ISO9001/2000 standard serves as an effective tool for healthcare organization and management.
- Implementation fostered team spirit, standardized professional practices, and clarified roles within the clinic.
- Benefits were observed at the levels of the child and family, healthcare teams, and administrative bodies.
Objective:
Our objective was to improve the organization and management of care facilities for children suffering from cancer or leukaemia and to be aligned with the legislation in force in France.
Methods:
Our report is on the successive steps for the implementation of a quality assurance system, methods used, motivations, cost, difficulties encountered as well as the advantages obtained. In the Regional Centre for Paediatric Oncology (CRCP) at the CHU in Clermont-Ferrand, we launched a quality programme based on ISO9001/2000 standards. The implementation of the quality assurance system was conducted as a research project and an established medical project with the support of the Management Team. The mission was divided into several "processes", an approach consisting of considering the clinical service in terms of flow and successions of transformations (reception, care, support, accompaniment, etc.) which produce added-value (services and products adapted to the needs of the "customers": children, families, correspondents).
Results:
We singled out ten physical processes or "job specializations" such as "diagnosis", "care" or "project for the child". The cartography which is the systematic representation of the processes and the interactions between them made it possible to draw up a global vision of the CRCP "care" activity.
Conclusion:
The ISO9001/2000 standard is a tool designed to help organization and management. The benefit obtained in implementing it in a clinic was perceived in organisational terms and lead to a true team spirit, a standardization of the professional practices and the enhancement of the role of each person. The advantages appear at three levels: the child and his/her family, the medical and paramedical teams, and the administrative supervisory bodies.
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