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18. Development and validation of a performance assessment checklist for insertion of an intra-uterine device (IUD).

Author

Mignot, Stephanie, Berthome, Anne-Charlotte, Andre, Marion, Breque, Cyril, Richer, Jean-Pierre, Ghazali, Daniel Aiham, and Oriot, Denis

Subjects
PERFORMANCE evaluation, INTRAUTERINE contraceptives, PSYCHOMETRICS, RECEIVER operating characteristic curves
Abstract

Objectives: The World Health Organization (WHO) supports increasing the availability and acceptability of long-acting reversible contraception including intra-uterine device (IUD), but its insertion includes certain risks (uterine perforation). The objective was to develop and validate an IUD insertion performance assessment checklist. Material and methods: This prospective study took place in hospitals and simulation center of the Poitou-Charentes region, France. The checklist content reached consensus among 10 experts solicited by a Delphi method. A modified gynecologic mannequin Zoe (Gaumard® ) was used for simulations. Psychometric testing included 30 multi-professional participants for internal consistency and reliability between two independent observers, and 27 residents for assessment of score evolution over time and reliability. Cronbach alpha (CA) and intraclass coefficient (ICC) were used. Progression of performance was carried out using ANOVA for repeated measures. The data collected were used to plot receiver operating characteristic (ROC) curves for the score values and the area under the curve (AUC) was determined. Results: The checklist included 27 items (2 sections, total score = 27). Psychometric testing showed CA = 0.79, ICC = 0.99, and good clinical relevance. The checklist is discriminative, showing a significant increase in performance scores when the simulations were repeated (F = 77.6, p < 0.0001). ROC curve [AUC: 0.792 (95% CI: 0.71-0.89); p < 0.0001] revealed the best score cutoff predictive of 100% sensitivity, i.e., true positive rate or success rate. Performance score was highly correlated to success rate. The cut-off score guaranteeing successful IUD insertion was 22/27. Conclusions: This coherent and reproducible checklist for IUD insertion provide an objective assessment of the procedure during SBT, with the aim of obtaining a score ≥ 22/27. [ABSTRACT FROM AUTHOR]

Published
2023
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25. The Response of Emergency Departments (EDs) to the COVID-19 Pandemic: The Experience of 5 EDs in a Paris-Based Academic Hospital Trust

Author

Ghazali, Daniel Aiham, primary, Choquet, Christophe, additional, Bouzid, Donia, additional, Peyrony, Olivier, additional, Fontaine, Jean-Paul, additional, Sonja, Curac, additional, Javaud, Nicolas, additional, Plaisance, Patrick, additional, Revue, Eric, additional, Chauvin, Anthony, additional, and Casalino, Enrique, additional

Published
2022
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28. Red Blood Cell Transfusion in the Emergency Department: An Observational Cross-Sectional Multicenter Study

Author

Peyrony, Olivier, primary, Gamelon, Danaé, additional, Brune, Romain, additional, Chauvin, Anthony, additional, Ghazali, Daniel Aiham, additional, Yordanov, Youri, additional, Arsicaud, Aude, additional, Gilleron, Pauline, additional, Curac, Sonja, additional, Richard, Marie-Caroline, additional, Feral-Pierssens, Anne-Laure, additional, Villoing, Barbara, additional, Beaune, Sébastien, additional, Goulet, Hélène, additional, Fontaine, Jean-Paul, additional, François, Anne, additional, and Pirenne, France, additional

Published
2021
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30. Analysis of the Feasibility of a Vaccination Campaign against Influenza Epidemic and COVID-19 Pandemic in French Emergency Departments: A National Survey

Author

Ghazali, Daniel Aiham, primary, Choquet, Christophe, additional, Bouzid, Donia, additional, Colosi, Luisa, additional, Ben Hammouda, Arsalene, additional, Wargon, Mathias, additional, Gay, Matthieu, additional, Vaittinada Ayar, Prabakar, additional, Douay, Bendecite, additional, Revue, Eric, additional, Soulat, Louis, additional, Hellmann, Romain, additional, and Casalino, Enrique, additional

Published
2021
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31. Assessment of HIV-postexposure prophylaxis prescription quality after a training programme and assistance in decisions provided by a computer-based decision program: a cross-over study

Author

Casalino, Enrique, primary, Bouzid, Donia, additional, Antoniol, Stéphanie, additional, Choquet, Christophe, additional, Colosi, Luisa, additional, Pereira, Laurent, additional, Agbessi, Alexis, additional, Kenway, Philippe, additional, Yazdanpanah, Yazdan, additional, and Ghazali, Daniel Aiham, additional

