Дисертації з теми "Hôpitaux psychiatriques – Services des urgences"
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Chouba, Ibtissem. "Optimisation des ressources dans les services hospitaliers." Thesis, Troyes, 2021. http://www.theses.fr/2021TROY0013.
This thesis focuses on the optimization of the activities of an emergency department (ED) to improve the quality of services offered to patients. The proposed approaches are divided into two parts. The first part consists in the optimization of the ED activities. The objective is to develop a decision support system capable of optimizing human or material resources. To achieve this, we have first developed a performance-evaluation tool based on discrete event simulation. Then, we are interested in the planning and dimensioning of resources. We developed different optimization methods based on mathematical programming, simulation-based genetic algorithm approach, what-if scenario strategy and VIKOR multi-criteria analysis method. In the second part, the estimation of the average waiting time for a patient is achieved by taking into account the optimization of resources. To this end, a comparative study is performed to compare analytical forecasting methods to a simulation model-based approach with Petri nets. These methods are used to predict simultaneously the average waiting time per hour and the waiting time for each patient. The estimation will enhance the patients' comfort by reducing their stress and improving their flow
Bazin, Jean-Yves. "Étude des admissions au service des urgences du C. H. U. De Nantes pendant l'année 1983." Nantes, 1985. http://www.theses.fr/1985NANT3324.
Moussant, Jean-Michel. "Recueil de l'information aux urgences dans un hôpital général du Gard." Montpellier 1, 1996. http://www.theses.fr/1996MON11095.
Wang, Tao. "Organisation et pilotage des services sur le trajet des urgences." Phd thesis, INSA de Lyon, 2008. http://tel.archives-ouvertes.fr/tel-00378501.
Vabre, Dominique. "Activité et organisation du service des urgences de l'hôpital général de Mende." Montpellier 1, 1993. http://www.theses.fr/1993MON11186.
Bonatre, Nathalie. "Étude prospective portant sur 100 consultants aux urgences du CHG d'Evreux : éléments de choix des malades." Rouen, 1990. http://www.theses.fr/1990ROUE139M.
Perot, Patrick. "Activité du service des admissions et urgences chirurgicales au C. H. R. U. De Caen : étude quantitative et qualitative (réalisée sur une période de quinze jours du 27/05/91 au 11/06/91)." Caen, 1993. http://www.theses.fr/1993CAEN3004.
Samin, Pierre. "Dossier patient informatisé aux urgences : expérience du service des urgences du centre hospitalier de Périgueux." Bordeaux 2, 1999. http://www.theses.fr/1999BOR2M037.
Lanteri, Didier. "De La poliomyélite antérieure aigue à la réanimation polyvalente : L'histoire du service d'urgence et soins intensifs de l'hôpital d'instruction des armées Desgenettes." Lyon 1, 1994. http://www.theses.fr/1994LYO1M225.
Charavel, Marie-Hélène. "Le service des urgences de Lesparre : état des lieux, bilan d'activité, proposition d'un projet de restructuration." Bordeaux 2, 1997. http://www.theses.fr/1997BOR2M025.
Cullet, Céline. "Etude prospective des courriers des patients reçus dans une structure d'Urgences." Antilles-Guyane, 2007. http://www.theses.fr/2007AGUY0173.
Aim : To study the content of referral letters to an emergency Department. Method : 304 referral letters to the emergency department of Basse-Terre hospital,Guadeloupe, were collected and reviewed during two months. The analysis of these letters was based on criteria definde by the high Authority of Health. Moreover, an analysis was made according to the speciality of the practitioner who whrote the letter, to the discipline of referral (medical,surgical or orthopaedic) and to the patient's date of birth. Results : Most of the letters were one-page long, handwritten and legible. The most mentionned criteria were the pratitioner's identity (99%), the date is was written (99,7%), the patient identity (99%) and the reason for referral (98%). The medical criteria were the least mentioned informations : recent medical information (57%), medical history (47%), medical examination (39%), chronicle medications (32%) and medications of the actual symptoms (14%). The least complete referral letters were written by general practioner. The most detailed ones were about a medical discipline, and about patients over 75. Conclusion : During this study, we noticed that recommandations concerning referral letters were differently applied. Those results could be improved by using pro-forma letter and adding the computerized medical file
Gaulin, Myles. "Les impacts de la multimorbidité et des troubles mentaux sur les admissions à l'urgence." Master's thesis, Université Laval, 2019. http://hdl.handle.net/20.500.11794/35719.
