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Author: Alexandre Durak
Publisher:
ISBN:
Category :
Languages : fr
Pages : 96
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Book Description
Contexte : Lors de sa consultation aux urgences, le patient quitte le service d'accueil avec un courrier de sortie adressé au médecin traitant et contenant idéalement la totalité des examens cliniques et paracliniques. Fréquemment, ceux-ci sont incomplets, et ne répondent pas aux attentes des médecins généralistes. Méthode : Étude rétrospective, monocentrique sur le site des urgences de l'hôpital Saint Vincent de Paul à Lille, du 1er au 15 mai 2017 inclus. Le travail recense les patients sortis de l'accueil des urgences adultes, excluant les patients hospitalisés. Il compare les éléments de prise en charge du dossier avec ceux du courrier de sortie, devant y figurer selon les recommandations de bonne pratique. Résultats : 87,14% des 980 patients consultant sur la période d'étude bénéficient d'un courrier de sortie. Il existait 11,01 % de dossiers pour lesquels les mêmes critères ont été reportés de manière exhaustive dans le courrier (IC95% [9,08%-13,28 %]). En moyenne, 3 critères de prises en charge (moy=3 ; [0 - 8] med=3), apparaissent dans le dossier contre 2 dans le courrier de sortie (moy=2 ; [0-7] med= 2). Cependant, les dossiers sont mieux renseignés si un courrier est réalisé (p
Author: Alexandre Durak
Publisher:
ISBN:
Category :
Languages : fr
Pages : 96
Get Book Here
Book Description
Contexte : Lors de sa consultation aux urgences, le patient quitte le service d'accueil avec un courrier de sortie adressé au médecin traitant et contenant idéalement la totalité des examens cliniques et paracliniques. Fréquemment, ceux-ci sont incomplets, et ne répondent pas aux attentes des médecins généralistes. Méthode : Étude rétrospective, monocentrique sur le site des urgences de l'hôpital Saint Vincent de Paul à Lille, du 1er au 15 mai 2017 inclus. Le travail recense les patients sortis de l'accueil des urgences adultes, excluant les patients hospitalisés. Il compare les éléments de prise en charge du dossier avec ceux du courrier de sortie, devant y figurer selon les recommandations de bonne pratique. Résultats : 87,14% des 980 patients consultant sur la période d'étude bénéficient d'un courrier de sortie. Il existait 11,01 % de dossiers pour lesquels les mêmes critères ont été reportés de manière exhaustive dans le courrier (IC95% [9,08%-13,28 %]). En moyenne, 3 critères de prises en charge (moy=3 ; [0 - 8] med=3), apparaissent dans le dossier contre 2 dans le courrier de sortie (moy=2 ; [0-7] med= 2). Cependant, les dossiers sont mieux renseignés si un courrier est réalisé (p
Author: Rebecca Ritacco
Publisher:
ISBN:
Category :
Languages : fr
Pages : 100
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Book Description
La coordination et la continuité des soins entre ville et hôpital impliquent une transmission d'informations de qualité entre les médecins. A Moulins, nous avons décidé de mettre en place un courrier type d'admission des patients aux Urgences. Il nous a paru intéressant de mesurer l'impact de ce courrier et son intérêt dans la prise en charge des patients. Nous avons mené une étude rétrospective basée sur les dossiers de patients hospitalisés via le service des Urgences de Moulins sur 2 périodes distinctes, avant et après la mise en place d'un "courrier type". Notre recueil s'est effectué sur 487 dossiers dans lesquels ont été analysés le contenu et la forme du courrier d'admission, les informations médicales des patients et les données du passage aux urgences. Sur les 2 périodes d'étude, 28% des patients étaient adressés par un médecin généraliste. Parmi les 74 courriers de la seconde période, seulement 9 étaient des "courriers type". Ces lettres étaient plus exhaustives que les courriers traditionnels et répondaient plus aux attentes des médecins urgentistes. Ces courriers montraient également qu'une première appréciation de la situation clinique par le médecin traitant pouvait s'avérer utile en terme de priorisation de gravité pour la prise en charge aux urgences. Nous n'avons pas montré d'amélioration de la qualité des informations transmises dans les courriers classiques de la 2ème période malgré l'inspiration qu'aurait pu apporter le "courrier type". La mise en place d'une lettre standardisée nécessite un temps d'adaptation. Ce document est destiné à prendre une forme virtuelle. Le dossier médical partagé nous donne l'espoir d'une transmission d'informations médicales de qualité entre les professionnels de ville et hospitaliers.
