References of "Servotte, Jean-Christophe"
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See detailSALOMON, un modèle coopératif entre la première et la seconde ligne de soins pour les appels d'urgence nocturnes
BRASSEUR, Edmond ULiege; GILBERT, Allison ULiege; Servotte, Jean-Christophe ULiege et al

in Revue Médicale de Liège (2020), 75(2), 83-88

L’objectif de notre étude est d’apporter une réponse originale à la problématique de la permanence médicale de première ligne liée au vieillissement médical et à la charge de travail croissante. Nous ... [more ▼]

L’objectif de notre étude est d’apporter une réponse originale à la problématique de la permanence médicale de première ligne liée au vieillissement médical et à la charge de travail croissante. Nous proposons, à cet effet, la mise en place d’une interface de régulation des appels en période critique (nuit profonde) au moyen d’un outil algorithmique original dénommé SALOMON («Sys- tème Algorithmique Liégeois d’Orientation pour la Méde- cine Omnipraticienne Nocturne»). En fonction du degré de gravité supputé, la plateforme propose l’orientation opti- male du patient parmi quatre options possibles : renvoi de la demande vers le centre d’appel unifié 112 et prise en charge par les moyens de l’Aide Médicale Urgente (AMU), orientation du malade vers un service d’urgence spécialisé (SUS) de son choix pour une Mise Au Point Hospitalière (MAPH), mise en Contact avec le Médecin Généraliste de garde (CMG) ou enfin prise en charge par une Visite Diffé- rée (VD) via le médecin de famille. Après une description de l’outil, nous présentons l’étude de faisabilité qui a porté sur une période de 12 mois. Cette étude préliminaire était destinée à vérifier la robustesse de SALOMON avant de prévoir, le cas échéant, sa diffusion au sein d’une zone plus vaste. Les résultats préliminaires suggèrent une grande fiabilité de SALOMON. Nous avons également observé que son utilisation était associée à un réel état de satis- faction de l’ensemble des acteurs impliqués, qu’ils aient été infirmiers dispatcheurs ou médecins généralistes. Sous réserve d’une étude à plus grande échelle, les bénéfices actuellement notés en matière d’épargne de ressources humaines durant la garde de première ligne ont rapidement entraîné la fusion de deux zones de garde. [less ▲]

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See detailCEdRIC: Strategy for Patient Education During COVID-19 Triage
Pétré, Benoît ULiege; Margat, Aurore; Servotte, Jean-Christophe ULiege et al

in Western Journal of Emergency Medicine (2020), 21(6), 52-60

The current coronavirus disease 2019 (COVID-19) pandemic is forcing healthcare systems around the word to organise care differently than before. Prompt detection and effective triage and isolation of ... [more ▼]

The current coronavirus disease 2019 (COVID-19) pandemic is forcing healthcare systems around the word to organise care differently than before. Prompt detection and effective triage and isolation of potentially infected and infectious patients are essential to preventing unnecessary community exposure. Since there are as yet no medications to treat or vaccines to prevent COVID-19, prevention focuses on self-management strategies, creating patient education challenges for physicians doing triage and testing. This article describes a five-step process for effectively educating, at discharge, patients who are suspected of being infectious and instructed to selfisolate at home. We are proposing the CEdRIC strategy as a practical, straightforward protocol that meets patient education and health psychology science requirements. The main goal of the CEdRIC process is to give patients self-management strategies aimed at preventing complications and disease transmission. The COVID-19 pandemic is challenging clinicians to rapidly teach their patients self-management strategies while managing the inherent pressures of this emergency situation. The CEdRIC strategy is designed to deliver key information to patients and standardize the discharge process. CEdRIC is currently being tested at triage centres in Belgium. Formal assessment of its implementation is still needed. [less ▲]

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See detailDevelopment and implementation of an end-of-shift clinical debriefing method for emergency departments during COVID-19.
Servotte, Jean-Christophe ULiege; Welch-Horan, T. Bram; Mullan, Paul et al

in Advances in Simulation (2020), 5(1), 32

BACKGROUND: Multiple guidelines recommend debriefing after clinical events in the emergency department (ED) to improve performance, but their implementation has been limited. We aimed to start a clinical ... [more ▼]

