<?xml version="1.0" encoding="utf-8"?>
<TEI xmlns="http://www.tei-c.org/ns/1.0" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:hal="http://hal.archives-ouvertes.fr/" xmlns:gml="http://www.opengis.net/gml/3.3/" xmlns:gmlce="http://www.opengis.net/gml/3.3/ce" version="1.1" xsi:schemaLocation="http://www.tei-c.org/ns/1.0 http://api.archives-ouvertes.fr/documents/aofr-sword.xsd">
  <teiHeader>
    <fileDesc>
      <titleStmt>
        <title>HAL TEI export of hal-00260993</title>
      </titleStmt>
      <publicationStmt>
        <distributor>CCSD</distributor>
        <availability status="restricted">
          <licence target="https://creativecommons.org/publicdomain/zero/1.0/">CC0 1.0 - Universal</licence>
        </availability>
        <date when="2026-05-25T13:51:40+02:00"/>
      </publicationStmt>
      <sourceDesc>
        <p part="N">HAL API Platform</p>
      </sourceDesc>
    </fileDesc>
  </teiHeader>
  <text>
    <body>
      <listBibl>
        <biblFull>
          <titleStmt>
            <title xml:lang="en">Evaluation of the implementation of quality management systems in a teaching hospital's clinical departments</title>
            <author role="aut">
              <persName>
                <forename type="first">Patrice</forename>
                <surname>François</surname>
              </persName>
              <idno type="halauthorid">303936-0</idno>
              <affiliation ref="#struct-55483"/>
            </author>
            <author role="aut">
              <persName>
                <forename type="first">Jean-Claude</forename>
                <surname>Peyrin</surname>
              </persName>
              <idno type="halauthorid">303937-0</idno>
              <affiliation ref="#struct-55483"/>
            </author>
            <author role="aut">
              <persName>
                <forename type="first">Muriel</forename>
                <surname>Touboul</surname>
              </persName>
              <idno type="halauthorid">303943-0</idno>
            </author>
            <author role="aut">
              <persName>
                <forename type="first">José</forename>
                <surname>Labarère</surname>
              </persName>
              <email type="md5">1a8f7ccb5bd17297b82ff42238a5b967</email>
              <email type="domain">chu-grenoble.fr</email>
              <idno type="idhal" notation="numeric">945776</idno>
              <idno type="halauthorid" notation="string">250976-945776</idno>
              <affiliation ref="#struct-394087"/>
            </author>
            <author role="aut">
              <persName>
                <forename type="first">Thomas</forename>
                <surname>Reverdy</surname>
              </persName>
              <email type="md5">801aea3c64b85046f0f5a8616fee4065</email>
              <email type="domain">grenoble-inp.fr</email>
              <idno type="idhal" notation="string">thomas-reverdy</idno>
              <idno type="idhal" notation="numeric">7595</idno>
              <idno type="halauthorid" notation="string">26241-7595</idno>
              <idno type="IDREF">https://www.idref.fr/078710162</idno>
              <idno type="ORCID">https://orcid.org/0000-0002-5897-8218</idno>
              <affiliation ref="#struct-566"/>
              <affiliation ref="#struct-675"/>
            </author>
            <author role="aut">
              <persName>
                <forename type="first">Dominique</forename>
                <surname>Vinck</surname>
              </persName>
              <email type="md5">4c957906e7a993eff46b680483a6b7aa</email>
              <email type="domain">upmf-grenoble.fr</email>
              <idno type="idhal" notation="numeric">838541</idno>
              <idno type="halauthorid" notation="string">196000-838541</idno>
              <affiliation ref="#struct-566"/>
              <affiliation ref="#struct-675"/>
            </author>
            <editor role="depositor">
              <persName>
                <forename>Dominique</forename>
                <surname>Vinck</surname>
              </persName>
              <email type="md5">d4aa88d75be4edb5f72593a18bdff706</email>
              <email type="domain">upmf-grenoble.fr.invalid</email>
            </editor>
          </titleStmt>
          <editionStmt>
            <edition n="v1" type="current">
              <date type="whenSubmitted">2008-03-06 09:03:25</date>
              <date type="whenWritten">2003</date>
              <date type="whenModified">2026-03-26 16:30:05</date>
