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Article . 2025 . Peer-reviewed
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Mise en place d’une culture sécurité en soins intensifs : fondements et défis.

Establishing a safety culture in an intensive care unit : principles and challenges.
Authors: DONEUX, Mélissa; Maille, Arnauda; Meco, Basak Ceida; De Ridder, Dirk; Paquay, Méryl; Bruyneel, Arnaud; Lambermont, Bernard; +1 Authors

Mise en place d’une culture sécurité en soins intensifs : fondements et défis.

Abstract

La culture sécurité est un élément clé pour améliorer la qualité des soins dans les établissements de santé. Ce processus de transformation, long et complexe, repose sur plusieurs outils et stratégies permettant de prévenir les erreurs et d’assurer la sécurité des patients. Parmi les principaux dispositifs, on trouve la déclaration des événements indésirables, l’utilisation d’outils de communication structurée, ainsi que l’analyse des causes profondes des incidents. Le leadership inclusif, l’environnement de sécurité psychologique et la promotion des déclarations sont également essentiels pour encourager l’expression des préoccupations et l’apprentissage organisationnel. Toutefois, des barrières demeurent, telles que la peur des répercussions et des difficultés de communication, qui entravent la mise en place d’une véritable culture de sécurité. Le modèle inspiré de l’aviation démontre l’importance de la transparence, de la standardisation des procédures et de l’apprentissage au départ des erreurs pour réduire les risques et améliorer les soins. Une telle approche, bénéfique pour les patients, contribue également à la performance organisationnelle et à la satisfaction des équipes soignantes.

A culture of safety plays a vital role in improving healthcare quality. This long and complex process of transformation relies on several tools and strategies designed to prevent errors and ensure patient safety. Among the main measures are the reporting of adverse events, the use of structured communication tools, and root cause analysis of incidents. Inclusive leadership, a psychologically safe environment, and the promotion of incident reporting are also essential to encourage the expression of concerns and foster organizational learning. However, barriers persist, such as fear of repercussions and communication difficulties, which hinder the establishment of a genuine safety culture. The aviation-inspired model highlights the importance of transparency, standardized procedures, and learning from errors to reduce risks and improve care. Such an approach, beneficial to patients, also contributes to organizational performance and satisfaction of healthcare teams.

Country
Belgium
Keywords

Anesthésie & soins intensifs, Intensive Care Units -- organization & administration -- standards, Patient Safety/standards, Intensive Care Units/organization & administration, Culture, Intensive Care, Patient Safety -- standards, Sciences bio-médicales et agricoles, Anesthesia & intensive care, Santé publique, Quality, Organizational Culture, Sciences de la santé humaine, Safety Management -- organization & administration, Error, Intensive Care Units/standards, Safety Management/organization & administration, Humans, Safety, Human health sciences

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
Average