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Article ; Online: Triage in the time of COVID-19.

Gilbert, Allison / Ghuysen, Alexandre

The Lancet. Digital health

2022 Volume 4, Issue 4, Page(s) e210–e211

MeSH term(s)	COVID-19 ; Humans ; SARS-CoV-2 ; Triage
Language	English
Publishing date	2022-03-09
Publishing country	England
Document type	Journal Article
ISSN	2589-7500
ISSN (online)	2589-7500
DOI	10.1016/S2589-7500(22)00001-2
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Triage in the time of COVID-19

Allison Gilbert / Alexandre Ghuysen

The Lancet: Digital Health, Vol 4, Iss 4, Pp e210-e

2022 Volume 211

Keywords	Computer applications to medicine. Medical informatics ; R858-859.7
Language	English
Publishing date	2022-04-01T00:00:00Z
Publisher	Elsevier
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article: Cas clinique. Cervicalgies fébriles révélatrices d’une épidurite infectieuse.

Godinas, Émilie / Ancion, Aurore / Gilbert, Allison / Ghuysen, Alexandre

Revue medicale de Liege

2023 Volume 78, Issue 12, Page(s) 685–688

Abstract: Infectious epiduritis and epidural abscesses are relatively rare pathologies but with important neurological consequences. A low incidence associated with an insidious clinical presentation leads to frequent delays in diagnosis, which worsen the ... ...

Title translation	Febrile cervicalgia revealing infectious epiduritis : a case report.
Abstract	Infectious epiduritis and epidural abscesses are relatively rare pathologies but with important neurological consequences. A low incidence associated with an insidious clinical presentation leads to frequent delays in diagnosis, which worsen the prognosis of patients with the development of neurological deficits. While the evaluation of risk factors, a careful clinical examination and biological tests can guide to the diagnosis, the key examination remains magnetic resonance imaging (MRI) while lumbar puncture remains contraindicated. Although surgery (spinal decompression) has long been the treatment of choice, the current management of patients with infectious epiduritis is debated between surgery and conservative treatment with systemic antibiotic therapy.
MeSH term(s)	Humans ; Neck Pain ; Epidural Abscess/complications ; Epidural Abscess/diagnosis ; Epidural Abscess/therapy ; Magnetic Resonance Imaging ; Laminectomy ; Risk Factors
Language	French
Publishing date	2023-12-06
Publishing country	Belgium
Document type	Case Reports ; English Abstract
ZDB-ID	414001-1
ISSN	0370-629X ; 0035-3663
ISSN	0370-629X ; 0035-3663
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Article ; Online: A success story of clinical debriefings: lessons learned to promote impact and sustainability.

Paquay, Méryl / Simon, Robert / Ancion, Aurore / Graas, Gwennaëlle / Ghuysen, Alexandre

Frontiers in public health

2023 Volume 11, Page(s) 1188594

Abstract: The COVID-19 crisis impacted emergency departments (ED) unexpectedly and exposed teams to major issues within a constantly changing environment. We implemented post-shift clinical debriefings (CDs) from the beginning of the crisis to cope with ... ...

Abstract	The COVID-19 crisis impacted emergency departments (ED) unexpectedly and exposed teams to major issues within a constantly changing environment. We implemented post-shift clinical debriefings (CDs) from the beginning of the crisis to cope with adaptability needs. As the crisis diminished, clinicians voiced a desire to maintain the post-shift CD program, but it had to be reshaped to succeed over the long term. A strategic committee, which included physician and nurse leadership and engaged front-line staff, designed and oversaw the implementation of CD. The CD structure was brief and followed a debriefing with a good judgment format. The aim of our program was to discover and integrate an organizational learning strategy to promote patient safety, clinicians' wellbeing, and engagement with the post-shift CD as the centerpiece. In this article, we describe how post-shift CD process was performed, lessons learned from its integration into our ED strategy to ensure value and sustainability and suggestions for adapting this process at other institutions. This novel application of debriefing was well received by staff and resulted in discovering multiple areas for improvement ranging from staff interpersonal interactions and team building to hospital wider quality improvement initiatives such as patient throughput.
MeSH term(s)	Humans ; COVID-19/epidemiology ; COVID-19/prevention & control ; Physicians ; Leadership
Language	English
Publishing date	2023-07-05
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2711781-9
ISSN	2296-2565 ; 2296-2565
ISSN (online)	2296-2565
ISSN	2296-2565
DOI	10.3389/fpubh.2023.1188594
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Article ; Online: A success story of clinical debriefings

