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Organisation et pilotage des services sur le trajet des urgences

Abstract : Regarding the considerable increase of patient visits to healthcare services, especially in the Emergency Department (ED), high and rising healthcare costs continuously impact on the budget of hospitals. Optimizing the use of material and human resources is getting more and more urgent to maintain healthcare quality. In this thesis, we present appropriate solutions making for ED to improve healthcare delivery in a comprehensive vision integrating all interactions between different actors and between different patient flows. The first part concerns the analysis of ED's organizational issues in the context of French healthcare system. The second part of this thesis presents modeling and simulation of emergency treatment process, two improvement propositions are experimented using discrete events simulation tools. The third part focuses on hospital beds management; a mathematical model is developed in order to optimize the utilization of bed resource. The last part of this thesis presents firstly a detailed simulation model in which has been integrated an inpatient beds planning, simulating a scenario that the emergency department knows about inpatient beds availability in care units. Secondly, a decision support tool coupling simulation model and mathematic optimization model is discussed.
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Contributor : Alain Guinet <>
Submitted on : Friday, April 24, 2009 - 1:15:08 PM
Last modification on : Friday, October 23, 2020 - 4:45:46 PM
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  • HAL Id : tel-00378501, version 1


Tao Wang. Organisation et pilotage des services sur le trajet des urgences. Informatique [cs]. INSA de Lyon, 2008. Français. ⟨tel-00378501⟩



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