References of "Nyssen, Anne-Sophie"
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See detailFatigue‐related risk management in the emergency department: a focus‐group study
Berastegui, Pierre ULiege; Jaspar, Mathieu ULiege; GHUYSEN, Alexandre ULiege et al

in Internal and Emergency Medicine (2018)

Fatigue has major implications on both patient safety and healthcare practitioner’s well-being. Traditionally, two approaches can be used to reduce fatigue-related risk: reducing the likelihood of a ... [more ▼]

Fatigue has major implications on both patient safety and healthcare practitioner’s well-being. Traditionally, two approaches can be used to reduce fatigue-related risk: reducing the likelihood of a fatigued operator working (i.e. fatigue reduction), or reducing the likelihood that a fatigued operator will make an error (i.e. fatigue proofing). Recent progress mainly focussed on fatigue reduction strategies such as reducing work hours. Yet it has to be recognized that such approach has not wholly overcome the experience of fatigue. Our purpose is to investigate individual proofing and reduction strategies used by emergency physicians to manage fatigue-related risk. 25 emergency physicians were recruited for the study. Four focus groups were formed which consisted of an average of six individuals. Qualitative data were collected using a semi-structured discussion guide unfolding in two parts. First, the participants were asked to describe how on-the-job fatigue a ected their e ciency at work. A mind map was progressively drawn based upon the participants’ perceived effects of fatigue. Second, participants were asked to describe any strategies they personally used to cope with these effects. We used inductive qualitative content analysis to reveal content themes for both fatigue effects and strategies. Emergency physicians reported 28 fatigue effects, 12 reduction strategies and 21 proofing strategies. Content analysis yielded a further classification of proofing strategies into self-regulation, task re-allocation and error monitoring strategies. There is significant potential for the development of more formal processes based on physicians’ informal strategies. [less ▲]

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See detailPretreatment with P2Y12 inhibitors and outcome in patients with ST-segment elevation myocardial infarction treated by primary percutaneous coronary intervention
Gach, Olivier ULiege; Nyssen, Anne-Sophie ULiege; GAYETOT, Christiane ULiege et al

in Journal of Cardiovascular Medicine (2018), 19(5), 234-239

Aims Preload with clopidogrel, ticagrelor, or prasugrel in the setting of ST-segment elevation myocardial infarction (STEMI) treated by primary percutaneous coronary intervention (PCI) is frequently ... [more ▼]

Aims Preload with clopidogrel, ticagrelor, or prasugrel in the setting of ST-segment elevation myocardial infarction (STEMI) treated by primary percutaneous coronary intervention (PCI) is frequently applied. Limited data are available regarding the outcome impact of pretreatment with these drugs in the real world. Methods and results The outcome of 760 STEMI patients treated by primary PCI receiving clopidogrel, prasugrel, or ticagrelor (nU269, 327, 164, respectively) was evaluated. Patients in the clopidogrel group were older, whereas those in the ticagrelor group had less hypertension but were more active smokers. Angiographic characteristics were comparable among the three groups. At 1 month, more events were observed in the clopidogrel group (11.1%) than in the ticagrelor and prasugrel groups (7.1 vs. 5.1%, P=0.025), whereas the number of events in the ticagrelor and prasugrel groups did not differ. At 1 year, similar differences existed, mainly driven by a higher rate of death (19.5%, P=0.008) or stent thrombosis (2 vs. 1.3% for ticagrelor, P=0.132; vs. 0.3% for prasugrel, P=0.07) in the clopidogrel group. In-hospital and 1-year bleeding rates were similar between groups. Conclusion In real-world practice, pretreatment with prasugrel or ticagrelor in ongoing STEMI treated by primary PCI seems to be a well tolerated alternative strategy compared with clopidogrel but provides superior benefit in terms of outcomes. © 2018 Italian Federation of Cardiology. All rights reserved. [less ▲]

