{"id":8306,"date":"2022-02-15T09:25:00","date_gmt":"2022-02-15T14:25:00","guid":{"rendered":"https:\/\/transfusionontario.org\/fevrier-2022\/"},"modified":"2024-07-17T10:57:42","modified_gmt":"2024-07-17T14:57:42","slug":"fevrier-2022","status":"publish","type":"post","link":"https:\/\/transfusionontario.org\/fr\/fevrier-2022\/","title":{"rendered":"Protocole d\u2019h\u00e9morragie massive\u202f: Portail pilote &#8211; Param\u00e8tres de qualit\u00e9"},"content":{"rendered":"<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"512\" src=\"https:\/\/transfusionontario.org\/wp-content\/uploads\/2022\/02\/mhp_logo-1024x512.png\" alt=\"\" class=\"wp-image-8272\" style=\"width:256px;height:128px\" srcset=\"https:\/\/transfusionontario.org\/wp-content\/uploads\/2022\/02\/mhp_logo-1024x512.png 1024w, https:\/\/transfusionontario.org\/wp-content\/uploads\/2022\/02\/mhp_logo-300x150.png 300w, https:\/\/transfusionontario.org\/wp-content\/uploads\/2022\/02\/mhp_logo-768x384.png 768w, https:\/\/transfusionontario.org\/wp-content\/uploads\/2022\/02\/mhp_logo-110x55.png 110w, https:\/\/transfusionontario.org\/wp-content\/uploads\/2022\/02\/mhp_logo.png 1501w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n<\/div>\n\n\n<p>Troy Thompson, gestionnaire de programmes du RRoCS, Dre Jeannie Callum, directrice m\u00e9dicale, Centre des sciences de la sant\u00e9 de Kingston <\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"TextRun SCXW148297892 BCX0\" lang=\"FR-CA\" xml:lang=\"FR-CA\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW148297892 BCX0\">Contexte<\/span><\/span><span class=\"EOP SCXW148297892 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">&nbsp;<\/span><\/h3>\n\n\n\n<p>Un portail de d\u00e9claration des param\u00e8tres de qualit\u00e9 a \u00e9t\u00e9 mis au point pour consigner 8 param\u00e8tres de qualit\u00e9 li\u00e9s au protocole d\u2019h\u00e9morragie massive (PHM) provincial d\u00e9finis dans la trousse connexe. Le protocole sera jumel\u00e9 \u00e0 un \u00ab\u2009tableau de bord\u2009\u00bb, un outil de visualisation des donn\u00e9es dynamique et interactif qui permettra aux utilisateurs de voir et d\u2019\u00e9valuer rapidement leurs param\u00e8tres au fil du temps et par rapport \u00e0 des rep\u00e8res provinciaux.   <\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"TextRun SCXW175252347 BCX0\" lang=\"FR-CA\" xml:lang=\"FR-CA\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW175252347 BCX0\">M<\/span><\/span><span class=\"TextRun SCXW175252347 BCX0\" lang=\"FR-CA\" xml:lang=\"FR-CA\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW175252347 BCX0\">\u00e9<\/span><\/span><span class=\"TextRun SCXW175252347 BCX0\" lang=\"FR-CA\" xml:lang=\"FR-CA\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW175252347 BCX0\">thod<\/span><span class=\"NormalTextRun SCXW175252347 BCX0\">e<\/span><span class=\"NormalTextRun SCXW175252347 BCX0\">s<\/span><\/span><span class=\"EOP SCXW175252347 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">&nbsp;<\/span><\/h3>\n\n\n\n<p>Un outil de collecte de donn\u00e9es \u00e9lectroniques (portail de d\u00e9claration) a \u00e9t\u00e9 mis au point pour consigner les 8 param\u00e8tres de qualit\u00e9 ci-dessous. L\u2019ajout de donn\u00e9es d\u00e9mographiques suppl\u00e9mentaires au processus de collecte de donn\u00e9es permet de comparer des variables pr\u00e9cises (fourchette d\u2019\u00e2ges, types d\u2019h\u00e9morragie, etc.). L\u2019essai pilote du portail sur les param\u00e8tres de qualit\u00e9 du PHM regroupait 6 h\u00f4pitaux.   <\/p>\n\n\n\n<p>Voici les 8 param\u00e8tres de qualit\u00e9 recommand\u00e9s dans le cadre du PHM\u202f:  <\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Proportion de patients ayant re\u00e7u de l\u2019acide tranexamique dans l\u2019heure suivant l\u2019activation du protocole; <\/li>\n\n\n\n<li>Proportion de patients chez qui une transfusion de GR a \u00e9t\u00e9 commenc\u00e9e dans les 15 minutes suivant l\u2019activation du protocole; <\/li>\n\n\n\n<li>Proportion de patients (qu\u2019il fallait transf\u00e9rer pour administrer le traitement indiqu\u00e9) pour qui la demande de transfert a \u00e9t\u00e9 amorc\u00e9e dans les 60 minutes de l\u2019activation du protocole; <\/li>\n\n\n\n<li>Proportion de patients dont la temp\u00e9rature atteignait &gt;35\u202f\u2070C \u00e0 la fin du protocole; <\/li>\n\n\n\n<li>Proportion de patients chez qui la teneur en h\u00e9moglobine s\u2019est maintenue entre 60-110\u202fg\/L pendant l\u2019activation du protocole, \u00e0 l\u2019exception de certaines populations p\u00e9diatriques (ex. nouveau-n\u00e9s) qui pourraient avoir besoin d\u2019une teneur en h\u00e9moglobine plus \u00e9lev\u00e9e; <\/li>\n\n\n\n<li>Proportion de patients qui sont pass\u00e9s \u00e0 un groupe sanguin sp\u00e9cifique de globules rouges et de plasma dans les 90 minutes suivant leur arriv\u00e9e \/ le d\u00e9but de l\u2019h\u00e9morragie; <\/li>\n\n\n\n<li>Proportion de patients chez qui l\u2019activation a \u00e9t\u00e9 appropri\u00e9e (&gt;\u202f6 unit\u00e9s de GR dans les 24\u202fpremi\u00e8res heures; &gt; 40\u202fmL\/kg\/24 heures de GR chez les patients p\u00e9diatriques) ou qui n\u2019a pas atteint ce niveau chez les patients morts d\u2019h\u00e9morragie dans les 24 premi\u00e8res heures; <\/li>\n\n\n\n<li>Proportion de patients pour qui il n\u2019y a eu aucun gaspillage de composant sanguin (incluant le plasma d\u00e9congel\u00e9 et non utilis\u00e9 dans les 5 jours pour un autre patient). <\/li>\n<\/ul>\n\n\n\n<p>L\u2019essai pilote visait \u00e0 \u00e9valuer s\u2019il \u00e9tait possible de collecter des donn\u00e9es dans les h\u00f4pitaux; on voulait aussi \u00ab\u2009interroger\u2009\u00bb le portail sur les Param\u00e8tres de qualit\u00e9 du PHM pour valider la saisie des donn\u00e9es et le m\u00e9canisme de d\u00e9claration et s\u2019assurer que les r\u00e9sultats pr\u00e9sent\u00e9s seraient utiles pour \u00e9valuer les processus du PHM. <\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"TextRun SCXW199843934 BCX0\" lang=\"FR-CA\" xml:lang=\"FR-CA\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW199843934 BCX0\">R<\/span><\/span><span class=\"TextRun SCXW199843934 BCX0\" lang=\"FR-CA\" xml:lang=\"FR-CA\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW199843934 BCX0\">\u00e9<\/span><\/span><span class=\"TextRun SCXW199843934 BCX0\" lang=\"FR-CA\" xml:lang=\"FR-CA\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW199843934 BCX0\">sult<\/span><span class=\"NormalTextRun SCXW199843934 BCX0\">at<\/span><span class=\"NormalTextRun SCXW199843934 BCX0\">s<\/span><\/span><span class=\"EOP SCXW199843934 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/h3>\n\n\n\n<p>Les r\u00e9sultats de l\u2019essai pilote au 20 janvier 2022 portaient sur 6 centres hospitaliers et les activations de PHM \u00e0 ces \u00e9tablissements. Pendant la p\u00e9riode de d\u00e9claration (soit de janvier 2019 \u00e0 d\u00e9cembre 2021), 309\u202factivations de PHM ont \u00e9t\u00e9 d\u00e9clar\u00e9es.    <\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"TextRun SCXW14099022 BCX0\" lang=\"FR-CA\" xml:lang=\"FR-CA\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW14099022 BCX0\">R\u00e9sultats d\u00e9mographiques<\/span><\/span><span class=\"EOP SCXW14099022 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/h3>\n\n\n\n<p><span class=\"TextRun SCXW250691525 BCX0\" lang=\"FR-CA\" xml:lang=\"FR-CA\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW250691525 BCX0\">Figure<\/span><span class=\"NormalTextRun SCXW250691525 BCX0\">\u202f<\/span><span class=\"NormalTextRun SCXW250691525 BCX0\">1. <\/span><span class=\"NormalTextRun SCXW250691525 BCX0\">Endroits<\/span><span class=\"NormalTextRun SCXW250691525 BCX0\"> des h\u00f4pitaux o\u00f9 les activations du PHM ont eu lieu<\/span><\/span><span class=\"EOP SCXW250691525 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"635\" height=\"250\" src=\"https:\/\/transfusionontario.org\/wp-content\/uploads\/2022\/02\/Fig-1.png\" alt=\"\" class=\"wp-image-8283\" srcset=\"https:\/\/transfusionontario.org\/wp-content\/uploads\/2022\/02\/Fig-1.png 635w, https:\/\/transfusionontario.org\/wp-content\/uploads\/2022\/02\/Fig-1-300x118.png 300w, https:\/\/transfusionontario.org\/wp-content\/uploads\/2022\/02\/Fig-1-110x43.png 110w\" sizes=\"auto, (max-width: 635px) 100vw, 635px\" \/><\/figure>\n\n\n\n<p>Figure\u202f2. Fourchettes d\u2019\u00e2ge des patients pour qui le PHM a \u00e9t\u00e9 activ\u00e9  <\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"627\" height=\"236\" src=\"https:\/\/transfusionontario.org\/wp-content\/uploads\/2022\/02\/Fig-2.png\" alt=\"\" class=\"wp-image-8285\" srcset=\"https:\/\/transfusionontario.org\/wp-content\/uploads\/2022\/02\/Fig-2.png 627w, https:\/\/transfusionontario.org\/wp-content\/uploads\/2022\/02\/Fig-2-300x113.png 300w, https:\/\/transfusionontario.org\/wp-content\/uploads\/2022\/02\/Fig-2-110x41.png 110w\" sizes=\"auto, (max-width: 627px) 100vw, 627px\" \/><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"TextRun SCXW103134128 BCX0\" lang=\"FR-CA\" xml:lang=\"FR-CA\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW103134128 BCX0\">R\u00e9sultats quant aux param\u00e8tres de qualit\u00e9<\/span><\/span><span class=\"EOP SCXW103134128 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/h3>\n\n\n\n<p>Figure\u202f3. Nombre d\u2019activations de PHM (cas) ayant re\u00e7u de l\u2019acide tranexamique dans l\u2019heure suivant l\u2019activation du protocole <\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"516\" height=\"216\" src=\"https:\/\/transfusionontario.org\/wp-content\/uploads\/2022\/02\/Fig-3.png\" alt=\"\" class=\"wp-image-8287\" srcset=\"https:\/\/transfusionontario.org\/wp-content\/uploads\/2022\/02\/Fig-3.png 516w, https:\/\/transfusionontario.org\/wp-content\/uploads\/2022\/02\/Fig-3-300x126.png 300w, https:\/\/transfusionontario.org\/wp-content\/uploads\/2022\/02\/Fig-3-110x46.png 110w\" sizes=\"auto, (max-width: 516px) 100vw, 516px\" \/><\/figure>\n\n\n\n<p>Figure\u202f4. Nombre d\u2019activations (cas) de PHM o\u00f9 une transfusion de GR a \u00e9t\u00e9 commenc\u00e9e  \r\ndans les 15 minutes suivant l\u2019activation du protocole <\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"526\" height=\"228\" src=\"https:\/\/transfusionontario.org\/wp-content\/uploads\/2022\/02\/Fig-4.png\" alt=\"\" class=\"wp-image-8289\" srcset=\"https:\/\/transfusionontario.org\/wp-content\/uploads\/2022\/02\/Fig-4.png 