[The reaction report, a new tool of management in health establishments?].

Following technological developments and the overall economic situation, companies fall within a logic of innovation to survive in a competitive environment. So, these industries have become aware of their own wealth: human potential. They have been using, for some years, a tool of participative management: the reaction report. In fact, they use the reaction of new agents to favor the improvement of techniques. Just like companies, hospitals undergo constraints: accreditation, control of expenses, optimization of human and material resources, as many factors which require from health professionals to adapt to improve the services offered to the patients. So, these developments with which health establishments are confronted oblige them to show initiative, creativity, and to fall within a dynamics of change. They are more and more looking for the involvement and the participation of the agents to ensure their primary mission: to meet the population's needs as regard care. As a consequence, so as to favor the participation of their personnel, why wouldn't health establishments get inspired by this tool of management? But it is not easy to get a new method into people's habits. The reaction report can, however, be an efficient and relevant tool in the world of health. It can reveal itself as an essential asset in another approach of participative management and in a quality approach which has become a legal and statutory requirement.