[Management of domestic violence by primary care physician]. / Prise en charge de la violence domestique par le médecin de premier recours.

Domestic violence is a public health problem. It would affect more than a third of women and a quarter of men in Switzerland and has a significantly impact on their physical and mental health as well as their family and socio-professional relationships. The primary care physician plays a key role in the detection and the management of victims of domestic violence. This article recalls this role and explains the methods of taking care of these victims.

La violence domestique constitue un problème de santé publique. Elle toucherait en Suisse plus d'un tiers des femmes et un quart des hommes, et a un impact considérable sur leur santé physique et mentale ainsi que sur leurs relations familiales et socioprofessionnelles. Le médecin de premier recours joue un rôle primordial dans la détection et la prise en charge des victimes de violences domestiques. Cet article rappelle ce rôle et explique les modalités de prise en charge de ces victimes.

From sanctioning culture to safety culture: Let's stop making errors on error.

The punitive culture continues to prevail in health care organizations that rely primarily on functional systems hierarchies based on conformity. This type of culture is recognized as a major source of an unacceptable number of medical errors. The safety culture has emerged as an imperative to improve the quality and safety of patient care, but also as a shield against the judgments targeted towards the caregivers (doctor and / or nurse) involved in an undesirable event. The safety culture allows a broader view of the error by analyzing both system failures and staff incompetence. Therefore, it places caregivers in their workplace with mutual interactions and protects them from "second victim" status. It is imperative to have a reflection on the safety culture that constitutes a proof of transparency and openness towards society about the mistake that remains taboo. This attitude will avoid the risk of "judicialization of health".