title: [A simulation exercise in a flu clinic].
abstract: A simulation exercise aimed at assessing the management and provision of ambulatory care in the context of a highly pathogenic influenza pandemic was conducted in a specifically dedicated consultation center (Centre de Consultation Dédié (CCD) à la grippe) based on official French guidelines. The exercise was carried out in a school in Paris equipped to simulate a "flu clinic". 3 practitioners provided treatment lasting 2 hours to nursing students acting as patients.   The exercise highlighted a number of major organizational issues. Staff were found to be unable to manage the center and to perform patient transfers; face masks were not routinely and consistently worn by doctors and patients; and communication between professionals within the clinic was limited.   The exercise showed that much remains to be done to ensure that "flu clinics" are effective and functional. The results suggest that the exercise will need to be repeated on a larger scale and over a longer period.
authors.affiliation: Université Paris Descartes, Faculté de Médecine, Département de Médecine Générale, 24, rue du Faubourg Saint Jacques, 75014, Paris. juliette.barthe@gmail.com
authors.forename: Juliette
authors.initials: J
authors.lastname: Barthe
authors.forename: Jean-Pierre
authors.initials: JP
authors.lastname: Aubert
authors.forename: Anne-Lise
authors.initials: AL
authors.lastname: Lecapitaine
authors.forename: Françoise
authors.initials: F
authors.lastname: Lecompte
authors.forename: Céline
authors.initials: C
authors.lastname: Szwebel-Chikli
mesh_terms: D000554:Ambulatory Care Facilities / Q000458:organization & administration*; D003142:Communication; D005602:France; D058006:General Practice / Q000458:organization & administration; D006801:Humans; D017053:Infection Control; D007251:Influenza, Human / Q000517:prevention & control / Q000635:transmission*; D008397:Masks / Q000706:statistics & numerical data; D016544:Patient Simulation