Pertinence des admissions aux urgences au centre hospitalier de Mâcon

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Publisher :
ISBN 13 :
Total Pages : 108 pages
Book Rating : 4.:/5 (758 download)

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Book Synopsis Pertinence des admissions aux urgences au centre hospitalier de Mâcon by : Anne-Laure Simonet

Download or read book Pertinence des admissions aux urgences au centre hospitalier de Mâcon written by Anne-Laure Simonet and published by . This book was released on 2010 with total page 108 pages. Available in PDF, EPUB and Kindle. Book excerpt: S’inscrire dans une Démarche Qualité, notamment à travers l’Evaluation de nos Pratiques Professionnelles, est une priorité des Instances de Santé pour les établissements de soins et leurs acteurs. En suivant les recommandations de la Haute Autorité de Santé (HAS) concernant la revue de la pertinence des soins, notre travail s’inscrit parfaitement dans cette dynamique. Il s’agit d’une auto-évaluation de la pertinence des admissions dans le service d’urgences du Centre Hospitalier de Mâcon. 230 dossiers de patients hospitalisés après passage aux urgences de Mâcon ont été renseignés par les médecins du service, sur deux semaines distinctes à l’automne 2009, en utilisant la grille AEPf (Appropriateness Evaluation Protocol version française). 79% des admissions ont été considérées comme pertinentes, 21% comme non pertinentes. Pour ces admissions non pertinentes, la raison principale de l’admission est le plus fréquemment (35% des cas) liée à une procédure diagnostique ou thérapeutique nécessaire à la prise en charge. Pourtant, pour 65% d’entres elles, l’hôpital reste le lieu d’hébergement le plus adapté au jour de la prise en charge. Seulement 35% des admissions non pertinentes auraient pu être redirigées vers le domicile ou une structure d’hébergement alternative, sans qu’on puisse dans notre étude mettre en évidence de cause principale à ces admissions pour lesquelles l’hôpital n’est pas justifié. On peut donc dans notre étude repérer des déficits internes et externes à l’établissement, mais il est difficile d’envisager des mesures correctives adéquates, comme le préconise la HAS. Par contre cette étude a pleinement participé à impliquer les professionnels dans une démarche d’amélioration continue de la qualité. Il serait intéressant de pouvoir la renouveler sur une durée plus courte et avec des investigateurs externes à l’équipe médicale de terrain, afin de pouvoir apprécier plus finement les causes de ces admissions inappropriées et engager les plans d’actions correctifs nécessaires qui en découlent.

Evaluation de l'impact de la pandémie de Sars-Cov-2 sur les admissions avec alcoolémie positive au sein du service d'accueil des urgences du centre hospitalier de Mâcon

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ISBN 13 :
Total Pages : 140 pages
Book Rating : 4.:/5 (128 download)

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Book Synopsis Evaluation de l'impact de la pandémie de Sars-Cov-2 sur les admissions avec alcoolémie positive au sein du service d'accueil des urgences du centre hospitalier de Mâcon by : Marie Decrette

Download or read book Evaluation de l'impact de la pandémie de Sars-Cov-2 sur les admissions avec alcoolémie positive au sein du service d'accueil des urgences du centre hospitalier de Mâcon written by Marie Decrette and published by . This book was released on 2021 with total page 140 pages. Available in PDF, EPUB and Kindle. Book excerpt: Objectif : Evaluer l'impact de la pandémie de COVID-19 et des mesures sanitaires et sociales sur les patients admis avec alcoolisation positive au sein du Service d'Accueil des Urgences du Centre Hospitalier de Mâcon. Méthode : Etude rétrospective et comparative réalisée au sein du Service d'Accueil des Urgences du Centre Hospitalier de Mâcon, incluant les patients âgés de plus de 18 ans admis avec alcoolémie supérieure à 0,1 gramme d'alcool/litre de sang, entre le 1er mars et le 31 décembre 2019 et 2020. Résultats : La fréquentation du service diminue globalement (-54% en avril et -30% en mars, mai, novembre et décembre). Bien que non significative, on remarque une tendance à l'augmentation du nombre de patients alcoolisés en mai (+28%) et juin (+51%), ainsi que de leur proportion de mars à juin. Tout autant, on observe également une tendance, non significative, à l'augmentation des consultations en semaine. Il n'y a pas de différence significative d'âge, de sexe, d'alcoolémie, du délai avant son dosage, de leur niveau de gravité ni de leur orientation en cas d'hospitalisation entre les 2 périodes. La durée moyenne de séjour s'allonge significativement passant de 237 à 284 minutes (p