Published
2021
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33. Analysis of Emergency Department Visits and Hospital Activity during Influenza Season, COVID-19 Epidemic, and Lockdown Periods in View of Managing a Future Disaster Risk: A Multicenter Observational Study

Author

Casalino, Enrique, primary, Choquet, Christophe, additional, Bouzid, Donia, additional, Peyrony, Olivier, additional, Curac, Sonja, additional, Revue, Eric, additional, Fontaine, Jean-Paul, additional, Plaisance, Patrick, additional, Chauvin, Anthony, additional, and Ghazali, Daniel Aiham, additional

Published
2020
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36. COVID-19 Preparedness Among Emergency Departments: A Cross-Sectional Study in France.

Author

Casalino, Enrique, Bouzid, Donia, Ben Hammouda, Arsalene, Wargon, Mathias, Curac, Sonja, Hellmann, Romain, Choquet, Christophe, and Ghazali, Daniel Aiham

Subjects
EMERGENCY management, COVID-19, PUBLIC health
Abstract

Objectives: The aim of this study was to evaluate hospital and emergency department (ED) preparedness in France facing the coronavirus disease 2019 (COVID-19) rapid growth epidemic-phase, and to determine the link between preparedness and responsiveness. Methods: In this cross-sectional study, from March 7 to March 11, 2020, all heads of ED departments in France were contacted to answer an electronic survey, including 23 questions. Quality, Organization, Training, Resources, Management, Interoperability, and Responsiveness were evaluated by calculating scores (10 points). Multivariate analysis of variance was used to compare scores. Spearman's correlation coefficient and multifaceted regression analysis were performed between Responsiveness and dimensions scores. Results: A total of 287 of 636 French EDs were included (45.1%). Calculated scores showed (median): Quality 5.38; Organization 6.4; Training 4.6; Resources 4.13; Management 2.38; Interoperability 4.0; Responsiveness 6.25; seasonal influenza score was 5. Significant differences between scores as a function of hospital and ED main characteristics were found. Furthermore, we found significant correlations (P < 0.01) between Responsiveness and all preparedness dimensions. Organization (adjusted-R2 0.2897), Management (aR2 0.321), and Interoperability (aR2 0.422) were significantly associated with Responsiveness. Conclusions: Preparedness in all its dimensions is low, indicating vulnerability. Preparedness and responsiveness face a certain and ongoing risk are close linked, and that Organizational, Management, and Interoperability dimensions are main determinants. [ABSTRACT FROM AUTHOR]

Published
2022
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38. Stress

Author

Oriot, Denis, primary, Trigolet, Marine, additional, Kessler, David O., additional, Auerbach, Marc A., additional, and Ghazali, Daniel Aiham, additional

Published
2020
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46. Stress

Author

Oriot, Denis, Trigolet, Marine, Kessler, David O., Auerbach, Marc A., and Ghazali, Daniel Aiham

Abstract

Supplemental digital content is available in the text.

Published
2021
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50. Climate Change Impacts on Disaster and Emergency Medicine Focusing on Mitigation Disruptive Effects: an International Perspective.

Author

UCL - SSS/IREC/MEDA - Pôle de médecine aiguë, UCL - (SLuc) Service des urgences, Ghazali, Daniel Aiham, Guericolas, Maximilien, Thys, Frédéric, Sarasin, François, Arcos González, Pedro, Casalino, Enrique, UCL - SSS/IREC/MEDA - Pôle de médecine aiguë, UCL - (SLuc) Service des urgences, Ghazali, Daniel Aiham, Guericolas, Maximilien, Thys, Frédéric, Sarasin, François, Arcos González, Pedro, and Casalino, Enrique

Abstract

In recent decades, climate change has been responsible for an increase in the average temperature of the troposphere and of the oceans, with consequences on the frequency and intensity of many extreme weather phenomena. Climate change’s effects on natural disasters can be expected to induce a rise in humanitarian crises. In addition, it will surely impact the population’s long-term general health, especially among the most fragile. There are foreseeable health risks that both ambulatory care organizations and hospitals will face as global temperatures rise. These risks include the geographic redistribution of infectious (particularly zoonotic) diseases, an increase in cardiac and respiratory illnesses, as well as a host of other health hazards. Some of these risks have been detailed for most developed countries as well as for some developing countries. Using these existing risk assessments as a template, organizational innovations as well as implementation strategies should be proposed to mitigate the disruptive effects of these health risks on emergency departments and by extension, reduce the negative impact of climate change on the populations they serve.

Published
2018

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