Multimorbidity, or the coexistence of multiple chronic illnesses, is a growing concern in industrialized countries. Multimorbidity is associated with increased healthcare use, including frequent emergency room admissions. Mental disorders affect up to 30% of people with multimorbidity. They are known to exacerbate physical illness and are also associated independently with frequent ER use. However, no previous study has examined their combined impact, which may differ from a simple combination of their effects. This difference is termed effect modification or interaction. We conducted a population-based cohort study using administrative data to determine whether mental disorders modify the impact of multimorbidity on frequent ER use. Our objectives were to measure this effect modification on the additive scale, in terms of numbers of admissions in a healthcare system, and the multiplicative scale, in terms of risk for individuals. On the additive scale, we found that physical multimorbidity and mental disorders interact positively, resulting in more admissions than addition of their effects would predict. Between 0 and ≥4 physical conditions, risk of frequent ER visits increased more for individuals with serious mental disorders (16.2%) than common (15.3%) or no disorders (11.4%). On the multiplicative scale, the increase in risk due to multimorbidity is relatively less important for those with mental disorders, because people with mental disorders already use the ER considerably more often than those without, before addition of physical multimorbidity. For people without mental disorders, odds of frequent ER visits with ≥4 physical conditions were 6.2 (CI 95%: 6.08; 6.35) times the odds for people without physical conditions. For individuals with common and serious mental illnesses, corresponding odds ratios were 4.75 (4.60; 4.90) and 3.37 (3.18; 3.57), respectively. Addditional research is necessary to promote high-quality care for mental illness, particularly in multimorbid individuals.
Burroughs, Daniel. "L'accueil au service des urgences de l'Hôpital Saint-André à Bordeaux." Bordeaux 2, 1997. http://www.theses.fr/1997BOR2M021.
Labé, Thomas. "Échographie abdominale aux urgences de Nantes : étude prospective à propos de 107 cas." Nantes, 1998. http://www.theses.fr/1998NANT028M.
Wargon, Mathias. "Gestion des flux par les services d'urgence modélisation, prédiction et applications pratiques." Paris 6, 2010. http://www.theses.fr/2010PA066547.
Jeansoule, Sandrine. "Diagnostic des douleurs abdominales de l'adulte aux urgences de l'hôpital de Pau (à propos de 674 cas)." Bordeaux 2, 1999. http://www.theses.fr/1999BOR2M147.
Glaa, Besma. "Contribution à la conception et l’optimisation d’un système d’aide à la gestion des urgences." Ecole Centrale de Lille, 2008. http://tel.archives-ouvertes.fr/docs/00/35/96/07/PDF/THESE-GLAA-VFinale.pdf.
Emergency management is one of the principal hospital missions. Since the 90s, hospitals have answered, through the emergency structure, an exponential request for not programmed care, which posed the problem of the dimensioning of the structure and its means. This situation provoked enormous organisational problems. In front of this situation, the hospital decision-makers miss tools witch are indispensable to re-size the emergency resources and to choose the new emergency organization. They shall also allow the planning of the emergency management as well as human and material resources allocation. In response to these needs, this thesis proposes an approach of assistance to the management of emergency systems. This approach tackles three principal problems. At first, we focus our attention on the modelling of emergency processes and its main paths. This modelling, coupled with patients flow simulation, will enable us to analyze the functioning of the emergency structure and to determine the parameters which influences the emergency process. We are interested, secondly, in the nursing staff’s allocation by taking into account their profile of competence evolution using the linear programming. In the third time, we shall study the problem of in hospital vital emergencies management. By means of a process modelling combined with a simulation, we proceed to an approach of conception and evaluation of in hospital survival chain. We tackle, in this last stage, the question of appointment of mobile resuscitation emergency team as well as the positioning of semi automatic defibrillator
Dilumbu, Musimu Micheline. "Le service d'accueil des urgences du centre hospitalier général de Cayenne (Guyane française) : organisation et fonctionnement, perspectives. Etude réalisée sur l'année 1995." Bordeaux 2, 1998. http://www.theses.fr/1998BOR2M091.
Massal-Machavoine, Catherine. "Les Traumatismes crâniens avec perte de connaissance initiale dans un service d' urgences : étude de 328 cas." Clermont-Ferrand 1, 1987. http://www.theses.fr/1987CLF13015.
Hadjri, Mohsen. "Le service d'accueil dans une clinique privée : activité et organisation." Bordeaux 2, 1997. http://www.theses.fr/1997BOR2M035.
