145-728 / Accreditation of healthcare professionals. Certification scheme for doctors

GOP Information
Organisation sharing the GOP
Related practices from PaSQ database


Professional learning program on quality and safety
GOP Description
Implementation level
Clinical settings
Mainly Hospitals
Improve Quality of Care and Patient Safety through reduction of the number and severity of care-related adverse events by recording and analysing near-misses and production and implementation of risk-reduction guidelines.
?    Health Care Professionals and teams:
?    Surgeons (including gynaecologist-obstetricians, dental surgeons, ENT specialists, ophthalmologists), anaesthetists, and specialists in intensive care.
?    Doctors practising an interventional speciality (cardiology, radiology, gastroenterology, pneumology).
?    Doctors carrying out obstetric ultrasound examinations or involved in intensive care in healthcare organisations (for complete list, see Article D.4135-2, decree of 21 July 2006).
The risk management scheme is run by “approved bodies””. Each approved body represents a speciality and shares experience with the approved bodies of other specialities. The decree of 21 July 2006 defines the role of the bodies approved by HAS (Haute Autorité de Santé).
HAS approves the bodies on the basis of predefined published criteria.
The approved bodies run process and assess certification applications from doctors and inform HAS of their opinion on these applications. Their main task is risk management in their speciality: collecting and analysing reports of near-misses with a view to using the information obtained to produce risk-reduction guidelines with HAS.
Participation in the scheme has financial advantages. Private doctors should receive a contribution toward their professional civil liability insurance premiums, which will be covered by the French National Health Insurance. Salaried hospital doctors should receive a contribution towards an annual bonus.
Doctors’ obligations
? Report the near-misses they have had in the healthcare organisations where they work
? Implement the guidelines specifically related to the near-misses that they have reported.
? Implement the general guidelines and practice improvement measures derived from an analysis of the near-misses in the database, risk studies, and horizon scanning.
Timeframe implementation
The process was launched 2007. About 20% of elligible doctors were certified in 2008 and 30% in 2013
Implementation tools available
Rex Database
Implementation cost
Information technology system development : 3 million Euros
5 full-time equivalent to run the systemParticipation of national Health Insurance (CNAM) to the funding of professional insurance premiums for participating doctors (incentive)
Method used to measure the results
Number of healthcare professionals involved
July first 2O13 7319 doctors are certified
56000 near misses are reported in the database
18 eligible specialities (among 19) have developed a learning program
Analysis of the results
Encouraging results but the system should involve other medical and surgical specialities and medical team certification should be developed.
Implementation barriers
Did you find implementation barriers?
Please describe implementation barriers
Motivation of HC pros
Describe the strategies used to overcome the barriers (If needed)
Financial incentive via professional insurance premium reduction
Other information
Other information about the GOP that you would like to add (Link or attached document)
2013031812145181_76_GOP_4pages Accréd EN TO2.doc