[Implementation of quality assurance program ISO 9001 in a department of paediatric oncology].
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.


CONCLUSIONS
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.
Kanold
J
J
Service de pédiatrie B, centre régional de cancérologie pédiatrique, CHU de Clermont-Ferrand, Hôtel-Dieu, 63001 Clermont-Ferrand, France. jkanold@chu-clermontferrand.fr
Halle
P
P
Paillard
C
C
Merlin
E
E
David
A
A
Levallois
S
S
Roudeix
D
D
Dugué
F
F
Lacaze
C
C
Morisset
C
C
Souquiere
V
V
Deméocq
F
F
D000293:Adolescent; D002173:Cancer Care Facilities / Q000592:standards*; D002648:Child; D002662:Child Health Services / Q000592:standards; D002675:Child, Preschool; D005190:Family; D005602:France; D006785:Hospitals, University; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008485:Medical Audit; D008495:Medical Oncology / Q000592:standards*; D010372:Pediatrics / Q000592:standards*; D011368:Professional-Family Relations; D011785:Quality Assurance, Health Care / Q000331:legislation & jurisprudence / Q000458:organization & administration* / Q000592:standards