Cellule de coordination des flux sortants des réanimations en période de Covid-19 (notice n° 1134455)
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| 000 -LEADER | |
|---|---|
| fixed length control field | 04445cam a2200325 4500500 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20250413035230.0 |
| 041 ## - LANGUAGE CODE | |
| Language code of text/sound track or separate title | fre |
| 042 ## - AUTHENTICATION CODE | |
| Authentication code | dc |
| 100 10 - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Langlois, M. |
| Relator term | author |
| 245 00 - TITLE STATEMENT | |
| Title | Cellule de coordination des flux sortants des réanimations en période de Covid-19 |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Date of publication, distribution, etc. | 2020.<br/> |
| 500 ## - GENERAL NOTE | |
| General note | 19 |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | The COVID-19 pandemic has put the hospital infrastructure into the difficulty of a long time public health crisis. The health care system had to accept the concept of destructuring crisis and ultimately piloting with uncertainty. The key factor during the crisis was to avoid the saturation of the care system especially for the intensive care unit. Upon the hospital medical crisis unit request, the DYNAMO team was accountable to propose solutions for “outflow”. Under the crisis medical director's green light, the DYNAMO unit has opened flow between the hospital intensive care unit and step down units created de novo (public and private). DYNAMO is the outcome of the collaboration and joint preparation between the university medical department DREAM and RAID Tactical medical unit allowing the use of technical tools and adding the tactical spirit into the hospital frame. This collaboration has supported the transfer in secure conditions of about 100 patients across the intensive care units with a consistent distribution of patients in order to maintain the most efficient intensive care units impacted by the crisis able to accept an influx of new patients. To achieve this, the DYNAMO team defined medical criteria to determine a patient's eligibility to be transferred under the team transfer supervision. The methodology is formed by 4 independent loops: the requester service, the transfer team, the medium for transfer and the receiver service. This model appeared to be simple, agile and autonomous. We are delighted to share our lessons learned on the methodology and human organization with the emergency care community. |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | La pandémie de Covid-19 a inscrit l'hôpital au cœur d'une crise sanitaire de cinétique longue. Le système de santé a dû dans un premier temps accepter cette notion de crise déstructurante et piloter dans l'incertitude. Un des enjeux majeurs était d'éviter la saturation du système, notamment l'accessibilité à la réanimation. À la demande de la cellule de crise du groupe hospitalier AP–HP-Sorbonne Université, l'équipe Dynamo a dû apporter des propositions permettant de libérer des places en réanimation. C'était la stratégie retenue pour éviter une mise en tension de l'hôpital. La cellule Dynamo, avec l'accord du directeur médical de crise, a ouvert un flux entre les réanimations expertes et des unités créées de novo (publiques et privées). Cette équipe est le fruit d'une préparation conjointe entre le département médico-universitaire DREAM et le service médical du RAID. Elle a permis d'organiser et d'effectuer dans de bonnes conditions sanitaires et sécuritaires le transfert d'une centaine de patients entre les réanimations d'Île-de-France. L'objectif était une répartition cohérente pour maintenir une capacité d'accueil dans les réanimations les plus spécialisées et impactées par l'intensité des soins. Pour cela, la cellule Dynamo a défini des critères médicaux de patients éligibles au transfert. La méthodologie utilisait quatre boucles indépendantes : le service demandeur, l'équipe de transfert, le vecteur de transfert et le service receveur. Cette organisation a offert agilité et autonomie. Nous publions ce retour d'expérience pour partager les bases méthodologiques et humaines de notre organisation afin d'inspirer d'autres cellules innovantes en cas de situations sanitaires exceptionnelles. |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Covid-19 |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Gestion de crise |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Innovation |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Transfert interhospitalier |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | COVID-19 |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Crisis management |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Innovation |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Inter-hospital transfer |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Borel, M. |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Clovet, O. |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Justice, V. |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Spuccia, C. |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Raux, M. |
| Relator term | author |
| 786 0# - DATA SOURCE ENTRY | |
| Note | Annales françaises de médecine d’urgence | 10 | 4-5 | 2020-07-09 | p. 327-332 | 2108-6524 |
| 856 41 - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="https://shs.cairn.info/revue-annales-francaises-de-medecine-d-urgence-2020-4-page-327?lang=fr&redirect-ssocas=7080">https://shs.cairn.info/revue-annales-francaises-de-medecine-d-urgence-2020-4-page-327?lang=fr&redirect-ssocas=7080</a> |
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