Jeay, Philippe. "Etude épidémiologique, nosologique, et évolutive des malades observés dans le service des urgences de l'hôpital Nord." Aix-Marseille 2, 1991. http://www.theses.fr/1991AIX20155.
Giroux, Marianne. "Dépister la fragilité pour identifier les ainés à risque de délirium à l'urgence." Master's thesis, Université Laval, 2018. http://hdl.handle.net/20.500.11794/35020.
Background: Delirium is a frequent complication among seniors in the emergency department (ED). This condition is often underdiagnosed by ED professionals even though it is associated with functional & cognitive decline, longer hospital length of stay, institutionalization and death. Besides, frailty is increasingly recognized as an independent predictor of adverse events in seniors and screening for frailty in EDs is now recommended. Objectives: The aim of this study was to assess if screening seniors for frailty could help identify those at risk of developing delirium during their ED stay. Methodology: This study is part of the multicenter prospective cohort MIDI-INDEED 2015- 2016 study. Patients aged ³ 65 years old, initially free of delirium were recruited after 8 hours of ED exposure & followed up to 24h after ward admission. Frailty was assessed at ED admission using the Canadian Study of Health and Aging-Clinical Frailty Scale (CSHA-CFS) which classified seniors from robust (1/7) to severely frail (7/7). Seniors with CSHA-CFS ≥ 5/7were considered frail. Their Delirium status was assessed twice daily using the Confusion Assessment Method (CAM). Results: Among the 335 participants, 70 patients were considered frail, while 265 were considered robust. The cumulative Incidence of delirium at the end of follow-up was 12%. Among the frail seniors, there were 20 (28.6%) patients with delirium, while there were 20 (7.6%) in the non-frail group. The risk of delirium during the ED stay was 3.2 times higher in frail patients then in robust ones, after adjusting for age (p<0,0001). Adjusted hazard of delirium was 2.44 times higher in frail than in robust patients(HR=2.44 [1.26-4.74] p=0.0083), suggesting that “time to delirium” was 2.44 times shorter in frail older patients than the robust ones. Conclusion: Increased frailty appears to be associated with increased incident delirium in older ED patients. Screening for frailty at emergency triage could help ED professionals identify seniors at higher risk.
Lazignac, Coralie. "Q'en est-il de l' alliance thérapeutique en situation transculturelle ? : à propos d' une étude exploratoire réalisée aux urgences psychiatriques de Nancy." Nancy 1, 2002. http://docnum.univ-lorraine.fr/prive/SCDMED_T_2002_LAZIGNAC_CORALIE.pdf.
Angoulvant, François. "Evaluation et amélioration de l'usage des antibiotiques aux urgences pédiatriques." Paris 7, 2013. http://www.theses.fr/2013PA077212.
Antibiotics are frequently prescribed in pediatric emergencies department, most often for acute respiratory infections. Faced with the growing problem of resistance to antibiotics, the evaluation and improvement of the antibiotic prescriptions is crucial. Indicators of antibiotic consumption in hospital and in in ambulatory settings existed for a long time. However, despite the weight of antibiotics' prescriptions in pediatric emergencies department, few studies were conducted in these settings. This Doctoral work was designed to evaluate and improve the use of antibiotics in pediatric emergency department. Our first objective was to develop indicators and tools relevant to assess qualitatively and quantitatively antibiotics' prescriptions in pediatric emergencies department. We have shown that simple indicators, such as the percentage of patients with acute respiratory infection treated by antibiotics, were useful to monitor the evolution of the antibiotic prescriptions during interventions to improve them. The methodology is based on the automated extraction of data from the medical record to collect hundreds of thousands cases in several sites. The second issue was the education of patients and familles to the proper use of antibiotics in pediatric emergencies department. We performed a randomized, controlled blind trial in which 300 children have been included. We have showri an improvement in satisfaction and knowledge about the proper use of antibiotics after a therapeutic education on this topic versus a control intervention
Pollet, Lucien. "L'accueil hospitalier en cas de catastrophe : plans et structures à propos de l'organisation de l'hôpital d'instruction des armées R. Picqué de Bordeaux." Bordeaux 2, 1991. http://www.theses.fr/1991BOR2M154.
Layani, Géraldine. "Évaluation de la qualité des soins dans les unités d’urgence rurales du Québec." Master's thesis, Université Laval, 2015. http://hdl.handle.net/20.500.11794/25860.
