Management par la qualité : Questions médicales fréquentes
Nom anglais: Total Quality Management
Descriptor UI:D017749
Tree Number:N05.700.792
Termes MeSH sélectionnés :
Robotics
{
"@context": "https://schema.org",
"@graph": [
{
"@type": "MedicalWebPage",
"name": "Management par la qualité : Questions médicales les plus fréquentes",
"headline": "Management par la qualité : Comprendre les symptômes, diagnostics et traitements",
"description": "Guide complet et accessible sur les Management par la qualité : explications, diagnostics, traitements et prévention. Information médicale validée destinée aux patients.",
"datePublished": "2024-04-13",
"dateModified": "2025-04-08",
"inLanguage": "fr",
"medicalAudience": [
{
"@type": "MedicalAudience",
"name": "Grand public",
"audienceType": "Patient",
"healthCondition": {
"@type": "MedicalCondition",
"name": "Management par la qualité"
},
"suggestedMinAge": 18,
"suggestedGender": "unisex"
},
{
"@type": "MedicalAudience",
"name": "Médecins",
"audienceType": "Physician",
"geographicArea": {
"@type": "AdministrativeArea",
"name": "France"
}
},
{
"@type": "MedicalAudience",
"name": "Chercheurs",
"audienceType": "Researcher",
"geographicArea": {
"@type": "AdministrativeArea",
"name": "International"
}
}
],
"reviewedBy": {
"@type": "Person",
"name": "Dr Olivier Menir",
"jobTitle": "Expert en Médecine",
"description": "Expert en Médecine, Optimisation des Parcours de Soins et Révision Médicale",
"url": "/static/pages/docteur-olivier-menir.html",
"alumniOf": {
"@type": "EducationalOrganization",
"name": "Université Paris Descartes"
}
},
"isPartOf": {
"@type": "MedicalWebPage",
"name": "Assurance de la qualité des soins de santé",
"url": "https://questionsmedicales.fr/mesh/D011785",
"about": {
"@type": "MedicalCondition",
"name": "Assurance de la qualité des soins de santé",
"code": {
"@type": "MedicalCode",
"code": "D011785",
"codingSystem": "MeSH"
},
"identifier": {
"@type": "PropertyValue",
"propertyID": "MeSH Tree",
"value": "N05.700"
}
}
},
"about": {
"@type": "MedicalCondition",
"name": "Management par la qualité",
"alternateName": "Total Quality Management",
"code": {
"@type": "MedicalCode",
"code": "D017749",
"codingSystem": "MeSH"
}
},
"author": [
{
"@type": "Person",
"name": "Majdi M Alzoubi",
"url": "https://questionsmedicales.fr/author/Majdi%20M%20Alzoubi",
"affiliation": {
"@type": "Organization",
"name": "Department of Community Health, Faculty of Medicine and Health Sciences, University Putra Malaysia, UPM Serdang, Selangor Darul Ehsan 43400, Malaysia."
}
},
{
"@type": "Person",
"name": "None None",
"url": "https://questionsmedicales.fr/author/None%20None",
"affiliation": {
"@type": "Organization",
"name": ""
}
},
{
"@type": "Person",
"name": "Nicolas S Piuzzi",
"url": "https://questionsmedicales.fr/author/Nicolas%20S%20Piuzzi",
"affiliation": {
"@type": "Organization",
"name": "Department of Orthopaedic Surgery, Cleveland Clinic, Cleveland, Ohio."
}
},
{
"@type": "Person",
"name": "Samuel B Adams",
"url": "https://questionsmedicales.fr/author/Samuel%20B%20Adams",
"affiliation": {
"@type": "Organization",
"name": "Department of Orthopedic Surgery, Duke University Medical Center, 200 Trent Drive, Durham, NC 27710, USA."
}
},
{
"@type": "Person",
"name": "Zongke Zhou",
"url": "https://questionsmedicales.fr/author/Zongke%20Zhou",
"affiliation": {
"@type": "Organization",
"name": "Department of Orthopedics, West China Hospital, Sichuan University, Chengdu Sichuan, 610041, P.R.China.zhouzongke@scu.edu.cn."
