Analysis and management of medical and organizational risks related to central venous catheterization in intensive care units
type: Dataset
description: Central venous catheters (CVC) are medical devices used daily in Intensive Care Units (ICU). The rates of thrombotic, mechanical, and infectious complications related to the CVC are not negligible. It is estimated that 15% of the patients with a CVC develop one. The aim of the study conducted in 2 units (medical and surgical ICU of the hospital of Saint Etienne and surgical ICU of the G. Pompidou hospital in Paris) is to identify risks associated with the device and the patient but also to look for risk factors related to the management of the device and to the organization of the medical staff. The methodology combines several types of approach, the both medical, sociological and systemic. We have studied around 350 patients and 600 CVC during one year. The observation of the functioning of these 2 ICU highlights their organizational differences. Those 2 organizational hierarchies tend to generate different types of complications each with a unique pattern of delays, errors and recovery times. This study shows that the change of the organizational structure can modify patient risk.
landing page: https://theses.hal.science/tel-00773640
identifier: NNT: 2008EMSE0006
keyword: analyse-systemique
keyword: catheters-veineux-centraux
keyword: central-venous-catheter
keyword: facteur-humain
keyword: gestion-de-risques
keyword: hopital
keyword: human-factor
keyword: infoeu-reposemanticsdoctoralthesis
keyword: intensive-care-unit
keyword: organisation
keyword: reanimation
keyword: riskmanagement
keyword: sdeieenvironmental-sciencesenvironmental-engineering
keyword: theses
issued: 2026-05-15T08:49:19.932294
modified: 2026-05-15T08:49:19.932300
language: fr
contact point: Organization
  fn: CCSD

test_moissonnage_selune
type: Agent

Analysis and management of medical and organizational risks related to central venous catheterization in intensive care units
type: Distribution
format: HTML
access URL: https://theses.hal.science/tel-00773640
issued: 2026-05-15T08:49:19.940863
modified: 2026-05-15T08:49:19.899412