Author:
Publisher: Getty Publications
ISBN: 089236551X
Category : Art
Languages : en
Pages : 281
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Book Description
Building an Emergency Plan provides a step-by-step guide that a cultural institution can follow to develop its own emergency preparedness and response strategy. This workbook is divided into three parts that address the three groups generally responsible for developing and implementing emergency procedures—institution directors, emergency preparedness managers, and departmental team leaders—and discuss the role each should play in devising and maintaining an effective emergency plan. Several chapters detail the practical aspects of communication, training, and forming teams to handle the safety of staff and visitors, collections, buildings, and records. Emergencies covered include natural events such as earthquakes or floods, as well as human-caused emergencies, such as fires that occur during renovation. Examples from the Barbados Museum and Historical Society, the Museo de Arte Popular Americano in Chile, the Mystic Seaport Museum in Connecticut, and the Seattle Art Museum show how cultural institutions have prepared for emergencies relevant to their sites, collections, and regions.
Author: Irene Papanicolas
Publisher: McGraw-Hill Education (UK)
ISBN: 033524727X
Category : Medical
Languages : en
Pages : 418
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Book Description
International comparison of health system performance has become increasingly popular, made possible by the rapidly expanding availability of health data. It has become one of the most important levers for prompting health system reform. Yet, as the demand for transparency and accountability in healthcare increases, so too does the need to compare data from different health systems both accurately and meaningfully. This timely and authoritative book offers an important summary of the current developments in health system performance comparison. It summarises the current state of efforts to compare systems, and identifies and explores the practical and conceptual challenges that occur. It discusses data and methodological challenges, as well as broader issues such as the interface between evidence and practice. The book draws out the priorities for future work on performance comparison, in the development of data sources and measurement instruments, analytic methodology, and assessment of evidence on performance. It concludes by presenting the key lessons and future priorities, and in doing so offers a rich source of material for policy-makers, their analytic advisors, international agencies, academics and students of health systems.
Author: European Conference of Ministers of Transport
Publisher: OECD Publishing
ISBN:
Category :
Languages : en
Pages : 296
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Book Description
This Report addresses the key issues surrounding traffic speed management and highlights the improvements in policy and operations needed to reduce the extent of speeding.
Author: Philipp Fluri
Publisher: DCAF
ISBN: 8683543102
Category : Legislative oversight
Languages : en
Pages : 209
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Book Description
Author: Souter, David
Publisher: UNESCO Publishing
ISBN: 9231003143
Category : Human rights
Languages : en
Pages : 197
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Book Description
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 0309450063
Category : Medical
Languages : en
Pages : 137
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Book Description
The most recent Ebola epidemic that began in late 2013 alerted the entire world to the gaps in infectious disease emergency preparedness and response. The regional outbreak that progressed to a significant public health emergency of international concern (PHEIC) in a matter of months killed 11,310 and infected more than 28,616. While this outbreak bears some unique distinctions to past outbreaks, many characteristics remain the same and contributed to tragic loss of human life and unnecessary expenditure of capital: insufficient knowledge of the disease, its reservoirs, and its transmission; delayed prevention efforts and treatment; poor control of the disease in hospital settings; and inadequate community and international responses. Recognizing the opportunity to learn from the countless lessons of this epidemic, the National Academies of Sciences, Engineering, and Medicine convened a workshop in March 2015 to discuss the challenges to successful outbreak responses at the scientific, clinical, and global health levels. Workshop participants explored the epidemic from multiple perspectives, identified important questions about Ebola that remained unanswered, and sought to apply this understanding to the broad challenges posed by Ebola and other emerging pathogens, to prevent the international community from being taken by surprise once again in the face of these threats. This publication summarizes the presentations and discussions from the workshop.
Author: James Nolan
Publisher: Multilingual Matters
ISBN: 1847698107
Category : Language Arts & Disciplines
Languages : en
Pages : 341
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Book Description
In recent decades the explosive growth of globalization and regional integration has fuelled parallel growth in multilingual conferences. Although conference interpreting has come of age as a profession, interpreter training programs have had varied success, pointing to the need for an instructional manual which covers the subject comprehensively. This book seeks to fill that need by providing a structured syllabus and an overview of interpretation accompanied by exercises in various aspects of the art. It is meant to serve as a practical guide for interpreters and as a complement to interpreter training programs in the classroom and online, particularly those for students preparing for conference interpreting in international governmental and business settings. This expanded second edition includes additional exercises and provides direct links to a variety of web-based resources and practice speeches, also including additional language combinations.
Author: Stephanie Reich
Publisher: Springer Science & Business Media
ISBN: 0387495002
Category : Psychology
Languages : en
Pages : 461
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Book Description
This is the first in-depth guide to global community psychology research and practice, history and development, theories and innovations, presented in one field-defining volume. This book will serve to promote international collaboration, enhance theory utilization and development, identify biases and barriers in the field, accrue critical mass for a discipline that is often marginalized, and to minimize the pervasive US-centric view of the field.