}
}
],
"citation": [
{
"@type": "ScholarlyArticle",
"name": "Active smoking increases risk of wound complications in robotic enhanced-view totally extraperitoneal (eTEP) retro-rectus ventral hernia repairs.",
"datePublished": "2024-09-28",
"url": "https://questionsmedicales.fr/article/39340656",
"identifier": {
"@type": "PropertyValue",
"propertyID": "DOI",
"value": "10.1007/s00464-024-11251-6"
}
},
{
"@type": "ScholarlyArticle",
"name": "The Conversion of Unicompartmental Knee Arthroplasty to Total Knee Arthroplasty with Non-CT Based Robotic Assistance: A Novel Surgical Technique and Case Series.",
"datePublished": "2024-09-24",
"url": "https://questionsmedicales.fr/article/39317202",
"identifier": {
"@type": "PropertyValue",
"propertyID": "DOI",
"value": "10.1055/a-2421-5496"
}
},
{
"@type": "ScholarlyArticle",
"name": "Effect and optimal exercise prescription of robot-assisted gait training on lower extremity motor function in stroke patients: a network meta-analysis.",
"datePublished": "2024-09-23",
"url": "https://questionsmedicales.fr/article/39312061",
"identifier": {
"@type": "PropertyValue",
"propertyID": "DOI",
"value": "10.1007/s10072-024-07780-6"
}
},
{
"@type": "ScholarlyArticle",
"name": "Robotic arm-assisted versus conventional total knee arthroplasty: comparing complications, costs, and postoperative opioid use in propensity-matched cohorts.",
"datePublished": "2024-09-05",
"url": "https://questionsmedicales.fr/article/39237651",
"identifier": {
"@type": "PropertyValue",
"propertyID": "DOI",
"value": "10.1007/s00590-024-04077-4"
}
},
{
"@type": "ScholarlyArticle",
"name": "Initial Experience of Single-Port Robotic Lobectomy for Large-Sized Non-Small Cell Lung Cancer: A Single-Center Retrospective Study.",
"datePublished": "2024-09-05",
"url": "https://questionsmedicales.fr/article/39272949",
"identifier": {
"@type": "PropertyValue",
"propertyID": "DOI",
"value": "10.3390/cancers16173091"
}
}
],
"breadcrumb": {
"@type": "BreadcrumbList",
"itemListElement": [
{
"@type": "ListItem",
"position": 1,
"name": "questionsmedicales.fr",
"item": "https://questionsmedicales.fr"
},
{
"@type": "ListItem",
"position": 2,
"name": "Qualité, accès, évaluation des soins de santé",
"item": "https://questionsmedicales.fr/mesh/D017530"
},
{
"@type": "ListItem",
"position": 3,
"name": "Assurance de la qualité des soins de santé",
"item": "https://questionsmedicales.fr/mesh/D011785"
},
{
"@type": "ListItem",
"position": 4,
"name": "Management par la qualité",
"item": "https://questionsmedicales.fr/mesh/D017749"
}
]
}
},
{
"@type": "MedicalWebPage",
"name": "Article complet : Management par la qualité - Questions et réponses",
"headline": "Questions et réponses médicales fréquentes sur Management par la qualité",
"description": "Une compilation de questions et réponses structurées, validées par des experts médicaux.",
"datePublished": "2025-05-07",
"inLanguage": "fr",
"hasPart": [
{
"@type": "MedicalWebPage",
"name": "Diagnostic",
"headline": "Diagnostic sur Management par la qualité",
"description": "Comment évaluer la qualité dans un établissement de santé ?\nQuels outils sont utilisés pour le diagnostic qualité ?\nQu'est-ce qu'un audit qualité ?\nComment identifier les problèmes de qualité ?\nQuel rôle joue le feedback dans le diagnostic qualité ?",
"url": "https://questionsmedicales.fr/mesh/D017749?mesh_terms=Robotics&page=1000#section-diagnostic"
},
{
"@type": "MedicalWebPage",
"name": "Symptômes",
"headline": "Symptômes sur Management par la qualité",