526w, https:\/\/transfusionontario.org\/wp-content\/uploads\/2022\/02\/Fig-4-300x130.png 300w, https:\/\/transfusionontario.org\/wp-content\/uploads\/2022\/02\/Fig-4-110x48.png 110w\" sizes=\"auto, (max-width: 526px) 100vw, 526px\" \/><\/figure>\n\n\n\n<p>Figure\u202f5. Nombre\/pourcentage des activations du PHM dans lesquels la proc\u00e9dure de transfert du patient a \u00e9t\u00e9 amorc\u00e9e dans les 60 minutes suivant l\u2019activation du protocole <\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"574\" height=\"149\" src=\"https:\/\/transfusionontario.org\/wp-content\/uploads\/2022\/02\/Fig-5.png\" alt=\"\" class=\"wp-image-8291\" srcset=\"https:\/\/transfusionontario.org\/wp-content\/uploads\/2022\/02\/Fig-5.png 574w, https:\/\/transfusionontario.org\/wp-content\/uploads\/2022\/02\/Fig-5-300x78.png 300w, https:\/\/transfusionontario.org\/wp-content\/uploads\/2022\/02\/Fig-5-110x29.png 110w\" sizes=\"auto, (max-width: 574px) 100vw, 574px\" \/><\/figure>\n\n\n\n<p>Figure\u202f6. Nombre\/pourcentage des activations du PHM dans lesquelles la temp\u00e9rature du patient \u00e9tait\u202f \u2265 35\u2070C en fin du protocole (30 minutes avant ou apr\u00e8s la fin) <\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"575\" height=\"167\" src=\"https:\/\/transfusionontario.org\/wp-content\/uploads\/2022\/02\/Fig-6.png\" alt=\"\" class=\"wp-image-8293\" srcset=\"https:\/\/transfusionontario.org\/wp-content\/uploads\/2022\/02\/Fig-6.png 575w, https:\/\/transfusionontario.org\/wp-content\/uploads\/2022\/02\/Fig-6-300x87.png 300w, https:\/\/transfusionontario.org\/wp-content\/uploads\/2022\/02\/Fig-6-110x32.png 110w\" sizes=\"auto, (max-width: 575px) 100vw, 575px\" \/><\/figure>\n\n\n\n<p>Figure\u202f7. Nombre\/pourcentage des activations du PHM dans lesquelles l\u2019h\u00e9moglobine du patient  \r\ns\u2019est maintenue \u00e0 plus de 60\u202fg\/L pendant les 24 premi\u00e8res heures <\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"573\" height=\"148\" src=\"https:\/\/transfusionontario.org\/wp-content\/uploads\/2022\/02\/Fig-7.png\" alt=\"\" class=\"wp-image-8295\" srcset=\"https:\/\/transfusionontario.org\/wp-content\/uploads\/2022\/02\/Fig-7.png 573w, https:\/\/transfusionontario.org\/wp-content\/uploads\/2022\/02\/Fig-7-300x77.png 300w, https:\/\/transfusionontario.org\/wp-content\/uploads\/2022\/02\/Fig-7-110x28.png 110w\" sizes=\"auto, (max-width: 573px) 100vw, 573px\" \/><\/figure>\n\n\n\n<p>Figure\u202f8. Nombre\/pourcentage des activations du PHM dans lesquelles l\u2019h\u00e9moglobine du patient  \u00e9tait inf\u00e9rieure \u00e0 110\u202fg\/L au bout de 24 heures <\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"580\" height=\"151\" src=\"https:\/\/transfusionontario.org\/wp-content\/uploads\/2022\/02\/Fig-8.png\" alt=\"\" class=\"wp-image-8297\" srcset=\"https:\/\/transfusionontario.org\/wp-content\/uploads\/2022\/02\/Fig-8.png 580w, https:\/\/transfusionontario.org\/wp-content\/uploads\/2022\/02\/Fig-8-300x78.png 300w, https:\/\/transfusionontario.org\/wp-content\/uploads\/2022\/02\/Fig-8-110x29.png 110w\" sizes=\"auto, (max-width: 580px) 100vw, 580px\" \/><\/figure>\n\n\n\n<p>Figure\u202f9. Nombre\/pourcentage des activations du PHM dans lesquelles le patient a commenc\u00e9 \u00e0 recevoir des GR ou du plasma de son groupe sanguin dans les 90 minutes