              <date type="whenReleased">2008-03-06 09:03:25</date>
              <date type="whenProduced">2003</date>
            </edition>
            <respStmt>
              <resp>contributor</resp>
              <name key="114152">
                <persName>
                  <forename>Dominique</forename>
                  <surname>Vinck</surname>
                </persName>
                <email type="md5">d4aa88d75be4edb5f72593a18bdff706</email>
                <email type="domain">upmf-grenoble.fr.invalid</email>
              </name>
            </respStmt>
          </editionStmt>
          <publicationStmt>
            <distributor>CCSD</distributor>
            <idno type="halId">hal-00260993</idno>
            <idno type="halUri">https://hal.science/hal-00260993</idno>
            <idno type="halBibtex">francois:hal-00260993</idno>
            <idno type="halRefHtml">&lt;i&gt;International Journal for Quality in Health Care&lt;/i&gt;, 2003, 15 (1), pp.47-55</idno>
            <idno type="halRef">International Journal for Quality in Health Care, 2003, 15 (1), pp.47-55</idno>
            <availability status="restricted"/>
          </publicationStmt>
          <seriesStmt>
            <idno type="stamp" n="SHS">Sciences de l'Homme et de la Société</idno>
            <idno type="stamp" n="UGA">HAL Grenoble Alpes</idno>
            <idno type="stamp" n="IMAG">IMAG</idno>
            <idno type="stamp" n="CNRS">CNRS - Centre national de la recherche scientifique</idno>
            <idno type="stamp" n="UNIV-GRENOBLE1">Université Joseph Fourier - Grenoble I</idno>
            <idno type="stamp" n="UNIV-PMF_GRENOBLE">Université Pierre-Mendès-France - Grenoble II</idno>
            <idno type="stamp" n="INPG">Institut polytechnique de Grenoble</idno>
            <idno type="stamp" n="PACTE" corresp="SHS">Laboratoire de sciences sociales</idno>
            <idno type="stamp" n="AO-SOCIOLOGIE">Archives ouvertes de la Sociologie</idno>
            <idno type="stamp" n="SOCIOLOGIE">SOCIOLOGIE</idno>
            <idno type="stamp" n="TIMC-IMAG">TIMC</idno>
            <idno type="stamp" n="IEPG">Institut d'Études Politiques [IEP] - Grenoble</idno>
            <idno type="stamp" n="SCPO-GRENOBLE" corresp="SHS">Sciences Po Grenoble</idno>
            <idno type="stamp" n="UNIV-LYON">Université de Lyon</idno>
            <idno type="stamp" n="TEST-UGA">TEST-UGA</idno>
          </seriesStmt>
          <notesStmt>
            <note type="audience" n="2">International</note>
            <note type="popular" n="0">No</note>
            <note type="peer" n="1">Yes</note>
          </notesStmt>
          <sourceDesc>
            <biblStruct>
              <analytic>
                <title xml:lang="en">Evaluation of the implementation of quality management systems in a teaching hospital's clinical departments</title>
                <author role="aut">
                  <persName>
                    <forename type="first">Patrice</forename>
                    <surname>François</surname>
                  </persName>
                  <idno type="halauthorid">303936-0</idno>
                  <affiliation ref="#struct-55483"/>
                </author>
                <author role="aut">
                  <persName>
                    <forename type="first">Jean-Claude</forename>
                    <surname>Peyrin</surname>
                  </persName>
                  <idno type="halauthorid">303937-0</idno>
                  <affiliation ref="#struct-55483"/>
                </author>
                <author role="aut">
                  <persName>
                    <forename type="first">Muriel</forename>
                    <surname>Touboul</surname>
                  </persName>
                  <idno type="halauthorid">303943-0</idno>
                </author>
                <author role="aut">
                  <persName>
                    <forename type="first">José</forename>
                    <surname>Labarère</surname>
                  </persName>
                  <email type="md5">1a8f7ccb5bd17297b82ff42238a5b967</email>
                  <email type="domain">chu-grenoble.fr</email>
                  <idno type="idhal" notation="numeric">945776</idno>
                  <idno type="halauthorid" notation="string">250976-945776</idno>
                  <affiliation ref="#struct-394087"/>
                </author>
                <author role="aut">
                  <persName>
                    <forename type="first">Thomas</forename>
                    <surname>Reverdy</surname>