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See detailImpact of adverse events on anesthetists' health: A Belgian case study
Nyssen, Anne-Sophie ULiege; Lamy, Maurice ULiege; Blavier, Adelaïde ULiege

in Acta Anaesthesiologica Belgica (2018), 68

Background and objectives: an increasing number of studies have illustrated the potential impact of medical errors and patient injuries on healthcare providers. This has led clinicians to be considered as ... [more ▼]

Background and objectives: an increasing number of studies have illustrated the potential impact of medical errors and patient injuries on healthcare providers. This has led clinicians to be considered as the “second victims” of patient harm. In this study, we explore the impact of adverse events on anesthetists’ physical and mental health using a reporting database from the University Hospital of Liège in Belgium. Methods: we collected information on the impact of adverse events on anesthetists’ health using data from an incident/accident reporting system and from accident analysis meetings. Results: feelings of anger, questioning, intrusive thoughts and feelings of guilt were the most frequently cited impacts on anesthetists’ health. Conclusions: Patient injuries can profoundly affect anesthetists’ health. Debriefing in a climate of trust and empathy seems to be primordial. [less ▲]

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See detailPsychological interventions influence patients' attitudes and beliefs about their chronic pain.
VANHAUDENHUYSE, Audrey ULiege; Gillet, Aline; MALAISE, Nicole ULiege et al

in Journal of Traditional and Complementary Medicine (2018)

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See detailDo Management and Executive Share the same Perception on the critical Issues Facing the Frontline Nursing Staff ?
Nyssen, Anne-Sophie ULiege; GILLET, Aline ULiege; Sougné, Jacques ULiege et al

in International Journal of Healthcare Management (2017)

Changes in managerial practices increasingly distance managers from staff by promoting rotation. It could be thought that this distance changes the perception managers have of work constraints and ... [more ▼]

Changes in managerial practices increasingly distance managers from staff by promoting rotation. It could be thought that this distance changes the perception managers have of work constraints and resources. This study attempts to tackle staff and leadership disparate views on the issues facing front-line nursing staff. We sent an online questionnaire on work constraints and good practices to nursing chiefs from Belgium hospitals and conducted focus groups with their ‘front-line’ nursing staff in order to compare perceptions. 40% of the chief nurses mentioned as a regular problems for their staff: production pressure, working time, doctors–nurses collaboration and managing new staff. Except for the ‘productive pressure’, these issues are rather considered by the staff as occasional problems. Front-line staffs evaluate infrastructure, heat, working positions as more common problems. However, statistical analyses showed one significant difference in perception: management of incidents/accidents. Health care organizations should promote participatory management tools both to diagnose work constraints and to elaborate action priorities in order to guarantee a shared understanding of decisions making between staff and supervisors. [less ▲]

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See detailEmergency Medical Services: When Fatigue Becomes The Norm.
Berastegui, Pierre ULiege; Jaspar, Mathieu ULiege; GHUYSEN, Alexandre ULiege et al

Conference (2017, June 27)

BACKROUND: Emergency Medical Services (EMS) routinely work at the very limit of their capacity due to growing emergency rooms visits and residents’ shortage. In this context, EMS workers are regularly ... [more ▼]

BACKROUND: Emergency Medical Services (EMS) routinely work at the very limit of their capacity due to growing emergency rooms visits and residents’ shortage. In this context, EMS workers are regularly asked to work more than 10 hours a day, on varying shifts and with short recuperation breaks. Two approaches can be used to reduce fatigue-related risk: reducing the likelihood a fatigued operator is working (i.e. fatigue reduction), or reducing the likelihood a fatigued operator will make an error (i.e. fatigue proofing). In Emergency Medical Services, formal risk control mainly focuses on reduction strategies such as reducing work hours while proofing strategies develops as an implicit element of the safety system. OBJECTIVE: Our purpose is to identify individual proofing and reduction strategies used by emergency residents and to investigate how they relate to fatigue, performance and patient safety indicators. METHODS: First, we conducted 4 focus-group sessions with a total of 25 EMS residents to elicit perceived consequences of fatigue and strategies used to cope with them. Focus group results were used to design a questionnaire assessing how often EMS residents personally used any of the strategies reported during sessions. Second, we administered the questionnaire to a larger sample and conducted a prospective observational study with a repeated within-subjects component. A total of 35 EMS residents participated in the study for a total of 200 shifts analyzed. We gathered sleep diaries, subjective sleepiness, reaction time, self-reported medical errors and performance ratings at different time point during both day and night shift using an android-based application. Sleep time and activity levels were confirmed using wrist actigraphy. DISCUSSION: We will discuss what can be drawn from our results in terms of individual and collective resilience processes with a focus on the potential for implementation of more formal processes at a system level.  [less ▲]