suivant l\u2019activation <\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"529\" height=\"201\" src=\"https:\/\/transfusionontario.org\/wp-content\/uploads\/2022\/02\/Fig-9.png\" alt=\"\" class=\"wp-image-8299\" srcset=\"https:\/\/transfusionontario.org\/wp-content\/uploads\/2022\/02\/Fig-9.png 529w, https:\/\/transfusionontario.org\/wp-content\/uploads\/2022\/02\/Fig-9-300x114.png 300w, https:\/\/transfusionontario.org\/wp-content\/uploads\/2022\/02\/Fig-9-110x42.png 110w\" sizes=\"auto, (max-width: 529px) 100vw, 529px\" \/><\/figure>\n\n\n\n<p>Figure\u202f10. Nombre\/pourcentage des activations du PHM qui \u00e9taient appropri\u00e9es <\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"530\" height=\"132\" src=\"https:\/\/transfusionontario.org\/wp-content\/uploads\/2022\/02\/Fig-10.png\" alt=\"\" class=\"wp-image-8301\" srcset=\"https:\/\/transfusionontario.org\/wp-content\/uploads\/2022\/02\/Fig-10.png 530w, https:\/\/transfusionontario.org\/wp-content\/uploads\/2022\/02\/Fig-10-300x75.png 300w, https:\/\/transfusionontario.org\/wp-content\/uploads\/2022\/02\/Fig-10-110x27.png 110w\" sizes=\"auto, (max-width: 530px) 100vw, 530px\" \/><figcaption class=\"wp-element-caption\">*(&gt;6 unit\u00e9s de GR en 24 heures; &gt;40\u202fmL\/kg\/24 heures d\u2019unit\u00e9s de GR dans la population p\u00e9diatrique ou moins chez les patients d\u00e9c\u00e9d\u00e9s d\u2019une h\u00e9morragie dans les 24 heures) <\/figcaption><\/figure>\n\n\n\n<p>Figure\u202f11. Nombre\/pourcentage des activations du PHM dans lesquelles des produits sanguins ont \u00e9t\u00e9 gaspill\u00e9s. <\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"357\" height=\"118\" src=\"https:\/\/transfusionontario.org\/wp-content\/uploads\/2022\/02\/Fig-11.png\" alt=\"\" class=\"wp-image-8303\" srcset=\"https:\/\/transfusionontario.org\/wp-content\/uploads\/2022\/02\/Fig-11.png 357w, https:\/\/transfusionontario.org\/wp-content\/uploads\/2022\/02\/Fig-11-300x99.png 300w, https:\/\/transfusionontario.org\/wp-content\/uploads\/2022\/02\/Fig-11-110x36.png 110w\" sizes=\"auto, (max-width: 357px) 100vw, 357px\" \/><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"TextRun SCXW133258063 BCX0\" lang=\"FR-CA\" xml:lang=\"FR-CA\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW133258063 BCX0\">Conclusion<\/span><\/span><span class=\"EOP SCXW133258063 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259,&quot;469777462&quot;:[1210],&quot;469777927&quot;:[0],&quot;469777928&quot;:[1]}\">&nbsp;<\/span><\/h3>\n\n\n\n<p><span data-contrast=\"auto\">Les r\u00e9sultats de l\u2019essai pilote ont fourni des renseignements pr\u00e9cieux sur la saisie des donn\u00e9es et le m\u00e9canisme de d\u00e9claration du portail. Les champs de saisie des donn\u00e9es ont \u00e9t\u00e9 modifi\u00e9s pendant l\u2019essai pilote pour permettre une saisie plus compl\u00e8te des donn\u00e9es dans les h\u00f4pitaux participants. D\u2019autres commentaires du Groupe de travail sur ce projet seront int\u00e9gr\u00e9s au portail avant son lancement.&nbsp;<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259,&quot;469777462&quot;:[1210],&quot;469777927&quot;:[0],&quot;469777928&quot;:[1]}\">&nbsp;<\/span>\r\n\r\n<span data-contrast=\"auto\">Le portail et les donn\u00e9es connexes du \u00ab\u2009tableau de bord\u2009\u00bb seront utiles pour surveiller les activit\u00e9s d\u2019un \u00e9tablissement en mati\u00e8re de PHM et soutenir les am\u00e9liorations qui pourraient \u00eatre n\u00e9cessaires au chapitre de la qualit\u00e9.