Mandy, Caroline. "La prison et l'hôpital psychiatrique du XVIIIe au XXIe siècle : institutions totalitaires ou services publics ? : contribution à l'étude de la privation de liberté en France et du paradigme de l'institution totalitaire." Phd thesis, Nantes, 2011. https://archive.bu.univ-nantes.fr/pollux/show/show?id=b6ed5aa1-d508-489a-bb04-916d7b6b8748.
Since the French Revolution in 1789, depriving persons of their freedom by locking them up has become the automatic answer of public authorities to penal and psychiatric matters. This institutional solution to the social problems of delinquency and insanity is organised around a new paradigm : the "total institution". This standardising model tramples on persons, their dignity and their rights ; nevertheless prison and psychiatric total institutions remain the tool society chooses most of the time to keep its "disturbing" persons apart. The shock of the Nazi abuses added to this dehumanising instrumentalisation of inmates triggers a new fervour for the human rights and brings to light, with the destruction of the totalitarian model, the more flexible paradigm of public service and its "rules", a priori conductor of a protecting framework for individuals ; it does not mean to renounce to deprivation of freedom but to give a humanist framework of action to manage these cases. Thus, the inmate holds rights specific to successive citizenship recognised to persons in time. But, the evolution is neither linear nor finished. Deprivation of freedom, in its triangular relations between person, society and institution, remains the latent prey of all securitarian tendencies, to the detriment of the rights of the concerned persons. Behind the theory, the democratic challenge is, for society, to accept the levelling up of these rights ; their adaptation must no longer be used as a disguise to take their fundamental rights away from inmates
Roussel, Marie-José. "Prise en charge de la pathologie cardiovasculaire grave par le Centre Hospitalier général de Vichy durant l' année 1986 et rôle du SAMU 03 Vichy." Clermont-Ferrand 1, 1987. http://www.theses.fr/1987CLF13040.
Claret, Pierre-Géraud. "Le circuit patient en structure des urgences : comment lutter contre la surcharge ?" Thesis, Montpellier, 2016. http://www.theses.fr/2016MONTT017/document.
Emergency departments (ED) are an important front gate of the hospital with strong skill staff and helped by a high quality technical platform. After his/her arrival at the hospital, the patient follow a pathway which aims to optimize the healthcare. This patient's pathway may be slowed down or alter when there is an overcrowding of the ED, when capacities are exceeded by the number of patients to be seen, evaluated, treated, and to hospitalize. ED overcrowding is associated with many adverse effects and it is shown that the origin of this overcrowding is multifactorial. To find solutions, we must observe overcrowding in the whole of the hospital institution and of the healthcare system. The aim of this thesis is to describe the patient's pathway from his/her arrival at the ED to his/her departure, and sometimes his/her come back. Each article of this thesis represents a step of the patient's pathway. Then, the overcrowding of the ED, or of the hospital, is studied in its entirety. This collection of articles highlights the complexity of the issue and the need to mobilize the whole institution to respond
Maire, Sébastien. "Délais de thrombolyse chez les patients en infarctus du myocarde dans un centre hospitalier de Chaudière-Appalaches." Thesis, Université Laval, 2005. http://www.theses.ulaval.ca/2005/22871/22871.pdf.
BACKGROUND : The sooner a patient with an acute myocardial infarction receives a thrombolytic treatment, the better the outcome in terms of morbidity and mortality. Some delay exists, however, between the onset of the first symptoms and the start of the thrombolytic regimen. OBJECTIVES : 1) To describe the sociodemographic characteristics and cardiovascular risk factors of a population of patients brought in by ambulance to Hôtel-Dieu de Lévis hospital with a diagnosis of acute myocardial infarction (AMI) between January 2001 and August 2003; 2) To determine “call-to-needle” time, “hospital” time and “prehospital” time in the population under study; 3) To identify the variables associated with delays in thrombolysis. METHODS : This was a retrospective analysis of 82 hospital and emergency medical services (EMS) records from January 2001 to August 2003. Records were gathered from a data bank created for the emergency department of Hôtel-Dieu de Lévis hospital. Patients were included if they were older than 18 years, were not pregnant, had not been transferred from another hospital, came by ambulance and had received a thrombolytic regimen for acute myocardial infarction with ST elevation on their initial EKG. Dependent variables included times of symptoms onset, EMS call, EMS arrival and departure from patient’s