Observation et évaluation d'une pratique clinique : l'isolement à l'unité médicale d'accueil du Centre Hospitalier Le Vinatier, à Bron (notice n° 677382)
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| fixed length control field | 04766cam a2200469 4500500 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20250121201944.0 |
| 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 | Dumont, Anne |
| Relator term | author |
| 245 00 - TITLE STATEMENT | |
| Title | Observation et évaluation d'une pratique clinique : l'isolement à l'unité médicale d'accueil du Centre Hospitalier Le Vinatier, à Bron |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Date of publication, distribution, etc. | 2012.<br/> |
| 500 ## - GENERAL NOTE | |
| General note | 9 |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | RésuméL’isolement est un soin d’extrême recours utilisé quand le patient présente un risque auto- ou hétéro-agressif. L’objet de cet audit clinique a été d’observer cette pratique professionnelle. On a utilisé le référentiel de bonne pratique issu des travaux de l’HAS rédigé en 1998. Les résultats portent sur 193 patients dont 50 ont fait un passage en chambre d’isolement (CI). Soixante-quatre pour cent des motifs de mise en CI ont été la prévention d’actes auto- ou hétéro-agressifs. Le respect des contre-indications chez les patients affectés de maladies organiques n’a pas été effectif dans quatre cas. Vingt-huit patients ont été installés en CI conforme aux règles de sécurité. Les contentions ont été utilisées dans 35 cas dont 17 en CI non conforme. Les perspectives d’amélioration sont basées sur l’établissement de protocoles pertinents, une formation continue, des améliorations architecturales et le développement de mesures alternatives à la CI. |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Observation and evaluation of clinical practice: isolation at the medical admissions unit Le Vinatier Central Hospital, Bron - FranceIsolation is a procedure used in extreme cases when the patient is at risk of self-aggression or agression towards others. The aim of this clinical assessment was to observe this professional care in daily clinical practice. We used the guidelines of good practice based on the study by the National Health Authority written in 1998. The results are based on 193 patients of which 50 were placed in the isolation room (IR). The motive for isolation in the IR in 64 % of patents was in order to prevent acts of self-aggression or social-agression. Compliance with the contra indications in patients affected by organic disease was not effective in 4 cases. Twenty-eight patients were placed in the IR in compliance with the safety rules. Restraints were used in 35 cases including 17 non-compliant patients in the IR. Prospects for improvement will be based on the establishment of relevant protocols, ongoing training, architectural improvements and the development of the alternatives to IR. |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Observación y evaluación de una práctica clínica : el aislamiento en la unidad médica de acogida del CH Le Vinatier en Bron(ciudad en las inmediaciones de Lyon NdT) El aislamiento es un cuidado de último recurso cuando el paciente presenta un riesgo auto o heteroagresivo. El objeto de esta auditoría clínica ha sido observar esta práctica profesional. Se ha hecho uso del referencial de buenas prácticas derivado de las sesiones del HAS ( sigla francesa por Alta autoridad de sanidad NdT) redactado en 1998. Los resultados proceden de 193 pacientes de los que 50 han pasado una vez en una cámara de aislamiento (CA). El 64 % de los motivos del paso por la CA han sido para prevenir actos auto o heteroagresivos. El respeto a las contraindicaciones en los pacientes con enfermedades orgánicas no se ha cumplido en 4 casos. Veinte y ocho pacientes han sido instalados en una CA ajustada a las reglas de seguridad. Las contenciones se han utilizado en 35 de los casos de los que 17 en una CA en disconformidad con las mismas. Las perspectivas de mejora están basadas en establecer protocolos pertinentes, una formación continua, mejoras arquitecturales y el desarrollo de medidas alternativas a la CA. |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Pratique professionnelle |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Sécurité |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | agressivité |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | auto-agressivité |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | analyse de la pratique |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | étude critique |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | audit |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Dangerosité |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Contention |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Anxiolytique |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | security |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | critical review |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | restraint |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | frame of reference |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | analysis of practice |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | dangerousness |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | professional practice |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | assessment |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | aggressivity |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | care protocol |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | self-aggression |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | anxiolytics |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Giloux, Natalie |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Terra, Jean-Louis |
| Relator term | author |
| 786 0# - DATA SOURCE ENTRY | |
| Note | L'information psychiatrique | Volume 88 | 8 | 2012-10-01 | p. 687-693 | 0020-0204 |
| 856 41 - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="https://shs.cairn.info/revue-l-information-psychiatrique-2012-8-page-687?lang=fr&redirect-ssocas=7080">https://shs.cairn.info/revue-l-information-psychiatrique-2012-8-page-687?lang=fr&redirect-ssocas=7080</a> |
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