&nbsp;<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259,&quot;469777462&quot;:[1210],&quot;469777927&quot;:[0],&quot;469777928&quot;:[1]}\">&nbsp;<\/span>\r\n\r\n<span data-contrast=\"auto\">Le portail des param\u00e8tres de qualit\u00e9 des PHM sera bient\u00f4t officiellement en ligne; nous vous fournirons alors plus d\u2019information sur la fa\u00e7on d\u2019y acc\u00e9der. Pour obtenir de l\u2019information sur le choix des crit\u00e8res de d\u00e9claration locale et provinciale, nous vous invitons \u00e0 visionner une pr\u00e9sentation (en anglais) archiv\u00e9e du D<\/span><span data-contrast=\"auto\">r<\/span><span data-contrast=\"auto\"> Avery Nathans <\/span><a href=\"https:\/\/transfusionontario.org\/fr\/massive-hemorrhage-protocol-quality-outcome-tips-on-monitoring\/\"><span data-contrast=\"none\">en cliquant ici<\/span><\/a><span data-contrast=\"auto\">.&nbsp;<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259,&quot;469777462&quot;:[1210],&quot;469777927&quot;:[0],&quot;469777928&quot;:[1]}\">&nbsp;<\/span><\/p>\n\n\n\n<p>Le RRoCS tient \u00e0 remercier les h\u00f4pitaux qui ont particip\u00e9 \u00e0 l\u2019exercice et permis de valider l\u2019outil de d\u00e9claration.  <\/p>\n\n\n\n<p><a class=\"Hyperlink SCXW177613519 BCX0\" href=\"https:\/\/transfusionontario.org\/fr\/categorie\/protocole-dhemorragie-massive\/toolkit-fr\/\" target=\"_blank\" rel=\"noreferrer noopener\"><span class=\"TextRun Underlined SCXW177613519 BCX0\" lang=\"FR-CA\" xml:lang=\"FR-CA\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW177613519 BCX0\" data-ccp-charstyle=\"Hyperlink\">Cli<\/span><span class=\"NormalTextRun SCXW177613519 BCX0\" data-ccp-charstyle=\"Hyperlink\">que<\/span><span class=\"NormalTextRun SCXW177613519 BCX0\" data-ccp-charstyle=\"Hyperlink\">r<\/span><span class=\"NormalTextRun SCXW177613519 BCX0\" data-ccp-charstyle=\"Hyperlink\"> ici<\/span><\/span><\/a><span class=\"TextRun SCXW177613519 BCX0\" lang=\"FR-CA\" xml:lang=\"FR-CA\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW177613519 BCX0\"> pour trouver plus d\u2019<\/span><span class=\"NormalTextRun SCXW177613519 BCX0\">information<\/span> <span class=\"NormalTextRun SCXW177613519 BCX0\">au sujet du PHM provincial et des param\u00e8tres de qualit\u00e9 li\u00e9s \u00e0 ce protocole<\/span><span class=\"NormalTextRun SCXW177613519 BCX0\">.<\/span><span class=\"NormalTextRun SCXW177613519 BCX0\"> (Versions anglaises uniquement)<\/span><\/span><span class=\"EOP SCXW177613519 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259,&quot;469777462&quot;:[1210],&quot;469777927&quot;:[0],&quot;469777928&quot;:[1]}\">&nbsp;<\/span><\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"500\" height=\"500\" src=\"https:\/\/transfusionontario.org\/wp-content\/uploads\/2022\/02\/MHP-Quality-Metrics-Portal.png\" alt=\"\" class=\"wp-image-8274\" srcset=\"https:\/\/transfusionontario.org\/wp-content\/uploads\/2022\/02\/MHP-Quality-Metrics-Portal.png 500w, https:\/\/transfusionontario.org\/wp-content\/uploads\/2022\/02\/MHP-Quality-Metrics-Portal-300x300.png 300w, https:\/\/transfusionontario.org\/wp-content\/uploads\/2022\/02\/MHP-Quality-Metrics-Portal-150x150.png 150w, https:\/\/transfusionontario.org\/wp-content\/uploads\/2022\/02\/MHP-Quality-Metrics-Portal-110x110.png 110w\" sizes=\"auto, (max-width: 500px) 100vw, 500px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"TM-web-conference\">Register: 