EVALUATION DE LA PERTINENCE DES HOSPITALISATIONS AU SERVICE D'ACCUEIL DES URGENCES DU CENTRE HOSPITALIER GENERAL DE ROANNE (LOIRE)

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ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (49 download)

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Book Synopsis EVALUATION DE LA PERTINENCE DES HOSPITALISATIONS AU SERVICE D'ACCUEIL DES URGENCES DU CENTRE HOSPITALIER GENERAL DE ROANNE (LOIRE) by : XAVIER.. JACOB

Download or read book EVALUATION DE LA PERTINENCE DES HOSPITALISATIONS AU SERVICE D'ACCUEIL DES URGENCES DU CENTRE HOSPITALIER GENERAL DE ROANNE (LOIRE) written by XAVIER.. JACOB and published by . This book was released on 1998 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Critical Care Nursing

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Publisher : Saunders
ISBN 13 :
Total Pages : 1242 pages
Book Rating : 4.:/5 (318 download)

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Book Synopsis Critical Care Nursing by : Linda Diann Urden

Download or read book Critical Care Nursing written by Linda Diann Urden and published by Saunders. This book was released on 2010 with total page 1242 pages. Available in PDF, EPUB and Kindle. Book excerpt: Focusing on critical care nursing, this full-color text provides an examination of the important aspects of critical care nursing. It is organized in ten units around alterations in body systems.

Algerian Sketches

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Publisher : Polity
ISBN 13 : 0745646956
Total Pages : 398 pages
Book Rating : 4.7/5 (456 download)

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Book Synopsis Algerian Sketches by : Pierre Bourdieu

Download or read book Algerian Sketches written by Pierre Bourdieu and published by Polity. This book was released on 2013-11-04 with total page 398 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the late 1950s, like tens of thousands of young men of his generation, Pierre Bourdieu, having recently passed the agrégation in philosophy, found himself immersed in the Algerian war. Motivated by an impulse that, as he himself says, ‘was civic rather than political’, nothing seemed more important to him than to understand the Algerian situation and provide the elements that would enable others to come to an informed judgement about it. In extremely tough conditions and along with a small group of students, Bourdieu undertook a series of studies across an Algeria that was tightly patrolled by the army, leading him to discover the shocking reality of the resettlement camps and to analyse the mechanisms of destruction of Algerian society of which they were emblematic. To achieve the objectives he had set himself, Bourdieu had to carry out a genuine intellectual conversion, acquiring an ethnographic understanding of Algerian society, learning sociological analysis at a breakneck pace and inventing new instruments - both theoretical and empirical - that would enable him to understand the relations of domination specific to colonialism. These new tools also enabled him to analyse the nature of the crisis that the war had both produced and manifested. This unique volume brings together the first texts written by Bourdieu in the midst of the Algerian conflict, as well as later writings and interviews in which he returns to the topic of Algeria and the decisive role it played in the development of his work.

The Social Structures of the Economy

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Publisher : John Wiley & Sons
ISBN 13 : 0745681654
Total Pages : 456 pages
Book Rating : 4.7/5 (456 download)

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Book Synopsis The Social Structures of the Economy by : Pierre Bourdieu

Download or read book The Social Structures of the Economy written by Pierre Bourdieu and published by John Wiley & Sons. This book was released on 2014-03-10 with total page 456 pages. Available in PDF, EPUB and Kindle. Book excerpt: Much orthodox economic theory is based on assumptions which are treated as self-evident: supply and demand are regarded as independent entities, the individual is assumed to be a rational agent who knows his interests and how to make decisions corresponding to them, and so on. But one has only to examine an economic transaction closely, as Pierre Bourdieu does here for the buying and selling of houses, to see that these abstract assumptions cannot explain what happens in reality. As Bourdieu shows, the market is constructed by the state, which can decide, for example, whether to promote private housing or collective provision. And the individuals involved in the transaction are immersed in symbolic constructions which constitute, in a strong sense, the value of houses, neighbourhoods and towns. The abstract and illusory nature of the assumptions of orthodox economic theory has been criticised by some economists, but Bourdieu argues that we must go further. Supply, demand, the market and even the buyer and seller are products of a process of social construction, and so-called ‘economic' processes can be adequately described only by calling on sociological methods. Instead of seeing the two disciplines in antagonistic terms, it is time to recognize that sociology and economics are in fact part of a single discipline, the object of which is the analysis of social facts, of which economic transactions are in the end merely one aspect. This brilliant study by the most original sociologist of post-war France will be essential reading for students and scholars of sociology, economics, anthropology and related disciplines.