residence, EMS arrival at the hospital, nurse triage, doctor evaluation and treatment. Independent variables included the presence of diabetes, cardiac disease history, hypertension, smoking, hypercholesterolemia, age, sex, type of AMI, distance residence-hospital, vital signs at arrival and other treatments received besides thrombolysis. Descriptive analyses were performed mainly for cardiovascular risk factors and sociodemographics characteristics. Bivariate analyses were then conducted between these variables and “call-to-needle” times, “hospital” times and “prehospital” times. Data were then processed in a mutivariate analysis model, mainly to adjust for confounding factors. RESULTS : Sixty-six percent of the study population were males aged of 64 years (as a mean). The most frequent cardiac risk factors were myocardial infarction, angina, tobacco use, family history of coronary artery disease or diabetes mellitus. As far as 16 % of patients had an altered state at presentation (shock, altered mental status and/or heart failure). A majority of patients (57 %) had an inferior myocardial infarction. Most of them (50 %) presented themselves during the day. The majority of patients had normal vital signs, but twelve percent presented complications (mainly angina, hypotension, arythmia and/or death). Prehospital delay was 38 minutes. Hospital delay was 30 minutes. Call-to-needle time was 68 minutes. Two sub-populations were identified: one living near the hospital and one living far from it. For the sub-population living far from the hospital, the distance residence-hospital was identified, after adjustements, as a signifiant determinant of “call-to-needle” time and “prehospital” time, as were also dislipidemia for “prehospital” time and a defavorised social rating for “hospital” time. As for the sub-population living near the hospital, the distance residence-hospital was a significant determinant of “hospital” time after adjustements. CONCLUSION : The “golden hour” recommendation was not respected in our study population by an average of eight minutes. Hospital delay, particularly with respect to treatment, seems to be the portion most amenable to change.
Marchadour-Soubeyrand, Annie. "Evolution de la structure hospitalière de la ville de Sète : repercussions sur la chaîne des urgences." Montpellier 1, 1988. http://www.theses.fr/1988MON11103.
Lescloupe, Olivier. "Profil des attachés travaillant dans les services d'urgence de l'Assistance Publique - Hôpitaux de Paris/ par Olivier Lescloupe." Bordeaux 2, 1998. http://www.theses.fr/1998BOR2M098.
Ribas, Marie-Pierre. "Projet de réhabilitation du service des urgences de l'hôpital régional de Malabo (Guinée Equatoriale)." Bordeaux 2, 1998. http://www.theses.fr/1998BOR2M110.
Ajmi, Inès. "Outils et modèles collaboratifs pour la gestion des tensions dans les services des urgences pédiatriques." Thesis, Ecole centrale de Lille, 2015. http://www.theses.fr/2015ECLI0012/document.
In the healthcare production management systems, the control of the patient flows and the anticipation of the tensions are major issues. Due to the increasing the crowding situations and their consequences, there is an ever increasing emphasis on the ability of the actors in hospital and healthcare pathways to manage the patient health care process. They must be able to control the crowding (peaks of activities, congestion of services) that are related to patient and healthcare processes flows. However, decision makers do not have sufficient methodologies and decision support tools adapted for controlling the patient flows.This thesis aims to investigate and develop modeling, optimization and implementation of a Support System to improve the care of patients in normal situation and crowding situation in Services Pediatric Emergencies (SUP) of the Lille University Hospital. The objective of this thesis is to propose appropriate solutions to the SUP to improve care for patients in terms of wait times. We therefore modeled the process of care for patients by Workflow approach to identify malfunctions in the SUP near the modeling phase; we proposed a resolution of agent-based architecture to optimize scheduling patient flow and significantly decrease their waiting time during periods of tension. Then we studied a dynamic process orchestration workflow by agents to reduce the expectations of patients running time. This thesis is conducted under the ANR HOST project in collaboration with the Lille University Hospital SUP. The simulation results highlight the contribution of the alliance between the multi-agent systems and optimization for decision support
Berteau, Christine. "Attitudes et opinions des usagers d'un service d'urgence : enquête réalisée au CHR de Bayonne." Bordeaux 2, 1996. http://www.theses.fr/1996BOR2M011.
Afilal, Mohamed. "Optimisation de la prévision et de la planification des activités d’un centre d’urgence hospitalier." Thesis, Troyes, 2017. http://www.theses.fr/2017TROY0035.