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See detailHow do we handle Computer-based technology? What is the cost/benefit ratio of technology for workers?
Zijlstra, Fred R.; Nyssen, Anne-Sophie ULiege

in Chmiel, Nik; Fraccaroli, Franco; Sverke, Magnus (Eds.) An Introduction to Work and organizational Psychology (2017)

This Chapter focuses on the question of how to deal with technology. Technology has changed our life’s, it has changed how we communicate with each other, and how we work, and also when and where we work ... [more ▼]

This Chapter focuses on the question of how to deal with technology. Technology has changed our life’s, it has changed how we communicate with each other, and how we work, and also when and where we work. It is important to understand how and why it has changed our life’s, and what kind of consequences this has. Technology may affect our (mental) health and well-being. In this chapter we present on overview of factors that need to be taken into account when designing technology. First a historic perspective is presented in order to understand the development of technology in the work context. Technology at work is generally believed to help us, but this is not always the case. Technology can make work also complex; it can also lead to health problems, in particular when wrong decisions are made whilst designing technology. A core issue is to what extent people are still in control of technology? This is the lead question to understand how individuals are affected by technology at work, and to know how technology should be handled. [less ▲]

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See detailIMPACT OF IMAGE BRIGHTNESS REDUCTION ON PERCEIVED QUALITY OF 3D EXPERIENCE FOR 3D CINEMA SPECTATORS
Loock, Severin; Grogna, David ULiege; Jaspar, Mathieu ULiege et al

in International Conference on 3D Imaging (IC3D) (2017)

3D movies are calibrated to meet a certain screen bright- ness standard. Therefore, what would be the consequences on the quality of the 3D experience for spectators watching a 3D movie when movie ... [more ▼]

3D movies are calibrated to meet a certain screen bright- ness standard. Therefore, what would be the consequences on the quality of the 3D experience for spectators watching a 3D movie when movie theaters do not respect this standard? First, we attempted to better understand which factors were important for a spectator by conducting an experiment where participants watched a 3D movie and filled out an exploratory questionnaire. Then, we aimed to investigate the link between image brightness loss and the quality of the 3D experience as perceived by the spectator. First results show no perceived difference in the quality of the 3D experience between a nor- mal brightness and a brightness decreased by 10% for four factors, i.e. (1) the appreciation of the movie, (2) the con- tent of the movie, (3) the 3D quality of the movie, and (4) the quality of the 3D experience in general. [less ▲]

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See detailVers un bon usage de la simulation comme outil de formation
Nyssen, Anne-Sophie ULiege

in Objectif Soins Management (2016, October 17)

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See detailLe traumatisme psychologique des anesthésistes suite aux erreurs humaines : Quand les processus de résilience organisationnelle renforcent la résilience individuelle
Blavier, Adelaïde ULiege; Nyssen, Anne-Sophie ULiege

Conference (2016, August)

Les erreurs médicales provoquent souvent des dommages énormes, pour la victime en premier lieu bien évidemment mais aussi pour le ou les professionnel(s) impliqué(s) dans l’erreur ainsi que pour les ... [more ▼]