Historical Dictionary of Iran

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Publisher : Historical Dictionaries of Asia, Oceania, and the Middle East
ISBN 13 :
Total Pages : 570 pages
Book Rating : 4.F/5 ( download)

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Book Synopsis Historical Dictionary of Iran by : John Henry Lorentz

Download or read book Historical Dictionary of Iran written by John Henry Lorentz and published by Historical Dictionaries of Asia, Oceania, and the Middle East. This book was released on 2007 with total page 570 pages. Available in PDF, EPUB and Kindle. Book excerpt: Provides an overview of specific events, movements, people, political and social groups, places, trends, and chronology. Allows for considerable exploration of a number of historical and contemporary topics and issues. The modern period, defined as 1800-present, is covered extensively.

Spaces and Identities in Border Regions

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Publisher : transcript Verlag
ISBN 13 : 3839426502
Total Pages : 385 pages
Book Rating : 4.8/5 (394 download)

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Book Synopsis Spaces and Identities in Border Regions by : Christian Wille

Download or read book Spaces and Identities in Border Regions written by Christian Wille and published by transcript Verlag. This book was released on 2015-11-30 with total page 385 pages. Available in PDF, EPUB and Kindle. Book excerpt: Spatial and identity research operates with differentiations and relations. These are particularly useful heuristic tools when examining border regions where social and geopolitical demarcations diverge. Applying this approach, the authors of this volume investigate spatial and identity constructions in cross-border contexts as they appear in everyday, institutional and media practices. The results are discussed with a keen eye for obliquely aligned spaces and identities and relinked to governmental issues of normalization and subjectivation. The studies base upon empirical surveys conducted in Germany, France, Belgium and Luxembourg.

Constructing Paris Medicine

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Publisher : BRILL
ISBN 13 : 9004333282
Total Pages : 396 pages
Book Rating : 4.0/5 (43 download)

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Book Synopsis Constructing Paris Medicine by :

Download or read book Constructing Paris Medicine written by and published by BRILL. This book was released on 2016-08-29 with total page 396 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this volume of essays, leading scholars take a fresh look at the meaning and significance of the Paris Clinical School for the history of medicine and reassess the analysis of the two most noted authors on the topic in the twentieth century, Erwin H. Ackernecht and Michel Foucault.

Sketch for a Self-analysis

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Publisher : Polity
ISBN 13 : 0745635261
Total Pages : 129 pages
Book Rating : 4.7/5 (456 download)

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Book Synopsis Sketch for a Self-analysis by : Pierre Bourdieu

Download or read book Sketch for a Self-analysis written by Pierre Bourdieu and published by Polity. This book was released on 2007 with total page 129 pages. Available in PDF, EPUB and Kindle. Book excerpt: Over the past four decades, French sociologist Pierre Bourdieu produced one of the most imaginative and subtle bodies of social theory of the postwar era. When he died in 2002, he was considered to be the most influential sociologist in the world and a thinker on a par with Foucault and Levi-Strauss - a public intellectual as important to his generation as Sartre was to his. Sketch for a Self-Analysis is the ultimate outcome of Bourdieu's lifelong preoccupation with reflexivity. Vehemently not an autobiography, this unique book is instead an application of Bourdieu's theories to his own life and intellectual trajectory; along the way it offers compelling and intimate insights into the most important French intellectuals of the time - including Foucault, Sartre, Aron, Althusser, and de Beauvoir - as well as Bourdieu's own formative experiences at boarding school and his moral outrage at the colonial war in Algeria.

Temperament in Childhood

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Publisher : Wiley
ISBN 13 : 9780471955832
Total Pages : 660 pages
Book Rating : 4.9/5 (558 download)

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Book Synopsis Temperament in Childhood by : Geldolph A. Kohnstamm

Download or read book Temperament in Childhood written by Geldolph A. Kohnstamm and published by Wiley. This book was released on 1995-06-08 with total page 660 pages. Available in PDF, EPUB and Kindle. Book excerpt: This authoritative book addresses major topics in childhood temperament in such areas as concepts and measures, biological bases of individual differences in temperament, developmental issues, applications of temperament research in clinical and educational settings, sociocultural and other group factors as well as historical perspectives. Each section begins with a major chapter by one of the editors, followed by shorter contributions written by active researchers in the field.

The Routledge Research Companion to Border Studies

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Publisher : Ashgate Publishing, Ltd.
ISBN 13 : 1409490165
Total Pages : 728 pages
Book Rating : 4.4/5 (94 download)

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Book Synopsis The Routledge Research Companion to Border Studies by : Professor Doris Wastl-Walter

Download or read book The Routledge Research Companion to Border Studies written by Professor Doris Wastl-Walter and published by Ashgate Publishing, Ltd.. This book was released on 2012-11-28 with total page 728 pages. Available in PDF, EPUB and Kindle. Book excerpt: This comprehensive volume brings together a multidisciplinary team of leading scholars to provide an authoritative, state-of-the-art review of all aspects of borders and border research. It is global in scope and embraces the more traditional strands of the field including geopolitics, migration and territorial identities, and also recently emerging topics such as the role of borders in a seemingly borderless world; creating neighbourhoods, and border enforcement in the post-9/11 era.