Our research focuses on the optimization of the activities of a hospital emergency department in order to improve the quality of services offered to patients. We have decomposed our approach into two areas: demand forecasting and optimization of activities. The first axis consists in forecasting the daily inflow of patients into the department. To this end, a new emergency classification of emergency patients, named EP, is introduced, taking into account the medical resources needed to treat the patient and post-emergency affiliation. We developed predictive models to forecast the daily inflow by EP class in the long-term and short-term. The second axis is to optimize service activities to minimize the average waiting time of patients in the service. To achieve this purpose, a system performance evaluation tool based on discrete event simulation was developed. This tool allowed us to evaluate the average waiting time of patients for different organizations of the service. Afterwards, we focused on optimizing the allocation of human resources (doctors, interns, nurses and caregivers). A meta-heuristic approach has been developed to solve the problem, since the objective function is not linear, which is based on the coupling of a genetic algorithm with the simulation model to evaluate the solutions. This approach also optimizes service in the future by injecting patient forecasts into the simulator
Roulet, Lucien. "Étude des événements iatrogènes médicamenteux aux urgences du CHU de Nantes : développement d'un outil d'observation et analyse du repérage de ces événements." Nantes, 2012. http://archive.bu.univ-nantes.fr/pollux/show.action?id=bee1bfa9-93c6-49f7-9fd5-28d3a94ed9d2.
Emergency departments (EDs) are an adequate place to study adverse drug events (ADEs) due to their position and missions. A research project dedicated to ADEs was initiated in the Nantes tertiary care hospital, including the implementation of an ADE survey structure in the ED with a focus on pharmacoepidemiological research. Through an evaluation process, this structure was shown to give the opportunity to address specific research issues (e. G. , to explore food-drug interaction hazard), and provide a basis for largest research projects, as substantiated by the results of our project on ADE recognition in the ED context. In a first research area, we developed a structured questionnaire to document self-medication history, which is a support to maximise the likelihood of detecting an ADE. A second research area allowed for a better knowledge of ED situations and patients with the highest risk of ADEs. To communicate this information to the ED physicians should help them in their daily practice to become attentive to some types of patients, and thus to improve their ability to recognise ADEs. This information is also a way to develop interventions that should prevent the occurrence of ADEs. In a third research area, we demonstrated that a significant proportion of ADEs were incompletely recognised by ED physicians. We proposed four interrelated sets of factors, which we regard as essential to consider in future research on ADE unrecognition: patients, ADEs, ED organisation, and ED physicians
Saignac, Pierre-Alain. "Utilisation et utilité du dépôt de sang du service des urgences de l'hôpital Pellegrin." Bordeaux 2, 2000. http://www.theses.fr/2000BOR23094.
Kyola, Mashamba. "Accidents traumatiques chez des enfants de 0 à 9 ans enregistrés au service des admissions chirurgicales du CHRU de Caen, dans le cadre de l'enquête EHLASS." Caen, 1990. http://www.theses.fr/1990CAEN3054.
Daudet, Christophe. "Impact d'une hospitalisation en unité de soins spécialisée sur l'évolution de patients déprimés : étude préliminaire." Bordeaux 2, 1999. http://www.theses.fr/1999BOR23047.
Lecurieux-Lafferronnay, Louis-Léonce. "Fonction de centre de crise du service des urgences du CHR de Fort-de-France : étude sur 275 troubles de l'adaptation répertoriés parmi les consultants de l'année 1987." Toulouse 3, 1988. http://www.theses.fr/1988TOU31323.
d'Almeida, Kayigan Wilson. "Changement de paradigme dans le dépistage du VIH : intérêt d’un dépistage systématique de la population générale dans les urgences hospitalières françaises. Exemple d’une intervention dans 29 services d’urgences hospitalières d’Ile-de-France." Versailles-St Quentin en Yvelines, 2013. http://www.theses.fr/2013VERS0032.
In the era of highly effective antiretroviral therapies, late presentation for HIV infection is one of the main barriers for controlling the epidemic. To encourage early testing, national health authorities in developed countries have recommended HIV screening for all patients in health-care settings. Such guidelines were issued in France in 2009. The aims of this thesis were to examine the acceptability, feasibility and public health impact of universal HIV screening in French emergency departments and to assess the correlates of late presentation for HIV infection in France, in order to question the relevancy of universal screening guidelines. Analysis of data from the ANRS 95008/Sidaction study showed a modest public health impact of emergency department-based universal HIV screening. Patients’ acceptance of HIV screening in emergency departments (EDs) was high while the feasibility varied across EDs and was associated with diverse contextual barriers. Data from the ANRS-VESPA2 study was used to assess the correlates of late presentation for HIV infection. We found that late presentation was high not only among traditional high risk groups but also among non-African heterosexual men and those diagnosed over 40. Our results suggest that in France, the recommendations for non-targeted HIV testing should be reformulated to reach both populations at high risk of HIV infection and those at low risk of HIV infection with high risk of late diagnosis. Moreover, we underline the limits of ED-based HIV universal screening and the barriers to its implementation while bringing insights into the potential role of such healthcare settings in the French HIV screening strategy
Robitaille, Julia. "L'évaluation du statut fonctionnel à l'urgence de la personne âgée ayant des troubles cognitifs : Un prédicteur de l'orientation à la sortie?" Thesis, Université Laval, 2013. http://www.theses.ulaval.ca/2013/29916/29916.pdf.