17th Annual Transfusion Medicine Education Web Conference<\/h2>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"500\" height=\"500\" src=\"https:\/\/transfusionontario.org\/wp-content\/uploads\/2022\/02\/TM-Conference-Save-the-Date-NL.png\" alt=\"\" class=\"wp-image-8276\" srcset=\"https:\/\/transfusionontario.org\/wp-content\/uploads\/2022\/02\/TM-Conference-Save-the-Date-NL.png 500w, https:\/\/transfusionontario.org\/wp-content\/uploads\/2022\/02\/TM-Conference-Save-the-Date-NL-300x300.png 300w, https:\/\/transfusionontario.org\/wp-content\/uploads\/2022\/02\/TM-Conference-Save-the-Date-NL-150x150.png 150w, https:\/\/transfusionontario.org\/wp-content\/uploads\/2022\/02\/TM-Conference-Save-the-Date-NL-110x110.png 110w\" sizes=\"auto, (max-width: 500px) 100vw, 500px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"perinatal-conference\">Save the Date: Perinatal Consensus Conference<\/h2>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"500\" height=\"500\" src=\"https:\/\/transfusionontario.org\/wp-content\/uploads\/2022\/02\/Perinatal-Consensus-Conference-NL.png\" alt=\"\" class=\"wp-image-8278\" srcset=\"https:\/\/transfusionontario.org\/wp-content\/uploads\/2022\/02\/Perinatal-Consensus-Conference-NL.png 500w, https:\/\/transfusionontario.org\/wp-content\/uploads\/2022\/02\/Perinatal-Consensus-Conference-NL-300x300.png 300w, https:\/\/transfusionontario.org\/wp-content\/uploads\/2022\/02\/Perinatal-Consensus-Conference-NL-150x150.png 150w, https:\/\/transfusionontario.org\/wp-content\/uploads\/2022\/02\/Perinatal-Consensus-Conference-NL-110x110.png 110w\" sizes=\"auto, (max-width: 500px) 100vw, 500px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"MHP-Simulation\">Featured Resource: MHP Simulation Videos<\/h2>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"500\" height=\"500\" src=\"https:\/\/transfusionontario.org\/wp-content\/uploads\/2022\/02\/MHP-Simulation-Videos.png\" alt=\"\" class=\"wp-image-8280\" srcset=\"https:\/\/transfusionontario.org\/wp-content\/uploads\/2022\/02\/MHP-Simulation-Videos.png 500w, https:\/\/transfusionontario.org\/wp-content\/uploads\/2022\/02\/MHP-Simulation-Videos-300x300.png 300w, https:\/\/transfusionontario.org\/wp-content\/uploads\/2022\/02\/MHP-Simulation-Videos-150x150.png 150w, https:\/\/transfusionontario.org\/wp-content\/uploads\/2022\/02\/MHP-Simulation-Videos-110x110.png 110w\" sizes=\"auto, (max-width: 500px) 100vw, 500px\" \/><\/figure>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link has-white-color has-text-color has-background no-border-radius wp-element-button\" style=\"background-color:#083459\">Cliquez ici pour regarder<\/a><\/div>\n<\/div>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"Uoft-TM\">Upcoming Event: University of Toronto Transfusion Medicine Rounds<\/h2>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"450\" src=\"https:\/\/transfusionontario.org\/wp-content\/uploads\/2021\/10\/UofT-TM-Rounds.png\" alt=\"\" class=\"wp-image-7673\" style=\"width:692px;height:389px\" srcset=\"https:\/\/transfusionontario.org\/wp-content\/uploads\/2021\/10\/UofT-TM-Rounds.png 800w, https:\/\/transfusionontario.org\/wp-content\/uploads\/2021\/10\/UofT-TM-Rounds-300x169.png 300w, https:\/\/transfusionontario.org\/wp-content\/uploads\/2021\/10\/UofT-TM-Rounds-768x432.png 768w, https:\/\/transfusionontario.org\/wp-content\/uploads\/2021\/10\/UofT-TM-Rounds-110x62.png 