Article
A New Look for the Emergency Department
On the occasion of the inauguration of the new road and reception infrastructures for Emergencies,  Adeline Higuet, Head of Department, presents her vision of the department, the renovation project and the next stages in the works. In the Emergency Department renovation project, the architecture makes the function and the function is supported by the architecture in the sense that the configuration of the infrastructures is adapted to the way emergency medicine is to be practiced.  Central to this approach is the “Moving Forward” concept that is used by the most modern Emergency Services.The “Moving Forward” concept places the patient at the centre of a continuous flow.  The  patient consequently progresses through dedicated care zones in which the hospital architecture and the duo of  emergency nurse and doctor both play a role in ensuring an attentive and fluid global care from admission through to discharge. This approach permits a more rapid care and treatment for emergency patients. Our aim is of course to be as efficient as possible while remaining person-centred and attentive to the needs and circumstances of the individual patientWithin this concept, the first care zone consists of the reception area and waiting room for adults and for paediatric emergencies. The central zone is occupied by 3 triage areas that are essential to the mechanisms of the “Moving Forward” concept.  “We have also developed a specificity for the medical triage (triage 3) with the creation of what we call an “Ultra Ultra Short” triage that is for managing “non-urgent” emergencies that can be quickly dealt with and do not require the patient to enter the care zone  reserved for more serious cases. This zone has a dedicated waiting room.”  It is these three areas, as well as a rest room to ensure the well-being of staff, that occupy the new Emergency Department space that is scheduled to open in May.  The rest of the renovation concerns the present Emergency Department that is currently being “updated” including structural modifications to enable us to work per care zone. Specifically:  Triage zone 4, dedicated to (minor) medical pathologies that do not require hospitalisation.Treatment zones 1, 2 and 3 where patients are sorted depending on the seriousness of their condition and importance of receiving treatment.The most urgent (i.e. serious) cases are directed to the shock lab.“We also have a new integrated Surveillance Unit  (SU) that equips the Emergency Department with 6 to 8 provisional hospitalisation beds.”  The SU is designed for:Patients who need to be kept under surveillance for 3 to 6 hours before returning home (in the case of a concussion, for example, or pain management);Patients who need to be kept under surveillance for 12 to 24 hours before returning home;Patients who have to be hospitalised while waiting for a bed to become free in the department to which they will be subsequently transferred.Respect for the patient remains throughout, starting with patient reception and extending to consideration for accompanying family members. Trauma care is a well defined zone for treating surgical and orthopaedic pathologies.  Its strategic location next to emergency radiology also ensures better care. The SU and trauma care (yellow and pink zones respectively) were renovated in 2024.  The next stages in this project The next stages in this project are the most complex with the renovation of the isolation room and psychiatry consulting rooms, renovation of the medical examination rooms and of the entire medico-nursing work space. This phase of the works is more complex as it will be carried out without interrupting activity and thus in zones where patients are present.  Fortunately we have the support of the Department of Infrastructures (DIHJ) that will manage this phase by playing musical chairs with the areas where patients are present and those where they are not. Our aim is to complete all the works by the end of this year.  “The changes we are making at the Emergency Department are inspired by values of respect, caring, and listening to the patient and care teams. The patient is at the centre of all we do.”  In terms of functioning, we are fortunate in having emergency nurses and doctors of the highest quality.  “We are in the process of creating a model that is unique in Belgium, a multidisciplinary emergency team consisting of accident and emergency doctors as well as internal specialists (who watch out for rarer pathologies: you find what you look for), anaesthetists, surgeons and senior paediatricians. It is this panel of cumulated skills that makes our department so effective in-patient care while at the same time functioning as a teaching class for trainee doctors. Another specificity of our department is that, from the moment of arrival, the patient is followed up by a doctor-nurse duo, this clearly improving the quality of care, a fact that has been proved scientifically. *”With these changes we want to create a more fluid, positive, human and caring patient experience. Our mission is based on three essential notions:“Care”, meaning caring for the patient with respect;“Cure”, meaning treating the patient;“Counsel”, which is based on our obligation to ensure the patient’s medical follow-up.“No patient leaves us without understanding what is wrong with them. All follow-up appointments are made before discharge. All the information, all the documents and all the prescriptions the patient needs are provided systematically.”  Special attention is paid to bilingualism at our department. There are still a lot of things to be put into place, of course, but we are doing everything possible with the nurses, doctors and SAMU and SMUR ambulance drivers to ensure optimal care and treatment.*Source : The impact of senior doctor assessment at triage on emergency department performance measures: systematic review and meta-analysis of comparative studies, Maysam Ali Abdulwahid 1, Andrew Booth 1, Maxine Kuczawski 1, Suzanne M Mason 1 , Emerg Med J, 2016 Jul;33(7):504-13.doi: 10.1136/emermed-2014-204388. Epub 2015 Jul 16. Dr. Adeline HIGUETHead of the Emergency Departement of the H.U.B
Article
A rapid diagnosis pathway for colorectal cancer at the H.U.B