Individuals with cognitive impairment have complex challenges during their visit to the emergency department (ED); these individuals make up a significant proportion of clients referred to occupational therapists. This thesis aims to describe the functional status and orientation (hospital admission or not) at discharge from the ED for individuals with cognitive impairment and to explore the relationship between these elements. A convenience sample of 31 elderly individuals with cognitive impairment was recruited in the ED of an urban hospital. All participants were assessed by an occupational therapist using the Functional Status Assessment of Seniors in the Emergency Department (FSAS-ED). The results revealed that two sections of the FSAS-ED, Activities and participation and Environmental factors, appeared to be related to the discharge orientation. These findings support the importance of including occupational therapists in multidisciplinary teams in light of their mandate regarding the evaluation of functional abilities.
Hummel, Stephen. "A strategic governance model to improve the performance of emergency departements in public hospitals in the province of Ontario, Canada." Phd thesis, Université Nice Sophia Antipolis, 2013. http://tel.archives-ouvertes.fr/tel-00909524.
Delmond, Emmanuel. "L'infarctus du myocarde aux urgences : typologie et prise en charge différentes par rapport à l'unité de soins intensifs de cardiologie." Bordeaux 2, 2000. http://www.theses.fr/2000BOR2M026.
Jlassi, Jihen. "Amélioration de la performance par la modélisation des flux logistiques des patients dans un service d'urgence hospitalier." Phd thesis, Université Paris VIII Vincennes-Saint Denis, 2009. http://tel.archives-ouvertes.fr/tel-00637849.
Jlassi, Jihène. "Amélioration de la performance par la modélisation des flux logistiques des patients dans un service d'urgence hospitalier." Paris 8, 2009. http://octaviana.fr/document/146714687#?c=0&m=0&s=0&cv=0.
Emergency departments have become a useful way to access hospital and it is a subject of study for many researchers. The research developed in this thesis aims to improve the performance of the emergency department (ED) of Habib Bourguiba Sfax Hospital and to minimise the cycle time of patients. In fact, the assessment of the performance of system has two steps: the first step is the modelling permitting the system to the model and the second step is the analysis of performances of the model. We started by the description and the modelling of the process by which pass the patients. We first used the extensions of IDEF3 called IDEF3x. In fact IDEF3 is a process description capture method whose primary goal is to provide a structured method by which a domain expert can describe a situation as an ordered sequence of events. Then, we proposed to move to the analysis step by the application of the two complementary techniques: the simulation and queuing networks. We proposed a simulation model which enables us to define indicators to evaluate the performance of the ED of Sfax hospital. The study consists of drawing a passage from a graphic model IDEF3x to a WITNESS model. We applicated the multiclass networks of queues to validate the results got by the simulation model. So booth results are coherent, they show that patients wait a long time to be served in both steps: the specialist physician and the generalist physician in the second passage of the patients. Thus we used the tree diagram and the fuzzy AHP method to determine the inductive of performance on which we have acted and launched again the Witness model. We finished by the application of the fuzzy PROMETHEE II method to the improvement of actions. These works lead us to conclude that analysis methods and management tools from manufacturing systems can be used to hospital systems. On the other hand, they are used to help the managers of the emergency department of Habib Bourguiba hospital to determine and to classify by order of importance the actions of improvement which permit the minimization of the cycle time of patients
Belaidi, Aissam. "Organisation et pilotage de la prise en charge des patients dans le cadre du réseau des urgences." Phd thesis, Université Jean Monnet - Saint-Etienne, 2009. http://tel.archives-ouvertes.fr/tel-00439525.
Pelletier-De, Rico Sarah, and Rico Sarah Pelletier-De. ""Porte tournante" à l'urgence et usagers fréquents rencontrant des problèmes de santé mentale : la perspective des proches." Master's thesis, Université Laval, 2020. http://hdl.handle.net/20.500.11794/38150.
