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- the Court of Auditors calls for lessons to be learned from data reporting problems during the 1st wave
the Court of Auditors calls for lessons to be learned from data reporting problems during the 1st wave
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The survey, initiated in June 2020, focused on nine neo-Aquitaine establishments and one in Bourgogne-Franche-Comté.
The Court considers that “the numerous uncertainties or inaccuracies surrounding the collection system and the feedback of information serving as the basis for national strategic decisions, both on the counting of patients and on that of available capacities, open up a priority area”.
It will be necessary to study this “precisely at the end of the pandemic, in order to draw useful lessons for improving and adapting the health system to crises of this magnitude and of this duration”, she says.
The Court cites the example of the census and the management of beds, a “crucial” issue which “required from the regional health agency (ARS) at least daily monitoring via the operational resource directory (ROR)” .
She evokes the case of the use by the CHU of Poitiers which, according to her, “illustrates the inherent weakness of the tool, with a different counting between the first and the second wave”.
During the first wave, the CHU “declared 37 resuscitation beds out of 53 authorized beds and potentially available due to deprogramming, while during the second, it declared all of its 53 beds, with a potential capacity increased. to 65 beds thanks to the elasticity of critical care unit beds “.
“These changes in calculation methods in the successive declarations, which the ARS explains by the recognition of a unit initially Covid-free, have altered the reliability of the occupancy rate “, argued the Court.
And to advance: “The available capacities declared by the establishments are not strictly reliable and vary logically according to their own methods of counting.”
According to the magistrates of the Rue Cambon, some practitioners have also set up “a ‘parallel’ information circuit, with heterogeneous responses from the central or decentralized administration”.
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