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Etude et amélioration de l'organisation de la production de dispositifs médicaux stériles

Abstract : In health facilities, the sterilization of medical devices plays a key role in the fight against infections. A medical device is a surgical instrument or an exploration instrument used in operations or examinations. In this thesis we study and propose some improvements of the production organization of medical devices by applying methods commonly used to evaluate and improve the performance of industrial production systems. We elaborated a specific simulation model representing the sterilization service of Private Hospital Saint Martin of Caen. We show improvements obtained by modifying some aspects of the organization. Thereafter we tried to identify the specificities of sterilization services in several hospitals in order to perform a comparison of the different organization types and to identify the most efficient services. This comparison, realized with data obtained from a survey of establishments in region Rhône Alpes, relies on a ratio comparison, on the DEA method (Data Envelopment Analysis) and on a generic simulation model. In this thesis, we also offer tracks to analyze a generic sterilization service by using analytical stochastic methods. First, we present a survey on the use of stochastic models for the analysis of health care systems, then we study the possibility of using an analytical method to analyze our generic model of a sterilization service. Finally a queuing network model of a generic sterilization service is presented.
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Contributor : Khanh Ngo Cong <>
Submitted on : Monday, March 23, 2009 - 3:43:52 PM
Last modification on : Thursday, November 19, 2020 - 12:59:40 PM
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  • HAL Id : tel-00370097, version 1



Khanh Ngo Cong. Etude et amélioration de l'organisation de la production de dispositifs médicaux stériles. Sciences de l'ingénieur [physics]. Université Joseph-Fourier - Grenoble I, 2009. Français. ⟨tel-00370097⟩



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