Le phénomène de la « porte tournante » dans les services d’urgence préoccupe nombre de gestionnaires et le grand public, mais surtout les usagers et leur famille. Plusieurs études s’attardent à décrire les caractéristiques de ces usagers qui consultent fréquemment dans les urgences. Étant donné que la santé mentale en est un enjeu important, ce mémoire s’intéresse aux usagers fréquents des urgences présentant des problèmes de santé mentale et donne la parole aux proches de ceux-ci. Cette étude exploratoire vise à répondre aux deux questions suivantes : quelles sont les vulnérabilités psychosociales des usagers fréquents des urgences selon leurs proches et quel regard ces derniers posent-ils sur cette situation. Afin de répondre à ces questions, huit entretiens semi-dirigés ont été réalisés auprès de proches d’usagers fréquents présentant des troubles de santé mentale de la région de Québec. Les vulnérabilités psychosociales des usagers dont nous ont parlé les proches concernent principalement des difficultés socioéconomiques, l’isolement social, ainsi qu’une santé précaire. Des patterns de consultation similaires permettent de mettre en lumière trois cas de figure chez les usagers examinés dans le cadre de cette recherche : les personnes âgées qui consultent pour des conditions liées au vieillissement ; les usagers qui se présentent pour des épisodes de crise en lien avec leurs troubles de santé mentale ; les individus qui fréquentent l’urgence pour des malaises physiques divers. Quant au regard des proches, les résultats concernent diverses difficultés rencontrées à naviguer dans le système de santé. Les proches interrogés se disent préoccupés par la situation des usagers et ont à coeur de s’impliquer, acceptant souvent de pallier le manque de services et de ressources. Ce mémoire vient appuyer le fait que les usagers fréquents ne peuvent être considérés comme une population homogène et qu’il est nécessaire de leur offrir des soins et services qui répondent à leurs besoins spécifiques ainsi qu'à ceux de leurs proches.
The "revolving door" phenomenon in emergency departments (ED) is preoccupying for many managers and the general public but especially for users themselves and their families. A number of studies have described the characteristics of these frequent users. Knowing that mental health is an important issue for many of them, this research takes a look at frequent users living with mental health issues and gives a voice to their families. This exploratory study seeks to answer two questions: what are the psychosocial vulnerabilities of ED’s frequent users according to their families and what are these families' perspectives on this subject. To answer these questions, eight semi-structured interviews were conducted with family members of frequent users living with mental health issues. Psychosocial vulnerabilities mentioned by family members were mainly regarding socio-economic difficulties, social isolation as well as precarious health. Three main patterns were also highlighted among the users examined in this research: elderly people visiting ED for motives due to aging; users consulting for crises related to their mental health troubles and people visiting the ED for a variety of physical complaints. Concerning the perspective of family members, results mainly show a variety of difficulties encountered trying to navigate through the health care system. Family members expressed being concerned with the users' situations and their willingness to help the users especially in a context of a lack of services and resources. This research supports the idea that frequent users should not be considered a homogeneous group and that it is necessary to offer them and their caregivers services adapted to their specific needs.
The "revolving door" phenomenon in emergency departments (ED) is preoccupying for many managers and the general public but especially for users themselves and their families. A number of studies have described the characteristics of these frequent users. Knowing that mental health is an important issue for many of them, this research takes a look at frequent users living with mental health issues and gives a voice to their families. This exploratory study seeks to answer two questions: what are the psychosocial vulnerabilities of ED’s frequent users according to their families and what are these families' perspectives on this subject. To answer these questions, eight semi-structured interviews were conducted with family members of frequent users living with mental health issues. Psychosocial vulnerabilities mentioned by family members were mainly regarding socio-economic difficulties, social isolation as well as precarious health. Three main patterns were also highlighted among the users examined in this research: elderly people visiting ED for motives due to aging; users consulting for crises related to their mental health troubles and people visiting the ED for a variety of physical complaints. Concerning the perspective of family members, results mainly show a variety of difficulties encountered trying to navigate through the health care system. Family members expressed being concerned with the users' situations and their willingness to help the users especially in a context of a lack of services and resources. This research supports the idea that frequent users should not be considered a homogeneous group and that it is necessary to offer them and their caregivers services adapted to their specific needs.
Lavallée, Josiane. "La perception des proches-aidants en santé mentale de l'adéquation entre les services reçus d'un établissement psychiatrique et leurs besoins de services." Thesis, Université Laval, 2009. http://www.theses.ulaval.ca/2009/26692/26692.pdf.