BACKGROUND: Multiple guidelines recommend debriefing after clinical events in the emergency department (ED) to improve performance, but their implementation has been limited. We aimed to start a clinical debriefing program to identify opportunities to address teamwork and patient safety during the COVID-19 pandemic. METHODS: We reviewed existing literature on best-practice guidelines to answer key clinical debriefing program design questions. An end-of-shift huddle format for the debriefs allowed multiple cases of suspected or confirmed COVID-19 illness to be discussed in the same session, promoting situational awareness and team learning. A novel ED-based clinical debriefing tool was implemented and titled Debriefing In Situ COVID-19 to Encourage Reflection and Plus-Delta in Healthcare After Shifts End (DISCOVER-PHASE). A facilitator experienced in simulation debriefings would facilitate a short (10-25 min) discussion of the relevant cases by following a scripted series of stages for debriefing. Data on the number of debriefing opportunities, frequency of utilization of debriefing, debriefing location, and professional background of the facilitator were analyzed. RESULTS: During the study period, the ED treated 3386 suspected or confirmed COVID-19 cases, with 11 deaths and 77 ICU admissions. Of the 187 debriefing opportunities in the first 8-week period, 163 (87.2%) were performed. Of the 24 debriefings not performed, 21 (87.5%) of these were during the four first weeks (21/24; 87.5%). Clinical debriefings had a median duration of 10 min (IQR 7-13). They were mostly facilitated by a nurse (85.9%) and mainly performed remotely (89.8%). CONCLUSION: Debriefing with DISCOVER-PHASE during the COVID-19 pandemic were performed often, were relatively brief, and were most often led remotely by a nurse facilitator. Future research should describe the clinical and organizational impact of this DISCOVER-PHASE. [less ▲]

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See detailImmersion in an emergency department triage center during the Covid-19 outbreak: first report of the Liège University hospital experience
GILBERT, Allison ULiege; BRASSEUR, Edmond ULiege; PETIT, Meredith ULiege et al

in Acta Clinica Belgica (2020)

Objectives: Since the beginning of the novel coronavirus outbreak, different strategies have been explored to stem the spread of the disease and appropriately manage patient flow. Triage, an effective ... [more ▼]

Objectives: Since the beginning of the novel coronavirus outbreak, different strategies have been explored to stem the spread of the disease and appropriately manage patient flow. Triage, an effective solution proposed in disaster medicine, also works well to manage Emergency Department (ED) flow. The aim of this study was to describe the role of an ED Triage Center for patients with suspected novel coronavirus disease (Covid-19) and character- ize the patient flow. Methods: In March 2020, we established a Covid-19 triage center close to the Liège University EDs. From March 2 to March 23, we planned to analyze the specific flow of patients admitted to this triage zone and their characteristics in terms of inner specificities, work-up and manage- ment. During this period, all patients presented to the ED with symptoms suggestive of Covid- 19 were included in the study. Results: A total amount of 1071 patients presented to the triage center during the study period. 41.50% of the patients presented with flu-like symptoms. In 82.00% of the cases, no risk factor of virus transmission was found. The SARS-Cov2 positive patients represented 29.26% of the screened patients. 83.00% of patients were discharged home while 17.00% were admitted to the hospital. Conclusion: Our experience suggests that triage centers for the assessment and management of Covid-19 suspected patients is an essential key strategy to prevent the spread of the disease among non-symptomatic patients who present to the EDs for care. This allows for a disease- centered work-up and safer diversion of Covid-19 patients to specific hospital units. [less ▲]

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See detailVirtual reality experience: immersion, sense of presence and cybersickness
Servotte, Jean-Christophe ULiege; Goosse, Manon ULiege; Campbell, Suzanne et al

in Clinical Simulation in Nursing (2020)

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See detailEmergency Department Crowding: why do patients walk-in?
BRASSEUR, Edmond ULiege; GILBERT, Allison ULiege; Servotte, Jean-Christophe ULiege et al

in Acta Clinica Belgica (2019)