Les erreurs médicales provoquent souvent des dommages énormes, pour la victime en premier lieu bien évidemment mais aussi pour le ou les professionnel(s) impliqué(s) dans l’erreur ainsi que pour les institutions hospitalières. L’objectif de cette communication est d’analyser le vécu post-erreur humaine chez des anesthésistes en étudiant l’impact de l’événement sur ces médecins. Nous avons récolté 217 incidents/accidents qui se sont produits en anesthésie en milieu hospitalier avec une analyse complète de l’événement, son origine et ses conséquences pour le patient et l’anesthésiste. Nos résultats montrent que les dommages à court terme pour le patient influencent significativement le sentiment de colère contre soi-même chez l’anesthésiste. Les dommages à long terme pour le patient provoquent de la colère contre soi-même, des troubles de l’appétit et de la perte de plaisir. Plus les dommages pour le patient sont graves, plus ils provoquent de troubles chez l’anesthésiste, particulièrement quand le patient décède suite à l’erreur. En outre, les anesthésistes développent plus de ruminations, de sentiments de culpabilité et de pensées intrusives quand l'accident était considéré comme évitable. Enfin, nous notons l’importance pour les anesthésistes de pouvoir parler de l’événement dans un cadre bienveillant avec pour effet de diminuer les reviviscences et ruminations personnelles, de faire taire les rumeurs, et d’améliorer la qualité des relations entre collègues. Ainsi la gestion institutionnelle des erreurs humaines dans une perspective constructive et bienveillante est génératrice de résilience en permettant aux médecins d’apprendre de leurs erreurs et d’améliorer leur expertise professionnelle au lieu de développer une psychopathologie posttraumatique [less ▲]

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See detailProofing & Reduction Strategies Used by Emergency Residents to Manage Fatigue-related Risk
Berastegui, Pierre ULiege; Ghuysen, Alexandre ULiege; Nyssen, Anne-Sophie ULiege

Poster (2016, July 29)

Fatigue and sleep loss are typically associated with psychomotor and cognitive impairment resulting in poorer task performance. Most of these studies are conducted in controlled settings and involve the ... [more ▼]

Fatigue and sleep loss are typically associated with psychomotor and cognitive impairment resulting in poorer task performance. Most of these studies are conducted in controlled settings and involve the completion of experimental tasks. Only a few field studies involving exhausted residents have been conducted over the past decade, and they yielded to contradictory results (Ellman et al., 2004). One of the key factors that could be involved in the non-linear relationship between fatigue and performance in specific work context reside in the mobilization of Fatigue Proofing Strategies. FPS are adaptive and protective risk-reduction behaviors that improve the resilience of a system of work (Dawson et al., 2012). In this study, we aimed to identify and classify proofing strategies mobilized by EMS residents using an inductive content analysis approach. EMS residents reported a range of strategies for reducing subjective level of sleepiness (reduction strategies, n=15) or managing its consequences (proofing strategies, n=17). Content analysis yielded to three sub-categories of proofing strategies: Behavioral Compensation (n=8), Error’s Opportunity Reduction (n=5) and Error’s Consequences Mitigation (n=4). Our results show that EMS residents use both types of strategies although none of the proofing strategies were part of their training program. Despite the current informal use, there is significant potential for implementation of more formal processes. [less ▲]

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See detailGestion des flux patients et surpopulation des urgences : Heurs et malheurs de la fonction de « Bed Manager ».
GILLET, Aline ULiege; Minder, Anaïs ULiege; Nyssen, Anne-Sophie ULiege et al

Conference (2016, July 11)

For many years, emergency departments (ED) overcrowding has become a major issue in Public Health. Many studies have demonstrated the efficiency of flow management coordination on this recurrent problem ... [more ▼]

For many years, emergency departments (ED) overcrowding has become a major issue in Public Health. Many studies have demonstrated the efficiency of flow management coordination on this recurrent problem, by offering an interface between the ED, the hospital and out-of-hospital structures and by coordinating patients’ movements towards hospital care units. This was the basis for the implementation of "bed management" coordination program in the ED of the University Hospital of Liège in January 2014. The present study evaluates the adequacy of the Bed Manager (BM) activity with actual ED and hospital workload. Our results describe the rate of intra-hospital patients’ transfers according to the adequacy of the destination unit and time delays for these transfers. Head nurses from specific care units were interrogated about their perceptions of BM activity. We are now convinced by the importance of a participative approach in the development of ED bed management and working procedures, as well as the usefulness of further studies to explore this complex activity. [less ▲]

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