                  </persName>
                  <email type="md5">801aea3c64b85046f0f5a8616fee4065</email>
                  <email type="domain">grenoble-inp.fr</email>
                  <idno type="idhal" notation="string">thomas-reverdy</idno>
                  <idno type="idhal" notation="numeric">7595</idno>
                  <idno type="halauthorid" notation="string">26241-7595</idno>
                  <idno type="IDREF">https://www.idref.fr/078710162</idno>
                  <idno type="ORCID">https://orcid.org/0000-0002-5897-8218</idno>
                  <affiliation ref="#struct-566"/>
                  <affiliation ref="#struct-675"/>
                </author>
                <author role="aut">
                  <persName>
                    <forename type="first">Dominique</forename>
                    <surname>Vinck</surname>
                  </persName>
                  <email type="md5">4c957906e7a993eff46b680483a6b7aa</email>
                  <email type="domain">upmf-grenoble.fr</email>
                  <idno type="idhal" notation="numeric">838541</idno>
                  <idno type="halauthorid" notation="string">196000-838541</idno>
                  <affiliation ref="#struct-566"/>
                  <affiliation ref="#struct-675"/>
                </author>
              </analytic>
              <monogr>
                <idno type="halJournalId" status="VALID">14318</idno>
                <idno type="issn">1353-4505</idno>
                <idno type="eissn">1464-3677</idno>
                <title level="j">International Journal for Quality in Health Care</title>
                <imprint>
                  <publisher>Oxford University Press (OUP)</publisher>
                  <biblScope unit="volume">15</biblScope>
                  <biblScope unit="issue">1</biblScope>
                  <biblScope unit="pp">47-55</biblScope>
                  <date type="datePub">2003</date>
                </imprint>
              </monogr>
            </biblStruct>
          </sourceDesc>
          <profileDesc>
            <langUsage>
              <language ident="en">English</language>
            </langUsage>
            <textClass>
              <keywords scheme="author">
                <term xml:lang="en">: continuous quality improvement</term>
                <term xml:lang="en">health care quality</term>
                <term xml:lang="en">hospital</term>
                <term xml:lang="en">implementation</term>
              </keywords>
              <classCode scheme="halDomain" n="shs.socio">Humanities and Social Sciences/Sociology</classCode>
              <classCode scheme="halTypology" n="ART">Journal articles</classCode>
              <classCode scheme="halOldTypology" n="ART">Journal articles</classCode>
              <classCode scheme="halTreeTypology" n="ART">Journal articles</classCode>
            </textClass>
            <abstract xml:lang="en">
              <p>Objectives. This study evaluated a strategy for implementing continuous quality improvement based on a decentralized quality management system in the clinical departments of a hospital. Setting. The institution is a 2000-bed teaching hospital of tertiary health care employing 8000 people. Methods. The quality management intervention was tested in six volunteer departments. This intervention comprised an instructional seminar, methodological assistance, and the dissemination of guidelines. The program was evaluated 1 year after the intervention and included a quality audit, interviews with department staff, and analysis of the written documents produced by the departments. Results. The quality management systems are functioning in all the departments. Quality teams meet regularly and multidisciplinary work groups are in place. The topics most often addressed are patient reception and communication between department staff members. The level of compliance with the guidelines has increased, from 39% before the seminar to 54% 1 year later (P &lt; 0.05). All of the staff members interviewed judged the process useful for them and for the department, while waiting for the concrete results. Among the difficulties the staff members encountered were changing their work habits, lack of time, and the tedious aspect of writing procedures. Conclusion. Implementing continuous quality improvement in hospital departments seems to be an interesting alternative to organization-wide implementation strategies. However, these results need to be confirmed by long-term evaluations and by deploying the program in other departments.</p>