110w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<p>24 f\u00e9vrier 2022 @ 12:00 \u2013 13:00<\/p>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link has-white-color has-text-color has-background no-border-radius wp-element-button\" href=\"https:\/\/transfusionontario.org\/en\/event\/university-of-toronto-transfusion-medicine-rounds-february-24-2022\/\" style=\"background-color:#083459\">Cliquez ici pour plus d&rsquo;informations<\/a><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Troy Thompson, gestionnaire de programmes du RRoCS, Dre Jeannie Callum, directrice m\u00e9dicale, Centre des sciences de la sant\u00e9 de Kingston Contexte&nbsp; Un portail de d\u00e9claration des param\u00e8tres de qualit\u00e9 a [&hellip;]<\/p>\n","protected":false},"author":16,"featured_media":8270,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_tec_requires_first_save":true,"_price":"","_stock":"","_tribe_ticket_header":"","_tribe_default_ticket_provider":"","_tribe_ticket_capacity":"0","_ticket_start_date":"","_ticket_end_date":"","_tribe_ticket_show_description":"","_tribe_ticket_show_not_going":false,"_tribe_ticket_use_global_stock":"","_tribe_ticket_global_stock_level":"","_global_stock_mode":"","_global_stock_cap":"","_tribe_rsvp_for_event":"","_tribe_ticket_going_count":"","_tribe_ticket_not_going_count":"","_tribe_tickets_list":"[]","_tribe_ticket_has_attendee_info_fields":false,"_EventAllDay":false,"_EventTimezone":"","_EventStartDate":"","_EventEndDate":"","_EventStartDateUTC":"","_EventEndDateUTC":"","_EventShowMap":false,"_EventShowMapLink":false,"_EventURL":"","_EventCost":"","_EventCostDescription":"","_EventCurrencySymbol":"","_EventCurrencyCode":"","_EventCurrencyPosition":"","_EventDateTimeSeparator":"","_EventTimeRangeSeparator":"","_EventOrganizerID":[],"_EventVenueID":[],"_OrganizerEmail":"","_OrganizerPhone":"","_OrganizerWebsite":"","_VenueAddress":"","_VenueCity":"","_VenueCountry":"","_VenueProvince":"","_VenueState":"","_VenueZip":"","_VenuePhone":"","_VenueURL":"","_VenueStateProvince":"","_VenueLat":"","_VenueLng":"","_VenueShowMap":false,"_VenueShowMapLink":false,"_tribe_blocks_recurrence_rules":"","_tribe_blocks_recurrence_description":"","_tribe_blocks_recurrence_exclusions":"","footnotes":""},"categories":[138,138],"tags":[],"class_list":["post-8306","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-bulletin"],"acf":[],"_links":{"self":[{"href":"https:\/\/transfusionontario.org\/fr\/wp-json\/wp\/v2\/posts\/8306","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/transfusionontario.org\/fr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/transfusionontario.org\/fr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/transfusionontario.org\/fr\/wp-json\/wp\/v2\/users\/16"}],"replies":[{"embeddable":true,"href":"https:\/\/transfusionontario.org\/fr\/wp-json\/wp\/v2\/comments?post=8306"}],"version-history":[{"count":0,"href":"https:\/\/transfusionontario.org\/fr\/wp-json\/wp\/v2\/posts\/8306\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/transfusionontario.org\/fr\/wp-json\/wp\/v2\/media\/8270"}],"wp:attachment":[{"href":"https:\/\/transfusionontario.org\/fr\/wp-json\/wp\/v2\/media?parent=8306"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/transfusionontario.org\/fr\/wp-json\/wp\/v2\/categories?post=8306"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/transfusionontario.org\/fr\/wp-json\/wp\/v2\/tags?post=8306"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}