"description": "Quels symptômes indiquent un manque de qualité ?\nComment mesurer la satisfaction des patients ?\nQuels indicateurs montrent une mauvaise qualité ?\nComment les erreurs de communication affectent-elles la qualité ?\nQuels sont les signes d'une culture de qualité faible ?",
"url": "https://questionsmedicales.fr/mesh/D017749?mesh_terms=Robotics&page=1000#section-symptômes"
},
{
"@type": "MedicalWebPage",
"name": "Prévention",
"headline": "Prévention sur Management par la qualité",
"description": "Comment prévenir les erreurs médicales ?\nQuel rôle joue la communication dans la prévention ?\nComment sensibiliser le personnel à la qualité ?\nQuelles pratiques préventives sont essentielles ?\nComment impliquer les patients dans la prévention ?",
"url": "https://questionsmedicales.fr/mesh/D017749?mesh_terms=Robotics&page=1000#section-prévention"
},
{
"@type": "MedicalWebPage",
"name": "Traitements",
"headline": "Traitements sur Management par la qualité",
"description": "Comment améliorer les processus de traitement ?\nQuel est l'impact de la formation sur la qualité ?\nComment impliquer le personnel dans le management qualité ?\nQuels traitements peuvent être standardisés ?\nComment évaluer l'efficacité des traitements ?",
"url": "https://questionsmedicales.fr/mesh/D017749?mesh_terms=Robotics&page=1000#section-traitements"
},
{
"@type": "MedicalWebPage",
"name": "Complications",
"headline": "Complications sur Management par la qualité",
"description": "Quelles complications peuvent résulter d'une mauvaise qualité ?\nComment évaluer les complications liées à la qualité ?\nQuel est l'impact des complications sur les patients ?\nComment réduire les complications dans les soins ?\nQuelles sont les conséquences économiques des complications ?",
"url": "https://questionsmedicales.fr/mesh/D017749?mesh_terms=Robotics&page=1000#section-complications"
},
{
"@type": "MedicalWebPage",
"name": "Facteurs de risque",
"headline": "Facteurs de risque sur Management par la qualité",
"description": "Quels facteurs de risque affectent la qualité des soins ?\nComment la culture organisationnelle influence-t-elle la qualité ?\nQuel est l'impact du leadership sur la qualité ?\nComment les ressources humaines influencent-elles la qualité ?\nQuels sont les risques liés à la technologie dans les soins ?",
"url": "https://questionsmedicales.fr/mesh/D017749?mesh_terms=Robotics&page=1000#section-facteurs de risque"
}
]
},
{
"@type": "FAQPage",
"mainEntity": [
{
"@type": "Question",
"name": "Comment évaluer la qualité dans un établissement de santé ?",
"position": 1,
"acceptedAnswer": {
"@type": "Answer",
"text": "Utiliser des indicateurs de performance et des audits internes pour mesurer la qualité."
}
},
{
"@type": "Question",
"name": "Quels outils sont utilisés pour le diagnostic qualité ?",
"position": 2,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les outils incluent les diagrammes de Pareto, les cartes de contrôle et les enquêtes de satisfaction."
}
},
{
"@type": "Question",
"name": "Qu'est-ce qu'un audit qualité ?",
"position": 3,
"acceptedAnswer": {
"@type": "Answer",
"text": "C'est une évaluation systématique des processus pour identifier les améliorations nécessaires."
}
},
{
"@type": "Question",
"name": "Comment identifier les problèmes de qualité ?",
"position": 4,
"acceptedAnswer": {
"@type": "Answer",
"text": "Analyser les retours des patients et les données de performance pour détecter les anomalies."
}
},
{
"@type": "Question",
"name": "Quel rôle joue le feedback dans le diagnostic qualité ?",
"position": 5,
"acceptedAnswer": {
"@type": "Answer",
"text": "Le feedback des patients et du personnel aide à identifier les lacunes et à orienter les améliorations."