            </abstract>
          </profileDesc>
        </biblFull>
      </listBibl>
    </body>
    <back>
      <listOrg type="structures">
        <org type="laboratory" xml:id="struct-55483" status="INCOMING">
          <orgName>Qualitique et évaluation médicale Unit, Centre Hospitalier Universitaire, Grenoble, France</orgName>
          <desc>
            <address>
              <country key="FR"/>
            </address>
          </desc>
          <listRelation>
            <relation active="#struct-306005" type="direct"/>
          </listRelation>
        </org>
        <org type="researchteam" xml:id="struct-394087" status="INCOMING">
          <orgName>TIMB</orgName>
          <desc>
            <address>
              <country key="FR"/>
            </address>
          </desc>
          <listRelation>
            <relation active="#struct-707" type="direct"/>
            <relation active="#struct-51016" type="indirect"/>
            <relation active="#struct-89889" type="indirect"/>
            <relation active="#struct-301767" type="indirect"/>
            <relation name="UMR5525" active="#struct-441569" type="indirect"/>
            <relation active="#struct-257328" type="direct"/>
          </listRelation>
        </org>
        <org type="laboratory" xml:id="struct-566" status="OLD">
          <idno type="IdRef">034761780</idno>
          <orgName>Centre de recherche : innovation sociotechnique et organisations industrielles</orgName>
          <orgName type="acronym">CRISTO</orgName>
          <date type="start">1992-01-01</date>
          <date type="end">2006-12-31</date>
          <desc>
            <address>
              <addrLine>1041 Rue des résidences - BP 47 38040 GRENOBLE CEDEX 9</addrLine>
              <country key="FR"/>
            </address>
            <ref type="url">http://www.upmf-grenoble.fr/cristo</ref>
          </desc>
          <listRelation>
            <relation active="#struct-3886" type="direct"/>
            <relation name="UMR5061" active="#struct-441569" type="direct"/>
          </listRelation>
        </org>
        <org type="laboratory" xml:id="struct-675" status="OLD">
          <idno type="IdRef">078842697</idno>
          <idno type="ISNI">0000 0001 2164 8234</idno>
          <idno type="RNSR">200311865N</idno>
          <idno type="ROR">https://ror.org/026j45x50</idno>
          <orgName>Pacte, Laboratoire de sciences sociales</orgName>
          <orgName type="acronym">PACTE</orgName>
          <date type="start">2003-01-01</date>
          <date type="end">2015-12-31</date>
          <desc>
            <address>
              <addrLine>Siège : IEP - BP 48 38040 Grenoble cedex 9</addrLine>
              <country key="FR"/>
            </address>
            <ref type="url">http://www.pacte-grenoble.fr/</ref>
          </desc>
          <listRelation>
            <relation active="#struct-3886" type="direct"/>
            <relation active="#struct-51016" type="direct"/>
            <relation active="#struct-89636" type="direct"/>
            <relation name="UMR5194" active="#struct-441569" type="direct"/>
          </listRelation>
        </org>
        <org type="institution" xml:id="struct-306005" status="INCOMING">
          <orgName>Centre hospitalier Universitaire</orgName>
          <desc>
            <address>
              <country key="FR"/>
            </address>
          </desc>
        </org>
        <org type="laboratory" xml:id="struct-707" status="OLD">
          <idno type="IdRef">14728936X</idno>
          <idno type="ISNI">0000 0004 4687 1979</idno>
          <idno type="RNSR">199511969L</idno>
          <idno type="ROR">https://ror.org/03985kf35</idno>
          <orgName>Techniques de l'Ingénierie Médicale et de la Complexité - Informatique, Mathématiques et Applications, Grenoble - UMR 5525</orgName>
          <orgName type="acronym">TIMC-IMAG</orgName>
          <date type="start">1993-01-01</date>
          <date type="end">2015-12-31</date>
          <desc>
            <address>
              <addrLine>Domaine de la Merci, 38706 La Tronche, France</addrLine>
              <country key="FR"/>
            </address>
            <ref type="url">https://www-timc.imag.fr</ref>
          </desc>
          <listRelation>
            <relation active="#struct-51016" type="direct"/>
            <relation active="#struct-89889" type="direct"/>
            <relation active="#struct-301767" type="direct"/>
            <relation name="UMR5525" active="#struct-441569" type="direct"/>
          </listRelation>
