References of "Gillet, Pierre"
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See detailDu processus aux soins intégrés : expérience de gestion de projet bottom-up
ERPICUM, Marie ULg; BASSLEER, Bernard ULg; Defraigne, Jean-Olivier ULg et al

Conference (2014, July 08)

Implementation of blood conservation strategies is a current issue in a public health view, especially in cardiac surgery. A service project has been initiated in the cardiovascular department of the CHU ... [more ▼]

Implementation of blood conservation strategies is a current issue in a public health view, especially in cardiac surgery. A service project has been initiated in the cardiovascular department of the CHU of Liege aiming to develop a blood conservation program. This project has evolved into the creation of a clinical pathway of the cardiac surgery patient and then into an institutional model for the development of other clinical pathways. This evolution leads to meet with the missions and strategic objectives of the Institution and some national projects. The process of this approach weaves a horizontal and vertical grid. The multidisciplinary membership, supported by medical and nursing leadership and the institutional support, will determine the sustainability of this project. [less ▲]

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See detailBilan de 10 ans de fonctionnement du KCE
GILLET, Pierre ULg; Martin, Didier ULg

Scientific conference (2013, October 16)

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See detailEnregistrement des données infirmières : exploitation des données et intégration dans le financement des soins infirmiers
THONON, Olivier ULg; LEROY, Stéphanie ULg; MACLOT, Eric ULg et al

in Actes de la 6ème conférence francophone en Gestion et Ingénierie des SystèmEs Hospitaliers - GISEH (2012, September)

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See detailTrends in hip fracture incidence and in the prescription of anti-osteoporosis medications during same time period in Belgium (2000-2007)
Hiligsmann, Mickaël ULg; Bruyère, Olivier ULg; Roberfroid, Dominique et al

in Arthritis Care & Research (2012), 64(5), 744-750

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See detailOpportunité des séjours : l’outil AEP dans les hôpitaux belges
FONTAINE, Pierre; GILLAIN, Daniel ULg; THONON, Olivier ULg et al

in Gestions Hospitalieres (2012)

L'évolution des coûts de santé en général, et hospitaliers en particulier, a conduit les autorités belges à prendre des mesures pour limiter les durées de séjour. Les hôpitaux étant à présent financés en ... [more ▼]

L'évolution des coûts de santé en général, et hospitaliers en particulier, a conduit les autorités belges à prendre des mesures pour limiter les durées de séjour. Les hôpitaux étant à présent financés en fonction du nombre d'admissions et des pathologies correspondantes, l'usage d'un outil permettant d'estimer la proportion des admissions et des journées inappropriées, ainsi que leurs causes, est d'un intérêt majeur. Trois enquêtes transversales successives ont été menées de 2003 à 2005 dans 23 hôpitaux aigus en médecine interne, chirurgie et gériatrie. En tout, 12 000 séjours et 1 800 admissions ont ainsi été audités au moyen de l'Appropriateness Evaluation Protocol. [less ▲]

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See detailRetrospective medical record evaluation: reliability in assessing causation, preventability, and disability of adverse events.
Verelst, Sandra; JACQUES, Jessica ULg; Van den Heede, Koen et al

in International Journal of Health Care Quality Assurance (2012), 25(8), 649-62

PURPOSE: The purpose of this article is to assess the reliability of an in-depth analysis on causation, preventability, and disability by two separate review teams on five selected adverse events in acute ... [more ▼]

PURPOSE: The purpose of this article is to assess the reliability of an in-depth analysis on causation, preventability, and disability by two separate review teams on five selected adverse events in acute hospitals: pressure ulcer, postoperative pulmonary embolism or deep vein thrombosis, postoperative sepsis, ventilator-associated pneumonia and postoperative wound infection. DESIGN/METHODOLOGY/APPROACH: The analysis uses a retrospective medical record review of 1,515 patient records by two independent teams in eight acute Belgian hospitals for the year 2005. The Mann-Whitney U-test is used to identify significant differences between the two review teams regarding occurrence of adverse events as well as regarding the degree of causation, preventability, and disability of found adverse events. FINDINGS: Team 1 stated a high probability for health care management causation in 95.5 per cent of adverse events in contrast to 38.9 per cent by Team 2. Likewise, high preventability was considered in 83.1 per cent of cases by Team 1 versus 51.7 per cent by Team 2. Significant differences in degree of disability between the two teams were also found for pressure ulcers, postoperative pulmonary embolism or deep vein thrombosis and postoperative wound infection, but not for postoperative sepsis and ventilator-associated pneumonia. ORIGINALITY/VALUE: New insight on the degree of and reasons for the huge differences in adverse event evaluation is provided. [less ▲]

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See detailSystèmes de retour d'expérience : "Faut-il vraiment copier l'industrie?"
Nyssen, Anne-Sophie ULg; Gillet, Aline ULg; Cayet, anne-Marie et al

in Risques & Qualité (2012), IX(2), 85-91

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See detailPatient out-of-pocket contributions related to hip fracture hospital costs in Belgium
Hiligsmann, Mickaël ULg; Gathon, Henry-Jean ULg; Bruyère, Olivier ULg et al

in Osteoporosis International (2011, March), 22(Suppl.1), 333

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See detailIncidence of hip fracture in Belgium between 2000 and 2007 and future projections
Hiligsmann, Mickaël ULg; Bruyère, Olivier ULg; Detilleux, Johann ULg et al

in Osteoporosis International (2011, March), 22(Suppl.1), 145

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See detailAssessing the causes inducing lengthening of hospital stays by means of the Appropriateness Evaluation Protocol.
Fontaine, Pierre ULg; Jacques, Jessica ULg; Gillain, Daniel ULg et al

in Health Policy (2011)