}
},
{
"@type": "Question",
"name": "Quels symptômes indiquent un manque de qualité ?",
"position": 6,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des plaintes fréquentes des patients et des erreurs médicales peuvent signaler des problèmes."
}
},
{
"@type": "Question",
"name": "Comment mesurer la satisfaction des patients ?",
"position": 7,
"acceptedAnswer": {
"@type": "Answer",
"text": "Utiliser des enquêtes et des questionnaires pour recueillir des avis sur les services reçus."
}
},
{
"@type": "Question",
"name": "Quels indicateurs montrent une mauvaise qualité ?",
"position": 8,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des taux élevés d'infections nosocomiales et de réadmissions peuvent indiquer des faiblesses."
}
},
{
"@type": "Question",
"name": "Comment les erreurs de communication affectent-elles la qualité ?",
"position": 9,
"acceptedAnswer": {
"@type": "Answer",
"text": "Elles peuvent entraîner des malentendus, des erreurs de traitement et une insatisfaction des patients."
}
},
{
"@type": "Question",
"name": "Quels sont les signes d'une culture de qualité faible ?",
"position": 10,
"acceptedAnswer": {
"@type": "Answer",
"text": "Un manque d'engagement du personnel et une résistance au changement sont des indicateurs clés."
}
},
{
"@type": "Question",
"name": "Comment prévenir les erreurs médicales ?",
"position": 11,
"acceptedAnswer": {
"@type": "Answer",
"text": "Mettre en place des protocoles de vérification et des formations sur la sécurité des patients."
}
},
{
"@type": "Question",
"name": "Quel rôle joue la communication dans la prévention ?",
"position": 12,
"acceptedAnswer": {
"@type": "Answer",
"text": "Une communication claire entre le personnel et les patients réduit les risques d'erreurs."
}
},
{
"@type": "Question",
"name": "Comment sensibiliser le personnel à la qualité ?",
"position": 13,
"acceptedAnswer": {
"@type": "Answer",
"text": "Organiser des ateliers et des formations sur l'importance de la qualité dans les soins."
}
},
{
"@type": "Question",
"name": "Quelles pratiques préventives sont essentielles ?",
"position": 14,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'hygiène, la vérification des médicaments et la formation continue sont cruciales."
}
},
{
"@type": "Question",
"name": "Comment impliquer les patients dans la prévention ?",
"position": 15,
"acceptedAnswer": {
"@type": "Answer",
"text": "Encourager les patients à poser des questions et à exprimer leurs préoccupations sur les soins."
}
},
{
"@type": "Question",
"name": "Comment améliorer les processus de traitement ?",
"position": 16,
"acceptedAnswer": {
"@type": "Answer",
"text": "Implémenter des protocoles standardisés et former le personnel aux meilleures pratiques."
}
},
{
"@type": "Question",
"name": "Quel est l'impact de la formation sur la qualité ?",
"position": 17,
"acceptedAnswer": {
"@type": "Answer",
"text": "Une formation continue améliore les compétences et réduit les erreurs, augmentant ainsi la qualité."
}
},
{
"@type": "Question",
"name": "Comment impliquer le personnel dans le management qualité ?",
"position": 18,
"acceptedAnswer": {
"@type": "Answer",
"text": "Encourager la participation à des comités qualité et à des sessions de feedback régulières."
}
},
{
"@type": "Question",
"name": "Quels traitements peuvent être standardisés ?",
"position": 19,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les traitements pour des pathologies courantes peuvent être standardisés pour garantir la qualité."
}
},
{
"@type": "Question",
"name": "Comment évaluer l'efficacité des traitements ?",
"position": 20,
"acceptedAnswer": {
"@type": "Answer",
"text": "Analyser les résultats cliniques et les retours des patients pour ajuster les pratiques."
}
},
{
"@type": "Question",
"name": "Quelles complications peuvent résulter d'une mauvaise qualité ?",
"position": 21,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des complications comme les infections, les erreurs de médication et les réadmissions peuvent survenir."