Clinical Teaching, Past and Present

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Publisher : BRILL
ISBN 13 : 900441830X
Total Pages : 216 pages
Book Rating : 4.0/5 (44 download)

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Book Synopsis Clinical Teaching, Past and Present by :

Download or read book Clinical Teaching, Past and Present written by and published by BRILL. This book was released on 2020-01-29 with total page 216 pages. Available in PDF, EPUB and Kindle. Book excerpt: As periodical of the International Academy of the History of Medicine, this Clio Medica volume contains 17 papers.

Historical Dictionary of Pakistan

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ISBN 13 :
Total Pages : 472 pages
Book Rating : 4.:/5 (319 download)

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Book Synopsis Historical Dictionary of Pakistan by : Shahid Javed Burki

Download or read book Historical Dictionary of Pakistan written by Shahid Javed Burki and published by . This book was released on 1999 with total page 472 pages. Available in PDF, EPUB and Kindle. Book excerpt: Pakistan is unlike most other countries in the emerging world. It is one of the two nations – the other being the state of Israel – founded on the basis of religion. Although it was created to provide a homeland for the Muslim community of British India, in its original form it was able to accommodate only about half of the people of Islamic faith who lived in the subcontinent. Pakistan’s birth in 1947 resulted in one of the largest movements of people in human history when some 14 million people left their homes, with 8 million Muslims leaving India for what is now Pakistan and 6 million Hindus and Sikhs moving in the opposite direction. This was the first large-scale incidence of ethnic cleansing the world was to witness. --

Making a Medical Living

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Publisher : Cambridge University Press
ISBN 13 : 9780521524513
Total Pages : 376 pages
Book Rating : 4.5/5 (245 download)

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Book Synopsis Making a Medical Living by : Anne Digby

Download or read book Making a Medical Living written by Anne Digby and published by Cambridge University Press. This book was released on 2002-06-06 with total page 376 pages. Available in PDF, EPUB and Kindle. Book excerpt: A socio-economic history of medical practice from the first voluntary hospital to national health insurance.

Medical Education at St. Bartholomew's Hospital, 1123-1995

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Publisher : Boydell & Brewer
ISBN 13 : 0851159192
Total Pages : 482 pages
Book Rating : 4.8/5 (511 download)

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Book Synopsis Medical Education at St. Bartholomew's Hospital, 1123-1995 by : Keir Waddington

Download or read book Medical Education at St. Bartholomew's Hospital, 1123-1995 written by Keir Waddington and published by Boydell & Brewer. This book was released on 2003 with total page 482 pages. Available in PDF, EPUB and Kindle. Book excerpt: Traces the evolution of medical education at Barts from its foundation in 1123 to the college's merger with The London Hospital and Queen Mary & Westfield College in 1995. Medical Education at St Bartholomew's Hospital traces the evolution of medical education at Barts from its foundation in 1123 to the college's merger with The London and Queen Mary & Westfield College in 1995. Drawing on the hospital's rich archives, it investigates how training was institutionalised and organised at Barts to explore the shifting nature of medical education between the eighteenth and late-twentieth century. Medical Education at St Bartholomew's Hospital, in analysing the history of the medical college at Barts, explores the relationship between clinical study, science and the institution to look at the rise of the hospital student, the growth of laboratory medicine, and the evolution of a research culture. It places the changing nature of training at Barts in the context of metropolitan and national developments to analyse the structure of medical training, the University of London and its impact on medical education, and the experiences of the students and staff. Questions are asked about how academic medicine developed and about the relationship between training, the bedside, teaching hospitals and the politics of healthcare and higher education. In looking at these areas, existing notions of the "development" of medical education are problematised to provide a study that explores the nature of medical education at Barts and in London. KEIR WADDINGTON is lecturer in history at Cardiff University.

Developmental Science

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Publisher : Cambridge University Press
ISBN 13 : 9780521794596
Total Pages : 326 pages
Book Rating : 4.7/5 (945 download)

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Book Synopsis Developmental Science by : Robert B. Cairns

Download or read book Developmental Science written by Robert B. Cairns and published by Cambridge University Press. This book was released on 1996 with total page 326 pages. Available in PDF, EPUB and Kindle. Book excerpt: Details the new, cross-disciplinary synthesis, as formulated by the Carolina Consortium on Human Development.