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Les dossiers patients sous format papier ont clairement été identifiés comme vecteurs favorisant la transmission rapide du SARS-CoV-2 (Severe Acute Respiratory Syndrome Coronavirus 2) entre patient/personnel et personnel/personnel. Pour pallier ce problème, les services de radiothérapie du groupe ONCORAD ont travaillé sur une méthodologie pour la dématérialisation totale du dossier patient, basée sur une démarche qualité, dans un délai de trois semaines. Ce travail a permis une amélioration probante dans la gestion des risques a priori, et une plus grande fluidité des processus de prise en charge du patient. Paper patient file sharing has clearly been identified as a risk behavior for the COVID-19 virus transmission in radiotherapy units. In order to overcome this, the ONCORAD radiotherapy units worked on total dematerialization of the paper patient file, within 3 weeks. The methodology is based on a quality approch. This work has led to a convincing improvement in the management of risks a priori and a smoother patient care workflow. [ABSTRACT FROM AUTHOR]

Abstract: The management of the documentation is one of the key points regarding the efficacy and the performance of the quality management of health centres. It offers to all professionals the possibility to be informed on the procedures in use, leading to a pool of documents for improvement of organisations and for securing the critical steps of the patient management. In this paper, we will describe the optimal organisation of the documentation according to Haute autorité de santé (HAS) and ISO recommendations, then we will discuss in concrete terms the potential methods usable for the production of a tool well adapted to our routine practice, in order to achieve the objectives for security. [Copyright &y& Elsevier]