}
},
{
"@type": "Question",
"name": "Comment évaluer les complications liées à la qualité ?",
"position": 22,
"acceptedAnswer": {
"@type": "Answer",
"text": "Analyser les données des incidents et les retours des patients pour identifier les tendances."
}
},
{
"@type": "Question",
"name": "Quel est l'impact des complications sur les patients ?",
"position": 23,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications peuvent prolonger le séjour hospitalier et affecter la satisfaction des patients."
}
},
{
"@type": "Question",
"name": "Comment réduire les complications dans les soins ?",
"position": 24,
"acceptedAnswer": {
"@type": "Answer",
"text": "Mettre en œuvre des pratiques basées sur des preuves et des protocoles de soins standardisés."
}
},
{
"@type": "Question",
"name": "Quelles sont les conséquences économiques des complications ?",
"position": 25,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications entraînent des coûts supplémentaires pour les soins et des pertes de revenus."
}
},
{
"@type": "Question",
"name": "Quels facteurs de risque affectent la qualité des soins ?",
"position": 26,
"acceptedAnswer": {
"@type": "Answer",
"text": "Le manque de formation, la surcharge de travail et la communication insuffisante sont des facteurs clés."
}
},
{
"@type": "Question",
"name": "Comment la culture organisationnelle influence-t-elle la qualité ?",
"position": 27,
"acceptedAnswer": {
"@type": "Answer",
"text": "Une culture qui valorise la qualité et l'amélioration continue favorise de meilleurs résultats."
}
},
{
"@type": "Question",
"name": "Quel est l'impact du leadership sur la qualité ?",
"position": 28,
"acceptedAnswer": {
"@type": "Answer",
"text": "Un leadership engagé et visionnaire est essentiel pour promouvoir une culture de qualité."
}
},
{
"@type": "Question",
"name": "Comment les ressources humaines influencent-elles la qualité ?",
"position": 29,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des équipes bien formées et motivées sont cruciales pour maintenir des standards de qualité élevés."
}
},
{
"@type": "Question",
"name": "Quels sont les risques liés à la technologie dans les soins ?",
"position": 30,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les erreurs de saisie et les défaillances technologiques peuvent compromettre la qualité des soins."
}
}
]
}
]
}
Tobacco smoking increases risk of complications after open hernia repair, however it is unknown whether this is true in minimally invasive hernia repair. We aim to determine whether there are differen...
Our study included 102 patients who underwent robotic eTEP retrorectus repair of ventral hernias at a single institution from November 2019 to October 2022. Data collected included demographics, smoki...
Out of 102 patients, 18 were currently smoking, 38 were former smokers, 56 had ever smoked, 46 had never smoked and 84 were not currently smoking. Those who had ever smoked were more likely to endorse...
Active smoking at the time of robotic eTEP increases the risk of clinically significant surgical site occurrences. This same increase is not seen in former smokers suggesting that smoking cessation sh...
Robotic-assisted devices help provide precise component positioning in conversion of unicompartmental knee arthroplasty (UKA) to total knee arthroplasty (TKA). A few studies offer surgical techniques ...
We present three patients (ages 46 to 66) who were evaluated for conversion of UKA to TKA for aseptic loosening, stress fracture, and progressive osteoarthritis. Each patient underwent robotic-assiste...
Preoperative planning included biplanar long leg radiographs to determine the anatomic and mechanical axis of the leg. After arthrotomy with a standard medial parapatellar approach, infrared reflector...
The use of a non-CT based robotic assisted device in conversion of UKA to TKA is a novel technique and a good option for surgeons familiar with robotic-assisted arthroplasty, resulting in excellent ou...
This study aimed to evaluate the effectiveness of robot-assisted gait training (RAGT) and explore the optimal exercise prescription using a network meta-analysis approach....
A comprehensive search was conducted on randomized controlled trials comparing robotic and conventional rehabilitation published up to January 2024 in PubMed, Web of Science, Cochrane Library, Embase,...