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See detailWhen Simulation Should and Should Not Be in the Curriculum
Servotte, Jean-Christophe ULiege; Ghuysen, Alexandre ULiege; Bragard, Isabelle ULiege

in Chiniara, Gilles (Ed.) Clinical simulation: Education, operations, and engineering (2019)

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See detailPERTINENCE PÉDAGOGIQUE DE LA SIMULATION CLINIQUE PAR RÉALITÉ VIRTUELLE DANS LA FORMATION COLLÉGIALE SOINS PRÉHOSPITALIERS D’URGENCE 181.A0
Pilote, Bruno; Lemieux, Sylvain; Côté, Richard et al

Report (2019)

Research Issue: Recent public data indicates that college students of the Pre-Hospital Emergency Care 181.A0 Program lack exposure to authentic learning opportunities, which could reduce their ability to ... [more ▼]

Research Issue: Recent public data indicates that college students of the Pre-Hospital Emergency Care 181.A0 Program lack exposure to authentic learning opportunities, which could reduce their ability to fully acquiring certain prescribed skills. In spite of the program’s excellent success rate, between 2014 and 2018, almost 41% of candidates to the paramedical profession failed the knowledge assessment required for entry into the Programme national d’intégration clinique (PNIC) on their first attempt. The PNIC is a training-assessment program that enables successful candidates to become practicing paramedics in Québec. One should note that the PNIC’s knowledge assessment is a high-stakes test that requires successful completion of two distinct isochron exams, one theoretical, the other, practical. Most PNIC test failures are caused by not passing the practical exam. This led us to think that the methods used to teach clinical protocols and interventions in the 181.A0 Program do not enable students to optimally meet the requirements of the PNIC practical exam. As a solution to this issue, the immersive use of clinical simulations in a virtual reality environment or VR-sim, based on authentic interventions that paramedics perform daily, represents an innovative educational method that allows students to contextualize the practical training received in the Pre-Hospital Emergency Care Program. There is reasonable ground to believe that this educational solution would contribute to optimizing the preparation of students wanting to become paramedics and help them meet the professional requirements of the PNIC practical exam. Objectives: This research had two fundamental objectives: 1) Conceptualize, create and test two virtual clinical simulation environments that would be used for the practical training of fifth-session Pre-Hospital Emergency Care students and the continuing professional development of paramedics. 2) Assess the perception that these fifth-session students and paramedics have of the efficiency of immersive clinical simulation in a virtual reality environment as a teaching method. Research Questions: In order to objectify the perception that students and paramedics have of the efficiency of immersive virtual clinical simulations (VR-sim) as a teaching method, this research had to answer the following four questions: 1) What perception do students and paramedics have of the educational design of VR-sim? 2) What perception do they have of good teaching practices related to VR-sim learning? 3) What level of satisfaction do they feel toward their VR-sim learning? 4) What level of confidence do they have in their VR-sim learning?Methodology: This exploratory and multicentric research is based on a mixed research methodology [i.e., an explanatory sequential mixed method design (QUAN → qual), based on quantative and qualitative data]. The data was gathered from a convenience sample of 35 subjects (20 fifth-semester students taking the 181-540-SF – Intégration 1 Course as part of the regular Pre-Hospital Emergency Care 181.A0 Program, and 15 practicing paramedics). The quantitative part of the research was based on a pre-experimental post-test protocole. The qualititative part was carried out by doing a thematic content analysis. Results: The quantitive results obtained from four measurement tools suggest that the research subjects liked the pedagogical design of the VR-sim, as well as the teaching methods that the facilitators used during the activity. Results also showed that the subjects were quite satisfied with what they had learned during the VR-sim activity and were confident that the new knowledge that they had acquired would help them solve paramedical issues. There was no statistical difference between the scores of the fifth-session students and those of the paramedics on the four measurements. Regarding the qualitative results, the thematic content analysis allowed us to identify seven (7) emerging themes: 1) Realism of the simulation environment and closeness to the task; 2) Realism of the clinical situation; 3) Adaptation period; 4) Opportunities for action and interaction; 5) Limitiations of the scenarios; 6) Decision-making; and finally 7) Teacher support. Conclusion: The results of this reseach are unequivocal and suggest that the authentic learning produced by immersive virtual clinical environments was appreciated by both student and paramedic subjects. All in all, there are reasons to believe that the knowledge and skills acquired in virtual clinical simulations will optimize the ability of students hoping to become paramedics to pass the knowledge assessment test required for entry into the Programme national d’intégration clinique. [less ▲]

