Organisation et pilotage des services sur le trajet des urgences

Organisation et pilotage des services sur le trajet des urgences PDF Author: Tao Wang (Auteur d'une thèse en Informatique).)
Publisher:
ISBN:
Category :
Languages : fr
Pages : 149

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Book Description
L’exigence des soins à apporter aux patients accueillis aux urgences combinée au contexte économique impose aux établissements hospitaliers, surtout aux Services d’Accueil et d’Orientation des Urgences (SAU), des décisions rapi-des ainsi que l’optimisation de l’emploi des ressources matérielles et humaines pour maintenir la fluidité des patients sans pour autant compromettre la qualité de soins. Nous proposons à travers ce mémoire de thèse des solutions appro-priées aux services d’urgence permettant d’améliorer la prise en charge des urgences dans une vision globale inté-grant l'ensemble des interactions entre les différents acteurs et entre les différents flux de patients. La première partie concerne l'analyse des problématiques de la filière des urgences dans un contexte socio-économique du système de santé français. La deuxième partie présente la modélisation et la simulation du processus de prise en charge des ur-gences, ainsi que deux propositions d'amélioration (Gain d’efficacité pour le médecin et Parcours rapide). La troisième partie se focalise sur la gestion des lits d’hospitalisation en aval des urgences, un modèle mathématique est développé pour optimiser la planification des lits en tenant compte des flux des patients urgents et programmés. En conclusion, nous étudions l’impact de la connaissance des disponibilités en lits d’aval au service d’urgence, et la pla-nification des admissions en aval des urgences par le biais du couplage de méthodes de Simulation et de Recherche opérationnelle.

Organisation et pilotage des services sur le trajet des urgences

Organisation et pilotage des services sur le trajet des urgences PDF Author: Tao Wang (Auteur d'une thèse en Informatique).)
Publisher:
ISBN:
Category :
Languages : fr
Pages : 149

Get Book Here

Book Description
L’exigence des soins à apporter aux patients accueillis aux urgences combinée au contexte économique impose aux établissements hospitaliers, surtout aux Services d’Accueil et d’Orientation des Urgences (SAU), des décisions rapi-des ainsi que l’optimisation de l’emploi des ressources matérielles et humaines pour maintenir la fluidité des patients sans pour autant compromettre la qualité de soins. Nous proposons à travers ce mémoire de thèse des solutions appro-priées aux services d’urgence permettant d’améliorer la prise en charge des urgences dans une vision globale inté-grant l'ensemble des interactions entre les différents acteurs et entre les différents flux de patients. La première partie concerne l'analyse des problématiques de la filière des urgences dans un contexte socio-économique du système de santé français. La deuxième partie présente la modélisation et la simulation du processus de prise en charge des ur-gences, ainsi que deux propositions d'amélioration (Gain d’efficacité pour le médecin et Parcours rapide). La troisième partie se focalise sur la gestion des lits d’hospitalisation en aval des urgences, un modèle mathématique est développé pour optimiser la planification des lits en tenant compte des flux des patients urgents et programmés. En conclusion, nous étudions l’impact de la connaissance des disponibilités en lits d’aval au service d’urgence, et la pla-nification des admissions en aval des urgences par le biais du couplage de méthodes de Simulation et de Recherche opérationnelle.

Revised Treaty

Revised Treaty PDF Author: Economic Community of West African States
Publisher: Presses de L'Ub
ISBN:
Category : Law
Languages : fr
Pages : 258

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Aerodrome Design Manual: Visual aids

Aerodrome Design Manual: Visual aids PDF Author: International Civil Aviation Organization
Publisher:
ISBN:
Category : Airports
Languages : en
Pages : 172

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Your Mindful Compass

Your Mindful Compass PDF Author: Andrea Maloney Schara
Publisher:
ISBN: 9780615928791
Category : Families
Languages : en
Pages : 318