The evaluation parameters included Fugl-Meyer Assessment of Lower Extremity (FMA-LE), Functional Ambulation Category (FAC), Berg Balance Scale (BBS), and 6-Minute Walk Test (6MWT). Two investigators i...
A total of 21 articles involving 822 subjects were included in the analysis. RAGT positively influenced FMA-LE score (MD = 3.74, 95%CI 3.02-4.46, P < 0.05), FAC score (MD = 0.31, 95%CI 0.1-0.53, P < 0...
RAGT can effectively improve lower limb motor function, walking function, balance function, and walking endurance in stroke patients. For optimal improvement in FMA-LE score, an exercise time of 40-60...
Limited literature exists substantiating benefits of robotic arm-assisted total knee arthroplasty (raTKA) over conventional total knee arthroplasty (cTKA). This study compared postoperative pain, comp...
A commercially available patient database was used for this study. Patients with raTKA and cTKA were identified with current procedural terminology and international classification of diseases (ICD-9/...
Compared with patients with cTKAs (n = 31,105), patients with raTKAs (n = 6,221) had less postoperative opioid use (p < 0.01), lower rates of postoperative acute renal failure (OR 0.71; p < 0.01), ane...
RaTKA was associated with less postoperative pain and complications compared with cTKA....
Single-port robotic-assisted thoracic surgery (SP-RATS) lobectomy using the da Vinci Xi system has been performed by several pioneers. However, due to the severe collisions and the steep learning curv...
This study aimed to construct a novel pelvis-prostate model BPPP which consists of body mass index (BMI), prostate volume (PV), pelvic cavity index (PCI) and prostate-muscle index (PMI) to predict the...
The aim of this systematic review is to assess a relation between demographical, clinical and tumoral features and the need for a prophylactic tracheotomy during TORS procedure in patients affected by...
PRISMA 2020 guidelines were applied in this systematic literature review. A computerized search was performed using the Embase/Pubmed, Scopus and Cochrane database, for articles published from 2007 to...
Through a study selection process 8 full texts were eligible for statistical univariate analysis. The most relevant factor related to a prophylactic tracheotomy was a contextual bilateral cervical nod...
The prophylactic tracheotomy is considered a temporary protection strategy to achieve a valid recovery after TORS procedure. However, there are no guidelines regarding its routinely use. Only 25 % of ...
We compared the comprehensive clinical outcomes of focal therapy (FT) and robot-assisted radical prostatectomy (RARP) in patients with localized prostate cancer (PC) using a win ratio analysis. After ...
There is a paucity of research comparing postoperative complication rates between manual total knee arthroplasty (M-TKA) and robotic-assisted total knee arthroplasty (RA-TKA). This study aims to compa...
A retrospective review of a multihospital database identified patients who underwent TKA between January 2016 and May 2023. Surgeons who used the robotic-assisted surgery technique in <10% or >90% of ...
All-cause 90-day readmission rates were 2.4% for RA-TKA and 2.6% for M-TKA (P = 0.36). RA-TKA had fewer revisits (RA-TKA: 7.8%; M-TKA: 8.8%, P = 0.027) and rates of readmission with >23 hours of obser...
In this retrospective matched cohort analysis, RA-TKA was associated with markedly fewer revisits and readmissions with >23 hours of observation compared with M-TKA. No differences in all-cause 90-day...
Level III....
Retrospective review....
To improve our previous simulation-based training module by using sustainable material to mold an anatomically accurate terrain and reproducing major vascular injuries encountered during robot-assiste...
The simulator was built with a pump, gauge, and valve linked via silicone tubing. Artificial blood was made from cornstarch, water, and red dye, and pumped through 3D-Med artificial vessels with the d...
The apparatus demonstrated high reproducibility across all simulation scenarios, enhancing resident problem-solving skills. Residents' pre-simulation surveys revealed significant concern regarding the...
The management of acute hemorrhage during robot-assisted surgery remains a space for additional surgical education and training. Our simulation successfully provided a reliable, reproducible training ...