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The Samu call centers should be "certified" by the High Health Authority and adopt a "quality management policy" based on an international standard within a maximum of two years. emergency doctors to Agnès Buzyn. Following the revelations about the death of Naomi Musenga, after dysfunctions in the Samu of Strasbourg, the Minister of Health had received in May emergency workers' unions, asking them for quick proposals to "improve" Samu, harmonize procedures and develop a "quality approach".
"The medical regulation does not appear" in the certification processes led by the Haute Autorité de Santé, regret, in a common roadmap handed Monday to the Minister, Samu-Urgences de France , the French Society of Emergency Medicine (SFMU), and the National Council of Hospital Emergency (CNUH). "Risk activity", the medical regulation must be "integrated" in the new procedure of certification of the health establishments, in course of development, they plead. Samu must also "adopt a policy of quality management" based on "an indisputable international standard" (ISO 9001), already applied by many customer services companies, they add, proposing a deadline of "18 to 24 month. "
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A "reference", written by the emergency physicians, will first define the procedures at the national level. Validated by the HAS, it will serve as a "base" for accreditation processes. "Quality badurance" measures, favoring "feedback" in the event of a problem, or the random replay of certain calls, will have to be put in place, as well as "quality indicators", concerning, for example, the average duration calls or the "charge rate" of staff. In the event of certification, "negotiations" will have to be opened "to define the numbers, the means, the objectives" and a "budget estimate", claims, in its own copy, the Association of the emergency doctors of France (Amuf).
Finally, medical regulatory badistants must be "recognized" as a health profession, and better trained. For the Amuf, the training will have to take place "in the faculties of medicine". The other unions offer "a state diploma, lasting at least one year," in "five or six" training centers. But the Amuf notes "discrepancies" on the possible grouping of the numbers and calls for a "government arbitration". While it wants to consolidate the Samu call centers and firefighters on common departmental platforms, the other unions want a "medical regulatory platform Samu-health", including medical emergencies, poison centers, permanence ambulatory care and the "medico-social" sector, the firefighters remaining apart
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