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Contribution à la conception d'un système d'aide à la décision pour la gestion de situations de tension au sein des systèmes hospitaliers. Application à un service d’urgence.

Abstract : The management of patient flow, especially the flow resulting from health (flu, heat waves and exceptional circumstances) is one of the most important problems to manage in the emergency department (ED). To handle the influx of patients, emergency departments require significant human and material resources, and a high degree of coordination between these resources. Under these conditions, the medical and the paramedical staffs are often confronted with strain situations which greatly complicate their task. The main purpose of this thesis is to contribute to improving the management of situations of tension occurring in the emergency department by providing a decision support system, SAGEST. This DSS allows i) a proactive control of the ED: predicting at short and/or medium-term the occurrence of potential strain situations and proposing corrective actions to prevent the occurrence of these situations, ii) a reactive control in the case of no-detection of the strain situation occurrence. A functional architecture of the SAGEST system, based on the manager’s decision making process is proposed. Used methodologies and models embedded in the main functions and the knowledge base of the SAGEST system are described. Finally, experiments and results of different models of SAGEST system applied to the paediatric emergency department (PED) of the Regional University Hospital of Lille are presented and discussed.
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https://hal.inria.fr/tel-01131642
Contributor : Farid Kadri <>
Submitted on : Saturday, March 14, 2015 - 10:31:27 PM
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Farid Kadri. Contribution à la conception d'un système d'aide à la décision pour la gestion de situations de tension au sein des systèmes hospitaliers. Application à un service d’urgence.. Modélisation et simulation. Université de Valenciennes et de Hainaut Cambrésis, 2014. Français. ⟨tel-01131642⟩

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