Méryl Paquay / Robert Simon / Aurore Ancion / Gwennaëlle Graas / Alexandre Ghuysen

Frontiers in Public Health, Vol

lessons learned to promote impact and sustainability

2023 Volume 11

Abstract	The COVID-19 crisis impacted emergency departments (ED) unexpectedly and exposed teams to major issues within a constantly changing environment. We implemented post-shift clinical debriefings (CDs) from the beginning of the crisis to cope with adaptability needs. As the crisis diminished, clinicians voiced a desire to maintain the post-shift CD program, but it had to be reshaped to succeed over the long term. A strategic committee, which included physician and nurse leadership and engaged front-line staff, designed and oversaw the implementation of CD. The CD structure was brief and followed a debriefing with a good judgment format. The aim of our program was to discover and integrate an organizational learning strategy to promote patient safety, clinicians' wellbeing, and engagement with the post-shift CD as the centerpiece. In this article, we describe how post-shift CD process was performed, lessons learned from its integration into our ED strategy to ensure value and sustainability and suggestions for adapting this process at other institutions. This novel application of debriefing was well received by staff and resulted in discovering multiple areas for improvement ranging from staff interpersonal interactions and team building to hospital wider quality improvement initiatives such as patient throughput.
Keywords	debriefing ; organizational learning ; teamwork ; quality improvement ; clinician wellbeing ; Public aspects of medicine ; RA1-1270
Language	English
Publishing date	2023-07-01T00:00:00Z
Publisher	Frontiers Media S.A.
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Patients' self-triage for unscheduled urgent care: a preliminary study on the accuracy and factors affecting the performance of a Belgian self-triage platform.

Gilbert, Allison / Diep, Anh Nguyet / Boufraioua, Maryame / Pétré, Benoit / Donneau, Anne-Françoise / Ghuysen, Alexandre

BMC health services research

2022 Volume 22, Issue 1, Page(s) 1199

Abstract: Background: Management of unscheduled urgent care is a complex concern for many healthcare providers. Facing the challenge of appropriately dispatching unscheduled care, primary and emergency physicians have collaboratively implemented innovative ... ...

Abstract	Background: Management of unscheduled urgent care is a complex concern for many healthcare providers. Facing the challenge of appropriately dispatching unscheduled care, primary and emergency physicians have collaboratively implemented innovative strategies such as telephone triage. Currently, new original solutions tend to emerge with the development of new technologies. We created an interactive patient self-triage platform, ODISSEE, and aimed to explore its accuracy and potential factors affecting its performance using clinical case scenarios. Methods: The ODISSEE platform was developed based on previously validated triage protocols for out-of-hours primary care. ODISSEE is composed of 18 icons leading to algorithmic questions that finally provide an advised orientation (emergency or primary care services). To investigate ODISSEE performance, we used 100 clinical case scenarios, each associated with a preestablished orientation determined by a group of experts. Fifteen volunteers were asked to self-triage with 50 randomly selected scenarios using ODISSEE on a digital tablet. Their triage results were compared with the experts' references. Results: The 15 participants performed a total of 750 self-triages, which matched the experts references regarding the level of care in 85.6% of the cases. The orientation was incorrect in 14.4%, with an undertriage rate of 1.9% and an overtriage rate of 12.5%. The tool's specificity and sensitivity to advise participants on the appropriate level of care were 69% (95% CI: 64-74) and 97% (95% CI: 95-98) respectively. When combined with advice on the level of urgency, the tool only found the correct orientation in 68.4% with 9.2% of undertriages and 22.4% of overtriages. Some participant characteristics and the types of medical conditions demonstrated a significant association with the tool performance. Conclusion: Self-triage apps, such as the ODISSEE platform, could represent an innovative method to allow patients to self-triage to the most appropriate level of care. This study based on clinical vignettes highlights some positive arguments regarding ODISSEE safety, but further research is needed to assess the generalizability of such tools to the population without equity issues.
MeSH term(s)	Ambulatory Care ; Belgium ; Humans ; Triage/methods
Language	English
Publishing date	2022-09-23
Publishing country	England
Document type	Journal Article
ZDB-ID	2050434-2
ISSN	1472-6963 ; 1472-6963
ISSN (online)	1472-6963
ISSN	1472-6963
DOI	10.1186/s12913-022-08571-5
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Article ; Online: Collaborative virtual reality environment in disaster medicine: moving from single player to multiple learners.