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See detailImpact of simulation training for intravenous medication administration safety: a randomised controlled study
Servotte, Jean-Christophe ULiege; Ghuysen, Alexandre ULiege; Gasteratos, Konstantinos et al

Conference (2019, March 28)

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See detailSome novel applications of VR in the domain of health
Grogna, David ULiege; Stassart, Céline ULiege; Servotte, Jean-Christophe ULiege et al

in Advances in Intelligent Systems and Computing (2019), 827

Recent progress in virtual reality (VR) technologies make immersion more accessible to everyone, and, in particular, developments aimed at the entertainment industry are being brought into to the domain ... [more ▼]

Recent progress in virtual reality (VR) technologies make immersion more accessible to everyone, and, in particular, developments aimed at the entertainment industry are being brought into to the domain of health. The main uses of VR in health are of two forms. First, it is a new method to diagnose and to treat patients; second, it is a new method to train and/or teach healthcare and emergency-response professionals. There are several reasons for using VR in healthcare. First, virtual environments (VE) are fully under control, so that the user (patient or professional) is then safe from any harm and the session can be interrupted if necessary. Second, there are many instances where placing the user in a real environment would be very hard to do and/or very costly. A major advantage of VR is that this user can instead be immerged in an equivalent artificial/virtual environment through the use of immersive technologies. Third, with regard to teaching, a significant advantage of VR is that it allows one “to bring the body to learning”, thereby effectively embedding new knowledge into the muscles. Below, we describe several uses of VR at our university in the domain of health. © Springer Nature Switzerland AG 2019. [less ▲]

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See detailImmersion Clinical Simulation (ICS): what is a real Impact on knowledge acquisition?
Pilote, Bruno; Chenier, Christophe; Servotte, Jean-Christophe ULiege et al

Conference (2019)

Background: For several decades, ICS has been one of various teaching strategies aimed at increasing students’ knowledge contain. To this day, the impact of ICS on knowledge acquisition cannot be fully ... [more ▼]

Background: For several decades, ICS has been one of various teaching strategies aimed at increasing students’ knowledge contain. To this day, the impact of ICS on knowledge acquisition cannot be fully ascertained because there are a lot methodological limitations: students’ self-reporting, identical pretest and post-test examinations, use of a single post-test, or absence of a control group. However, all of these situations affect the methodological quality of the studies and theirs conclusions. Indeed, no studies have compared the impact of ICS on knowledge acquisition from two group when perform the equivalent but not similar Multiple Choice Question (MCQ) exam. Methods: This prospective, multicentre study is based on a quasiexperimental research. The participants in the experimental group were taught using a series of four progressive ICS including debriefing session in addition to internship, while those in the control group were taught using internship alone. Before testing, we developed and validated two similar exams about cardiology knowledge with a RASH method. The knowledge of the participants was assessed twice based on MCQ about their cardiology knowledge: version A in pretest conditions (before internship and ICS) and version B in post-test conditions. Each MCQ, about cardiology knowledge, consists of 35 items, including seven common items. Results: A total of 177 nursing students (N=177) were involved in this research project, including 93 (n=93) in the experimental group and 84 (n=84) in the control group. Under pretest conditions, the results obtained by the two groups on version A of the exam questionnaire were found statistically equivalent (p=.63). Under post-test conditions, participants in the experimental group scored significantly higher (p=.002). Conclusion: The results of this research further more confirm the impact of simulation on knowledge acquisition. [less ▲]

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See detailPatient education in the emergency department: take advantage of the teachable moment
Pétré, Benoît ULiege; Margat, Aurore; Servotte, Jean-Christophe ULiege et al

in Advances in Health Sciences Education (2019)

Several recent works have highlighted hospital discharge as a good opportunity to deliver patient education (PE). Despite its constraints (overcrowding and unpredictable workload, in particular), the ... [more ▼]

