Morocco has undertaken, with the support of the World Health Organization, in a process of development of a national hospital accreditation system and in 2009 the program was launched. In this context a review of the implementation of the accreditation process at a regional hospital was made in November 2011. This work aims exposure of the added value of the hospital improvement plan in place following recommendations of Auditors, Try to activate and understand the desired change in the preparation for accreditation. The information was collected through interviews with health personnel, through direct observation and a questionnaire based on the criteria and sub criteria with points of improvement. The results obtained per unit, hospital services or activities are: - Biological Laboratory (LAB): 2 conformities, 1 Not compliance and 6 critical points. - Occupational Safety and Health (OSH): 5 conformities, 4 non-conformities and 3 critical points. - Hygiene, cleaning and disinfection of premises (HYG): 1 compliances, 2 non-conformities and 1 critical point. - Security, fire and management of emergency situations (INC): 0 compliances, 8 non conformities and 4 critical points. - Management system and quality assurance (QMS): 0 compliance, 1No compliance and 2 critical points. - Management of medical and pharmaceutical waste (DEC): 2 conformities, 2 non-conformities and 3 critical points. Overall, the results of the study which I have managed have demonstrated that the quality process in the hospital EL IDRISSI had a positive impact because it has raised the motivation of a number of staff and Federated them around objectives common, but you cannot deny that there is much work to do since 23% of discrepancies were corrected while 77% remain uncorrected.
Nosocomial infections are considered as a major cause of mortality and morbidity to hospitalized patients. Whose causes are often related to therapeutic procedures, the practice of nursing, material (equipment) available to professionals and users, behavior and habits of patients during hospitalization as well as hospital hygiene measures adopted by the establishment, and their consequences are often serious with a financial, social and psychological impact (the extension of the hospitalzation stay, socio-economic repercussion on both the patient and the healthcare establishment and the deterioration of the health state of the hospitalized...). This study aims to explore the factors inducing the IN-concerning the patienst at the Hospital El Idrissi of Kenitra using a methodology based on a survey including questionnaires addressed to patients hospitalized in the various departments and units care at the hospital El Idrissi Kenitra among a sample of 250 participants. In addition, this work has highlighted a set of risk factors inducing the IN-regarding the patient at the Hospital El Idrissi Kenitra namely: a) cultural and socioeconomic factors, b) factors related to the behavior and habits of patients c) institutional factors. The main results of this study revealed that 54% of surveyed patients not attending school; 61% of patients are from rural rather than from; 54% of participants claim that they use self-medication of antibiotics; given that 70% of patients admitted to use personal objects and materials of another patient; while 66% of patients do not wash their hands with soap after each passage to the bathroom; although 91% of respondents consume cooked meal outside of the hospital; however 62% of patients have attested that caregivers do not wash their hands between patients; Indeed, 66% admited that caregivers did not change gloves between patients. These results were supported by the absence in training and information for patients about the IN and their severity; consequently 77% of participants do not know what are called infections acquired in hospital; At the time that 94% feel badly informed about the wide extent of IN; 45% of participants believe that patients can only be achieved by the IN.
Absence from work is a social phenomenon; it is usually a reflection of underlying evil whose real sources, the root causes of this specific form of the rejection of work are many and varied. The purpose of this article is to present some psychosocial indicators that drive the unauthorized absence in the "National Office of Railways" in Morocco and individual characteristics of agents likely to have such behavior. In fact, the National Office of Railways is facing an irregular short-term absence, commits, in most cases by male enforcement agents, a slice of seniority from 10 to 25 years and practiced in the department "Central Management Activities". These agents are prone to this behavior. 66.14% of the answers given by the respondents "absentee" expressed the nature of the work they do is painful, when 51.14% only answers given by "Diligent" expressed this drudgery. There is, too, that 50.00% of "absentee" said they have medical care because of the drudgery. The exploitation of the results of this scientific article would allow officials of the company to raise and clarify some psychosocial meanings in order to find operational solutions to this phenomenon; particularly by exploiting the existence of Applied Psychology Centre (CPA) in this company, the Office must introduce a system of "return service" following an absence in non-regulatory framework or too frequent an agent. This interview is not intended to punish truants, but the goal is to help agents find solutions to their problems or even help reintegrate to reduce the risks. Approach cannot deal with this phenomenon without differentiating between cases, which makes it often ineffective or against-productive. Generally, to avoid ready-made solutions and comprehensive approaches, it does not eradicate a multifaceted problem with one weapon and in a single moment. Finally, the results of this study provide several conclusions. By synthesizing, the National Office of Railways rather deal with unauthorized absence of short duration, usually less than three days, a male enforcement officer "in the first place is an agent of execution», a slice of seniority from 10 to 25 years working in the Central Management Activities.
Sorting is a successful management means of medical and pharmaceutical waste. It consists of the separation of hazardous components at source. This paper outlines the factors influencing the aforementioned waste sorting at the Hospital El Idrissi Kenitra. A survey was conducted among 250 participating caregivers practicing at the hospital El Idrissi Kenitra. The results of the survey, we found that 83.33% of staff said that sorting presents the most important step for the successful management of DMP. 58% spoke of awareness and information. 22.22% have devolved the problem with the lack of basic training in triage; 83% claimed the non-suitability of containers on the requirement of the service. 78% reported never having referring to protocols or data sheets. 72% of those surveyed said that the activities related to triage of DMP are monitored and supervised and that regulation is a way to reset the order in the activity of the yard. All of the above will allow us to develop an action plan including planning can solve a serious problem that the hospital is facing.
Logistic is creating added value and a key factor for economic development. And improvement of the Moroccan logistics, it's a capital, it could boost the Moroccan economy by promoting cost control of Moroccan companies, which have to ensure effective control and management for the quality management and the management control are trends background of the issues at the heart of business logistics and transportation for effective performance management. The objective of this article is, firstly, to show that user satisfaction about the quality management and management control is a predictor of business performance, and secondly to determine the levers that quality managers and controllers can behave to maximize satisfaction. From a survey distributed to quality managers and the management controllers of logistics companies, the results open, thereby promising avenues for research. In terms of results, 93% of selected companies affirm their awareness that the most important benefit of quality management is to ensure the improvement of the quality of customer service for satisfied customers. But just 44 % of companies say that the application of ISO 9001: 2008 allowed to change management practices and implement corporate activity steering reliable tools for the performance. Also, 86% of the targeted transportation and logistics companies just use general and cost accounting as a management control tools so for most companies other tools are not in place that considers constraints that block the effectiveness of transport companies management control and logistics in Morocco. Finally, the conception of an organizational tool that combines the management of quality and management control still an essential tool to favour the organizational performance management, the ultimate goal, of transport companies and logistics in Morocco.