Abensur Vuillaume, Laure / Goffoy, Jonathan / Dubois, Nadège / Almoyner, Nathacha / Bardet, Cécile / Dubreucq, Evelyne / Klenkenberg, Sophie / Donneau, Anne-Françoise / Dib, Camille / Ghuysen, Alexandre

BMC medical education

2024 Volume 24, Issue 1, Page(s) 422

Abstract: Background: The use of virtual reality (VR) in healthcare education is on the increase. In disaster medicine, it could be a solution to the cost and logistic constraints for a "full-scale" scenarios. However, VR is mainly designed for single players, ... ...

Abstract	Background: The use of virtual reality (VR) in healthcare education is on the increase. In disaster medicine, it could be a solution to the cost and logistic constraints for a "full-scale" scenarios. However, VR is mainly designed for single players, which is not appropriate for the objectives pursued in disaster medicine. We decided to evaluate the educational value of using individual VR simulation in disaster medicine on a group of learners. Methods: The VR scenario used was a reproduction of a major train crash, with 21 victims and whose objectives were START triage and first aid techniques. The sessions were carried out in multi-participant groups with different roles (active and immersed with headset, paper triage without headset, and active for communications not immersed in the headset). Their perceived self-efficacy was assessed before (T0), after (T1) and 2 months (T2) after the training. Satisfaction and confidence in learning were also measured. Results: The median levels of satisfaction and confidence in learning were of 21/25 and 32/40 respectively. Their perceived self-efficacy increased significantly between T0 and T1 (p < 0.001), and remained stable until T2. The different roles of participant showed no difference in terms of satisfaction, confidence in learning or changes in perceived self-efficacy. One third of the participants agreed that the number of participants had interfered with their learning. A significant negative correlation (r Conclusions: This first experience of VR in a group setting is satisfactory and shows its positive effects. The limitations highlighted here will enable areas of improvement to be identified for the use of VR in disaster medicine, pending the development of multi-player tools. It would now be appropriate to analyse the impact of this type of simulation on learning and its retention over time.
MeSH term(s)	Humans ; Disaster Medicine ; Virtual Reality ; Computer Simulation ; Learning ; Triage
Language	English
Publishing date	2024-04-19
Publishing country	England
Document type	Journal Article
ZDB-ID	2044473-4
ISSN	1472-6920 ; 1472-6920
ISSN (online)	1472-6920
ISSN	1472-6920
DOI	10.1186/s12909-024-05429-8
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Article ; Online: In situ simulation improves perceived self-efficacy of OR nurses and anaesthesiologists during COVID-19 pandemic.

Lois, Fernande / Hallet, Claude / Samalea Suarez, Nicolas / Ghuysen, Alexandre / Brichant, Jean François

BMJ simulation & technology enhanced learning

2021 Volume 7, Issue 6, Page(s) 555–560

Abstract: Introduction: Self-efficacy is defined as people's internal beliefs about their ability to have an impact on events that affect their lives. As part of the COVID-19 pandemic, we carried out in situ simulation for anaesthesiologists and operating room ( ... ...

Abstract	Introduction: Self-efficacy is defined as people's internal beliefs about their ability to have an impact on events that affect their lives. As part of the COVID-19 pandemic, we carried out in situ simulation for anaesthesiologists and operating room (OR) nurses. Simulation was focused on the recommendations on the use of specific personal protective equipment (PPE) as well as on airway management and intubation. We hypothesised that in situ procedural simulation should increase their perceived self-efficacy. Methods: Between 16 March and 20 March 2020, 208 healthcare workers took part in in situ procedural simulation. A questionnaire was sent to participants on 21 April 2020. Six self-efficacy items related to PPE and airway manoeuvres were assessed Results: Sixty-seven participants (32%) replied to the questionnaire. The Conclusions: In situ simulation improves the perceived self-efficacy of OR nurses and anaesthesiologists on specific skills related to the care of patients with COVID-19.
Language	English
Publishing date	2021-06-07
Publishing country	England
Document type	Journal Article
ZDB-ID	2799014-X
ISSN	2056-6697 ; 2056-6697
ISSN (online)	2056-6697
ISSN	2056-6697
DOI	10.1136/bmjstel-2020-000840
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Article ; Online: Exploring the feasibility of the Magnet Hospital concept within a European university nursing department: a mixed-methods study.

Paquay, Méryl / Boulanger, Jean-Marie / Locquet, Médéa / Dubois, Nadège / Ghuysen, Alexandre

Contemporary nurse

2021 Volume 57, Issue 3-4, Page(s) 187–201

Abstract: Background: Human resource management in hospitals has become increasingly challenging. Nursing staff are a major asset in achieving the quality and safety objectives of health care institutions. The concept of Magnet Hospitals seeks to promote a ... ...

