Assurance-qualité du service biomédical: application à un hôpital d'outre-mer

Abstract

Due to the laws regarding hospitalization reform, health institutions are compelled to evaluate their structure, procedures and results. To attain this effort, biomedical departments are required to implement a quality management system, such as the ISO 9002 standard. This standard is becoming the model of choice for a growing number of French biomedical departments. However, as its application requires an effort of interpretation according to departmental structure, the question is: ‘Is the implementation methodology of the ISO 9000 frameworks really accessible without significant adaptations to any institution?’. In initiating this implementation in an over-seas hospital, we extract elements which are intimately linked with the hospital structure and whose study is necessary to the perenniallity of the quality approach: the importance of the equipment set whose maintenance is taken over inward, the means to provide, the evaluation of the local providers and the adaptation of the management modes in the socio-professionnal context.