The stake represented by risks from care environment is not well perceived in Algeria. The absence of a regulatory framework; insufficiency of surveillance, prevention and control of healthcare-associated infections and the mismanagement of waste arising from care activities involving infectious risks are few illustrations about it.

Establishing a diagnosis of the current risks in our hospitals and show the urgency of their care, Propose a quality approaches for risk reduction.

Our approach consists in analyzing surveys (Prevalence of healthcare associated infections and surgical-site infections, SSI), the practices audit and the reports made by our hospital hygiene unit during the two years 2011/2012 in Universitary hospital of Constantine.

In terms of risk and quality of care, the nosocomial infection (NI) is currently one of the best "markers". According to our studies, the prevalence of NI was 14% and that of SSI 9%. We will record the endemicity of MRB (multi-resistant bacteria) and the emergence of vancomycin-resistant enterococci (VRE). We will discuss of the other insufficiencies, such as the behavior of health care professionals, about the very low adhesion rate to hand hygiene.

Finally, we will propose a quality system oriented on responsibility shared by managers, professionals, technical services staff and patients. This approach is subject to a structured program to protect patients, improve the working conditions of staff and reduce risks.

None declared.