OBJECTIVES: The objective is to evaluate the use of the Appropriateness Evaluation Protocol (AEP) as a screening tool for determining the causes of the non-justified days to help hospitals to decrease the ... [more ▼]

OBJECTIVES: The objective is to evaluate the use of the Appropriateness Evaluation Protocol (AEP) as a screening tool for determining the causes of the non-justified days to help hospitals to decrease the length of stay while preserving the quality of care. METHODS: Three successive cross-sectional surveys were conducted from 2003 till 2005, in 23 Belgian hospitals. During this period, 10921 days were audited by means of the AEP. This study is focused on adult acute non-intensive care units. The appropriateness of each day of the sample was assessed, and for those considered as inappropriate, the reasons explaining the prolongation of the stay were investigated. RESULTS: The proportion of inappropriate days was 24.61%. There is a high variability across specialties and hospitals. Regarding inappropriate days, the analysis of causes of prolongation, globally, by bed index or by hospital, indicated clearly internal and external factors that lengthen stays. The most frequent reasons are waits for an examination (22%) and the lack of extra-hospital structures (31%). CONCLUSIONS: The use of AEP as a tool of internal audit to measure the proportion of non-justified days and their causes turns out to be possible and the obtained results has provided some accurate and useful information for the participating, and allowed them to take concrete decisions which lead to shrinking of the length of hospital stay. [less ▲]

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See detailTrend of hip fracture incidence in Belgium between 2000 and 2007 and future projections
Hiligsmann, Mickaël ULg; Bruyère, Olivier ULg; Detilleux, Johann ULg et al

in Value in Health (2010, November), 13(7), 303

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See detailFinancement hospitalier en Belgique : enregistrement et exploitation des données infirmières
THONON, Olivier ULg; LEROY, Stéphanie ULg; LAPORT, Nancy et al

in Actes de la 5ème conférence francophone en Gestion et Ingénierie des SystèmEs Hospitaliers - GISEH (2010, September)

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See detailHealth-related quality of life after total knee or hip replacement: a 7-year prospective study
Bruyère, Olivier ULg; Vanoverberghe, Marie ULg; Neuprez, Audrey ULg et al

in Annals of the Rheumatic Diseases (2010, June), 69(Suppl.3), 469

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See detailHealth-related quality of life after total knee or hip replacement : a 7-year prospective study
Bruyère, Olivier ULg; Vanoverberghe, Marie ULg; Neuprez, Audrey ULg et al

in Osteoporosis International (2010, May), 21(Suppl.1), 26

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See detailBoard certified physicians in health informatics
ROGER FRANCE, FRANCIS; BEGUIN, CLAIRE; MELOT, CHRISTIAN et al

in Swiss Medical Informatics [=SMI] (2010), 70

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See detailValidation of Hospital Administrative Dataset for adverse event screening.
Verelst, S.; Jacques, Jessica ULg; Van den Heede, K. et al

in Quality & Safety in Health Care (2010)

Objective To assess whether the Belgian Hospital Discharge Dataset (B-HDDS) is a valid source for the detection of adverse events in acute hospitals. Design, setting and participants Retrospective review ... [more ▼]

Objective To assess whether the Belgian Hospital Discharge Dataset (B-HDDS) is a valid source for the detection of adverse events in acute hospitals. Design, setting and participants Retrospective review of 1515 patient records in eight acute Belgian hospitals for the year 2005. Main outcome measures Predictive value of the B-HDDS and medical record reviews and degree of correspondence between the B-HDDS and medical record reviews for five indicators: pressure ulcer, postoperative pulmonary embolism or deep vein thrombosis, postoperative sepsis, ventilator-associated pneumonia and postoperative wound infection. Results Postoperative wound infection received the highest positive predictive value (62.3%), whereas postoperative sepsis and ventilator-associated pneumonia were rated as only 44.2% and 29.9% respectively. Excluding present on admission from the screening substantially decreased the positive predictive value of pressure ulcer from 74.5% to 54.3%, as pressure ulcers present on admission were responsible for more B-HDDS-medical record mismatches than any other indicator. Over half (56.8%) of false-positive cases for postoperative sepsis were due to a lack of specificity of the ICD-9-CM code, whereas in 58.6% of false-positive cases for ventilator-associated pneumonia, clinical criteria appeared to be too stringent. Conclusions The B-HDDS has the potential to accurately detect some but not all adverse events. Adding a code 'present on admission' and improving the ICD-9-CM codes might already partially improve the correspondence between the B-HDDS and the medical record review. [less ▲]

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See detailBoard certified physicians in health informatics. A european precedent for professional regognition
F.H. ROGER FRANCE; Cl. BEGUIN; Ch. Mélot et al

in International medical informatics association (2010)

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See detailMeasure of nursing time interventions for hospitalized elderly patients
THONON, Olivier ULg; GILLAIN, Daniel ULg; SERMEUS, Walter et al

Poster (2009, July)

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