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Book Description
"Your Mindful Compass" takes us behind the emotional curtain to see the mechanisms regulating individuals in social systems. There is great comfort and wisdom in knowing we can increase our awareness to manage the swift and ancient mechanisms of social control. We can gain greater flexibility by seeing how social controls work in systems from ants to humans. To be less controlled by others, we learn how emotional systems influence our relationship-oriented brain. People want to know what goes on in families that give rise to amazing leaders and/or terrorists. For the first time in history we can understand the systems in which we live. The social sciences have been accumulating knowledge since the early fifties as to how we are regulated by others. S. Milgram, S. Ashe, P. Zimbardo and J. Calhoun, detail the vulnerability to being duped and deceived and the difficulty of cooperating when values differ. Murray Bowen, M.D., the first researcher to observe several live-in families, for up to three years, at the National Institute of Mental Health. Describing how family members overly influence one another and distribute stress unevenly, Bowen described both how symptoms and family leaders emerge in highly stressed families. Our brain is not organized to automatically perceive that each family has an emotional system, fine-tuned by evolution and "valuing" its survival as a whole, as much as the survival of any individual. It is easier to see this emotional system function in ants or mice but not in humans. The emotional system is organized to snooker us humans: encouraging us to take sides, run away from others, to pressure others, to get sick, to blame others, and to have great difficulty in seeing our part in problems. It is hard to see that we become anxious, stressed out and even that we are difficult to deal with. But "thinking systems" can open the doors of perception, allowing us to experience the world in a different way. This book offers both coaching ideas and stories from leaders as to strategies to break out from social control by de-triangling, using paradoxes, reversals and other types of interruptions of highly linked emotional processes. Time is needed to think clearly about the automatic nature of the two against one triangle. Time and experience is required as we learn strategies to put two people together and get self outside the control of the system. In addition, it takes time to clarify and define one's principles, to know what "I" will or will not do and to be able to take a stand with others with whom we are very involved. The good news is that systems' thinking is possible for anyone. It is always possible for an individual to understand feelings and to integrate them with their more rational brains. In so doing, an individual increases his or her ability to communicate despite misunderstandings or even rejection from important others. The effort involved in creating your Mindful Compass enables us to perceive the relationship system without experiencing it's threats. The four points on the Mindful Compass are: 1) Action for Self, 2) Resistance to Forward Progress, 3) Knowledge of Social Systems and the 4) The Ability to Stand Alone. Each gives us a view of the process one enters when making an effort to define a self and build an emotional backbone. It is not easy to find our way through the social jungle. The ability to know emotional systems well enough to take a position for self and to become more differentiated is part of the natural way humans cope with pressure. Now people can use available knowledge to build an emotional backbone, by thoughtfully altering their part in the relationship system. No one knows how far one can go by making an effort to be more of a self-defined individual in relationships to others. Through increasing emotional maturity, we can find greater individual freedom at the same time that we increase our ability to cooperate and to be close to others.

World Hospitals

World Hospitals PDF Author:
Publisher:
ISBN:
Category : Hospitals
Languages : en
Pages : 624

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Flight to Arras

Flight to Arras PDF Author: Antoine de Saint-Exupéry
Publisher: HMH
ISBN: 0547539606
Category : History
Languages : en
Pages : 167

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Book Description
The World War II aviator and author of The Little Prince tells his true story of flying a reconnaissance plane during the Battle of France in 1940. When the Germans first invaded France in May of 1940, the French Air Force had a mere fifty reconnaissance crews, twenty-three of which served in Antoine de Saint-Exupéry’s Group II/33. After only a few days, seventeen of the crews in Saint-Exupéry’s unit had already perished. Flight to Arras is the harrowing story of a single mission over the French town of Arras, an endeavor Saint-Exupéry realized the futility of even as he witnessed it unfolding. Filled with tension, emotion, philosophy, and historical detail, and penned by a master storyteller, this extraordinary memoir serves as a record of a little-known chapter of the Second World War, and an unforgettable portrait of the brave souls who fought despite desperate odds.

Practice Make Perfect French Vocabulary

Practice Make Perfect French Vocabulary PDF Author: Eliane Kurbegov
Publisher: McGraw Hill Professional
ISBN: 0071762434
Category : Foreign Language Study
Languages : en
Pages : 239

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Book Description
Master the words and phrases necessary for handling everyday situations Practice Makes Perfect: French Vocabulary helps you develop your vocabulary by providing practice in word-building and encouraging you to analyze new words for an ever-increasing vocabulary. Each chapter of this comprehensive book focuses on a theme, such as family or travel, so you can build your language skills in a systematic manner. As you lay the foundation for an increasing vocabulary, you are able to perfect your new words with plenty of exercises and gain the confidence to communicate well in French. Practice Makes Perfect: French Vocabulary offers you: More than 120 exercises Concise grammatical explanations A new chapter on contemporary vocabulary An answer key to gauge your comprehension With help from this book, you can easily speak or write in French about: Different occupations and jobs * French holidays and traditions * Taking the train * Growing your own garden * Where it hurts on your body * Your house * Your family and friends * What you studied in school * Your favorite TV show * Your family's background . . . and much more!

Disaster risk reduction in school curricula: case studies from thirty countries

Disaster risk reduction in school curricula: case studies from thirty countries PDF Author:
Publisher: UNESCO
ISBN: 9230010871
Category :
Languages : en
Pages : 209

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Book Description


Emergency response guidance for aircraft incidents involving dangerous goods

Emergency response guidance for aircraft incidents involving dangerous goods PDF Author: International Civil Aviation Organization
Publisher:
ISBN: 9789291947881
Category : Business & Economics
Languages : en
Pages : 85

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Book Description
This document provides guidance to States and operators for developing procedures and policies for dealing with dangerous goods incidents on board aircraft. It contains general information on the factors that may need to be considered when dealing with any dangerous goods incident and provides specific emergency response drill codes for each item listed in the Technical Instructions for the Safe Transport of Dangerous Goods by Air

Child Friendly Schools Manual

Child Friendly Schools Manual PDF Author:
Publisher: UNICEF
ISBN: 9280643762
Category : Business & Economics
Languages : en
Pages : 244

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Book Description
This Child-Friendly Schools (CFS) Manual was developed during three-and-a-half years of continuous work, involving the United Nations Children's Fund education staff and specialists from partner agencies working on quality education. It benefits from fieldwork in 155 countries and territories, evaluations carried out by the Regional Offices and desk reviews conducted by headquarters in New York. The manual is a part of a total resource package that includes an e-learning package for capacity-building in the use of CFS models and a collection of field case studies to illustrate the state of the art in child-friendly schools in a variety of settings.