Prevention and management of risks and the coordination of vigilance come under the responsibility of a Commission of Vigilance, Management of Risks and Health Safety (COVIGRISS).

All the hospital’s sectors of activity are aware of the need for prevention and management of risks.
Risk management allows the identification, assessment and reduction of risks facing patients, visitors and staff.
It aims to prevent and reduce the occurrence of undesirable events affecting security and the quality of care.

The strategy in place consists of:
a strict policy of identification and prevention aimed at reducing the extent and frequency of the identified risks.  
an organisation and crisis management tools allowing the most efficient possible identification and handling of the onset of indicators that could presage an incident.

A system for signalling incidents allows the compilation of an inventory of undesirable events occuring inside the hospital The analysis and management of these incidents by a cell comprising professionals (the Dysfunction Committee) are precursors to preventive or corrective actions.

Vigilance is a component of health security. Its purpose is to head off risks and improve the security of the use of health products such as:
medicines, blood products, medical systems etc. By definition, it  implies the observation of undesirable effects and incidents linked to the use of such products.

Coordination of vigilance entails:
Checking that structures to ensure vigilance are in place, that they comply with regulations and that they function; 
Improving the performance of vigilance through coordinated management respecting the specifics of each speciality. 
Developing forecasting methods for the management and prevention of risks and the organisation of interfaces.

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