Abstract	Background: Human resource management in hospitals has become increasingly challenging. Nursing staff are a major asset in achieving the quality and safety objectives of health care institutions. The concept of Magnet Hospitals seeks to promote a positive work environment. Despite knowledge of the Magnet Hospital concept, the reasons for the lack of applying the concept within Belgian nursing departments is matter for debate. Objectives/ aims/ hypotheses: The aim was to explore whether Magnet Hospital principles and values were applicable to a nursing department within a Belgian University Hospital Centre. Design: A mixed methods approach involving both qualitative and quantitative methodology was adopted. Methods: Data were collected across two sites of a University Hospital. For the quantitative phase, a magnetism measurement questionnaire was administered to a convenience sample of nurses from both sites using email and the hospital intranet. For the qualitative phase, a convenience sample of head nurses from across the two sites were recruited by email and agreed to attend interviews. Results: For the quantitative phase, scores obtained show a limited magnetism among the nurses ( Conclusions: Despite interest toward the concept, the implementation of Magnet Hospital within nursing departments currently seems difficult. However, these results shed light upon managerial, organisational, and scientific issues involved in using the concept of the Magnet Hospital within European hospitals. Impact statement: Communication, unit management strategy and transition of human resource management, through a more human and less administrative approach, are essential for Magnet Hospital implementation.
MeSH term(s)	Feasibility Studies ; Hospitals ; Humans ; Job Satisfaction ; Nursing Staff, Hospital ; Workplace
Language	English
Publishing date	2021-10-12
Publishing country	United States
Document type	Journal Article
ZDB-ID	1491361-6
ISSN	1839-3535 ; 1037-6178
ISSN (online)	1839-3535
ISSN	1037-6178
DOI	10.1080/10376178.2021.1987939
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Article ; Online: Reliability and validity of an original nurse telephone triage tool for out-of-hours primary care calls: the SALOMON algorithm.

Brasseur, Edmond / Gilbert, Allison / Donneau, Anne-Françoise / Monseur, Justine / Ghuysen, Alexandre / D'Orio, Vincent

Acta clinica Belgica

2021 Volume 77, Issue 3, Page(s) 640–646

Abstract: Objectives: Due to the persistent primary care physicians shortage and the substantial increase in their workload, the organization of primary care calls during out-of-hours periods has become an everyday challenge. The SALOMON algorithm is an original ... ...

Abstract	Objectives: Due to the persistent primary care physicians shortage and the substantial increase in their workload, the organization of primary care calls during out-of-hours periods has become an everyday challenge. The SALOMON algorithm is an original nurse telephone triage tool allowing to dispatch patients to the best level of care according to their conditions. This study evaluated its reliability and criterion validity in rea-life settings. Methods: In this 5-year study, out-of-hours primary care calls were dispatched into four categories: Emergency Medical Services Intervention (EMSI), Emergency Department referred Consultation (EDRC), Primary Care Physician Home visit (PCPH), and Primary Care Physician Delayed visit (PCPD). We included data of patients' triage category, resources, and destination. Patients included into the primary care cohort were classified undertriaged if they had to be redirected to an emergency department (ED). Patients from the ED cohort were considered overtriaged if they did not require at least three diagnostic resources, one emergency-specific treatment or any hospitalization. In the ED cohort, only patients from the University Hospitals were considered. Results: 10,207 calls were triaged using the SALOMON tool: 19.2% were classified as EMSI, 15.8% as EDRC, 62.8% as PCPH, and 2.2% as PCPD. The triage was appropriate for 85.5% of the calls with a 14.5% overtriage rate. In the PCPD/PCPH cohort, 96.9% of the calls were accurately triaged and 3.1% were undertriaged. SALOMON sensitivity and specificity reached 76.6% and 98.3%, respectively. Conclusion: SALOMON algorithm is a valid triage tool that has the potential to improve the organization of out-of-hours primary care work.
MeSH term(s)	After-Hours Care ; Algorithms ; Emergency Service, Hospital ; Humans ; Primary Health Care ; Reproducibility of Results ; Telephone ; Triage
Language	English
Publishing date	2021-06-03
Publishing country	England
Document type	Journal Article
ZDB-ID	390201-8
ISSN	2295-3337 ; 0001-5512 ; 1784-3286
ISSN (online)	2295-3337
ISSN	0001-5512 ; 1784-3286
DOI	10.1080/17843286.2021.1936353
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