        </org>
        <org type="institution" xml:id="struct-51016" status="OLD">
          <idno type="IdRef">026404796</idno>
          <idno type="ROR">https://ror.org/02aj0kh94</idno>
          <orgName>Université Joseph Fourier - Grenoble 1</orgName>
          <orgName type="acronym">UJF</orgName>
          <date type="end">2015-12-31</date>
          <desc>
            <address>
              <addrLine>BP 53 - 38041 Grenoble Cedex 9</addrLine>
              <country key="FR"/>
            </address>
            <ref type="url">http://www.ujf-grenoble.fr/</ref>
          </desc>
        </org>
        <org type="institution" xml:id="struct-89889" status="OLD">
          <idno type="IdRef">026388804</idno>
          <idno type="ROR">https://ror.org/05sbt2524</idno>
          <orgName>Institut polytechnique de Grenoble - Grenoble Institute of Technology</orgName>
          <orgName type="acronym">Grenoble INP</orgName>
          <date type="start">2007-01-01</date>
          <date type="end">2019-12-31</date>
          <desc>
            <address>
              <addrLine>46 avenue Félix Viallet 38031 Grenoble Cedex 1</addrLine>
              <country key="FR"/>
            </address>
            <ref type="url">http://www.grenoble-inp.fr/</ref>
          </desc>
        </org>
        <org type="institution" xml:id="struct-301767" status="VALID">
          <idno type="ROR">https://ror.org/01c7wz417</idno>
          <orgName>VetAgro Sup - Institut national d'enseignement supérieur et de recherche en alimentation, santé animale, sciences agronomiques et de l'environnement</orgName>
          <orgName type="acronym">VAS</orgName>
          <date type="start">2010-01-01</date>
          <desc>
            <address>
              <addrLine>Université de Lyon, VetAgro Sup, 69280 Marcy l'Etoile (campus vétérinaire); Université de Clermont, VetAgro Sup, 63370 Lempdes (campus agronomique)</addrLine>
              <country key="FR"/>
            </address>
            <ref type="url">http://www.vetagro-sup.fr/</ref>
          </desc>
        </org>
        <org type="regroupinstitution" xml:id="struct-441569" status="VALID">
          <idno type="IdRef">02636817X</idno>
          <idno type="ISNI">0000000122597504</idno>
          <idno type="ROR">https://ror.org/02feahw73</idno>
          <orgName>Centre National de la Recherche Scientifique</orgName>
          <orgName type="acronym">CNRS</orgName>
          <date type="start">1939-10-19</date>
          <desc>
            <address>
              <country key="FR"/>
            </address>
            <ref type="url">https://www.cnrs.fr/</ref>
          </desc>
        </org>
        <org type="institution" xml:id="struct-257328" status="VALID">
          <idno type="IdRef">034137076</idno>
          <idno type="ROR">https://ror.org/041rhpw39</idno>
          <orgName>CHU de Grenoble-Alpes - Centre Hospitalier Universitaire CHU Grenoble</orgName>
          <orgName type="acronym">CHUGA</orgName>
          <desc>
            <address>
              <addrLine>CS 1021738043 Grenoble cedex 9</addrLine>
              <country key="FR"/>
            </address>
            <ref type="url">https://www.chu-grenoble.fr/</ref>
          </desc>
        </org>
        <org type="institution" xml:id="struct-3886" status="OLD">
          <idno type="IdRef">02640432X</idno>
          <idno type="ROR">https://ror.org/02f7wz369</idno>
          <orgName>Université Pierre Mendès France - Grenoble 2</orgName>
          <orgName type="acronym">UPMF</orgName>
          <date type="end">2015-12-31</date>
          <desc>
            <address>
              <addrLine>BP 47 - 38040 Grenoble Cedex 9</addrLine>
              <country key="FR"/>
            </address>
            <ref type="url">http://www.upmf-grenoble.fr/</ref>
          </desc>
        </org>
        <org type="institution" xml:id="struct-89636" status="OLD">
          <idno type="IdRef">026386305</idno>
          <idno type="ROR">https://ror.org/03c7zyj82</idno>
          <orgName>Sciences Po Grenoble - Institut d'études politiques de Grenoble</orgName>
          <orgName type="acronym">IEPG</orgName>
          <date type="end">2019-12-31</date>
          <desc>
            <address>
              <addrLine>1030, avenue centrale - Domaine Universitaire - 38400 Saint-Martin-d'Hères</addrLine>
              <country key="FR"/>
            </address>
            <ref type="url">http://www.sciencespo-grenoble.fr/</ref>
          </desc>
        </org>
      </listOrg>
    </back>
  </text>
</TEI>