Several recent works have highlighted hospital discharge as a good opportunity to deliver patient education (PE). Despite its constraints (overcrowding and unpredictable workload, in particular), the emergency department (ED) should be viewed as an opportune place for improving patient satisfaction and adherence to recommendations, and thus for preventing complications and early readmission, suggesting that better PE and health information could be one way to enhance patient safety. Building evidence on how best to organise and deliver effective PE poses many challenges, however. This paper gives an overview of the main issues (what we already know and prospects for research/clinical approaches) concerning PE in the ED: improving provider skills, ensuring PE continuity, developing educational materials, interprofessional collaboration, identifying specific educational needs for certain subgroups of patients, evaluating PE delivery, and identifying the most effective interventions. Future research will be needed to develop evidence-based guidelines for a comprehensive approach to PE. © 2019, Springer Nature B.V. [less ▲]

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See detailEfficacy of a Short Role-Play Training on Breaking Bad News in the Emergency Department
Servotte, Jean-Christophe ULiege; Bragard, Isabelle ULiege; Szyld, Demian et al

in Western Journal of Emergency Medicine (2019), 20(6),

Breaking bad news (BBN) in the emergency department (ED) represents a challenging and stressful situation for physicians. Many medical students and residents feel stressed and uncomfortable with such ... [more ▼]

Breaking bad news (BBN) in the emergency department (ED) represents a challenging and stressful situation for physicians. Many medical students and residents feel stressed and uncomfortable with such situations because of insufficient training. Our randomized controlled study aimed to assess the efficacy of a four-hour BBN simulation-based training on perceived selfefficacy, the BBN process, and communication skills. [less ▲]

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See detailTriage for out-of-hours primary care calls: a reliability study of a new French-language algorithm, the SALOMON rule
BRASSEUR, Edmond ULiege; Servotte, Jean-Christophe ULiege; Donneau, Anne-Françoise ULiege et al

in Scandinavian Journal of Primary Health Care (2019)

Introduction: Triage systems for out-of-hours primary care physician (PCP) calls have been implemented empirically but no triage algorithm has been validated to date. A triage algorithm named SALOMON ... [more ▼]

Introduction: Triage systems for out-of-hours primary care physician (PCP) calls have been implemented empirically but no triage algorithm has been validated to date. A triage algorithm named SALOMON (Syst eme Algorithmique Li egeois d’Orientation pour la M edecine Omnipraticienne Nocturne) was developed to guide triage nurses. This study assessed the performance of the algorithm using simulated PCP calls. Methods: Ten nurses were involved in 130 simulated PCP call scenarios, allowing the determination of SALOMON’s inter-rater agreement by comparing the actual choices of a specific triage flowchart and the level of care selected as compared with reference assignments. Intra-rater agreement was estimated by comparing triage after training (T1) and 3 to 6 months after SALOMON use in clinical practice (T2). Results: Overall selection of flowcharts was accurate for 94 .1% of scenarios at T1 and 98.7% at T2. Level of triage was adequate for 93.4% of scenarios at T1 and 98.5% at T2. Both flowchart and triage level accuracy improved significantly from T1 to T2 (p<0.0001). SALOMON algorithm use is associated with a 0.97/0.99 sensitivity and 0.97/0.99 specificity, at T1/T2 respectively. Conclusions: Results revealed that using the SALOMON algorithm is valid for out-of-hours PCP calls triage by nurses. The criterion validity of this algorithm should be further evaluated through its implementation in a real life setting. [less ▲]

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See detailReporting d’incidents en simulation : un outil d’évaluation du formateur
Baijot, Sophie; Servotte, Jean-Christophe ULiege

Conference (2018, December 03)

Cette présentation s'est attachée à présenter trois incidents survenus en simulation : refus de participer à une simulation, désaccord entre formateurs et présence d'une cicatrice de formation. Les causes ... [more ▼]

Cette présentation s'est attachée à présenter trois incidents survenus en simulation : refus de participer à une simulation, désaccord entre formateurs et présence d'une cicatrice de formation. Les causes et solutions issues de ces incidents sont présentés. [less ▲]

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