Teams from the Gastroenterology and Digestive Oncology Departments of the Erasmus Hospital and Jules Bordet Institute are now working hand-in-hand within the Brussels University Hospital (H.U.B).  They propose a rapid diagnosis pathway reserved for patients showing warning signs, a positive result in a search for blood in the stools or who are at high risk.  On 22 and 23 March a giant colon will be installed in the lobbies of the Erasmus Hospital and Jules Bordet Institute. Professionals from our institutions will be there on the day to help you discover this organ and highlight the importance of screening for colorectal cancer.     Essential screening   Every year more than 8,000 Belgians, both men and women, are diagnosed with colorectal cancer. In 90% of cases they are aged over 50. One third of these persons will die from their cancer due to a late diagnosis. If detected in time, 90% of these persons are cured.  Faced with this problem, our professionals decided to put into place a rapid diagnosis pathway for patients presenting a warning sign or a high risk.  Colonoscopy screening is essential as it reduces the risk of developing colorectal cancer and reduces the mortality by 50%. This examination has therapeutic as well as diagnostic benefits as it not only allows a cancer to be detected at an early stage but also prevents its occurrence by removing colorectal polyps and early cancers.    Who is the screening targeting?   You can make an appointment with our professionals who will rapidly schedule a colonoscopy if you present warning signs such as an unexplained and lasting change in bowel movements, the presence of blood in the stools, abdominal pain or unexplained weight loss. If you have a personal or family history of polyps and/or colorectal cancer, inflammatory diseases of the digestive tube (Crohn's disease or proctocolitis) or a family history of multiple polyposis or hereditary colon cancer you will be prioritised.    With or without warning signs, from the age of 50 you can also undergo a simple test for the presence of blood in the stools, carried out in your own home following an invitation sent by the Region.    Do you show any of these symptoms? Then make an appointment with our specialists who will schedule your tests as quickly as possible on the basis of your symptoms.    Gastroenterology consultation: • Jules Bordet Institute 02 541 34 80 • Erasmus 02 555 35 04  Screening consultation at the Jules Bordet Institute (if no symptoms): 02 541 30 00   A giant colon to boost awareness   March is awareness month for colorectal cancers. On this occasion the Brussels University Hospital invites you to come and discover a giant colon. Accompanied by health professionals you can actually go inside the structure to discover this organ, in 3D, and better understand why and how to protect yourself against colorectal cancer, one of the most deadly cancers in Belgium.  The dates are 22 March at the Erasmus Hospital between 9 am and 4 pm and 23 March at the Jules Bordet Institute between 9 am and 4 pm.   
Article
A single medical council as the logical next step in shared progress.
The Brussels University Hospital (H.U.B), consisting of the Erasmus Hospital, the Jules Bordet Institute and the Queen Fabiola University Children's Hospital, employs more than 800 doctors. To improve collaborations, inter-departmental communication and care pathways, at the end of December these doctors voted to set up a single Medical Council. An initiative seen as a logical next step and that respects the identities of each hospital. This form of transverse representation of the medical staff makes it possible to support both respective and common projects in the interests of medicine, both today and into the future.  All the doctors represented within the same body The attachment of each hospital to the Université Libre de Bruxelles (ULB) already enabled the three medical councils to cooperate regularly in the past. The creation of the Brussels University Hospital (H.U.B) as an academic hospital for the City of Brussels in October 2021 served to consolidate this cooperation. Common governance was therefore soon seen as the logical next step. Thus, on 20 December 2020, doctors from the Brussels University Hospital (H.U.B) came together and opted, by more than 80% of votes, to deploy a single medical council. This form of representation of the medical staff within the hospital governance aims to facilitate and improve inter-departmental cooperation and promote an efficient sharing of activities. The future doctors' representatives on this single Medical Council will be appointed when new elections are held at the start of the next academic year. Voting will be by electronic means.    Unifying while respecting the identity of each hospital The role of the Medical Council is to coordinate medical activities, promote quality care and harmonise patient pathways that are accessible to all within the hospital networks while maintaining the spirit of cooperation between the doctors. Although the Brussels University Hospital is deployed through its governance and its transversality, the desire to preserve the identity of each institution, for both staff and patients, remains a priority. Each of these constituent institutions is recognised nationally and internationally for its medical projects and innovations, whether oncological, paediatric or specialised.  The communication challenge Regular meetings of all the H.U. B doctors are needed to ensure that the deployment of a common medical project is a shared experience. The existence of two distinct hospital sites (Anderlecht and Laeken) remains the biggest challenge in terms of communication for the teams, especially when members of the medical staff must be present physically. Using the right means of communication at the right time remains a key issue in ensuring the smooth functioning of the institution.  A union in keeping with the triple mission: care, research and teaching As a university structure with many researchers and research physicians, the Brussels University Hospital offers a stimulating environment that permits the continuous recruitment of young specialists. A youth that has a vital place within the institution and to which established staff are always attentive. The medical staff also interact very closely both with the paramedical teams and support services (data processing, human resources, etc.) as well as with GPs, with the aim of always guaranteeing the best care for the patients.
Article
A single number to call the H.U.B
Call +32 (0)2 555 55 55 for any department in Erasme Hospital, Jules Bordet Institute or Children's Hospital.  From today, you only need to remember one number to call all the services of the Erasme Hospital, the Jules Bordet Institute, and the Children's Hospital: +32 (0)2 555 55 55. Call this number and then simply follow our system that will send you comfortably and as quickly as possible to your wanted correspondant. 
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About Erasmus
Welcome to the Erasmus Hospital! The Erasmus Hospital Since 1977, the Erasmus Hospital has been providing general care adapted to the individual patient.  Also recognised as a Belgian reference centre for 12 rare diseases and a member of numerous European reference networks, the hospital is located on the Erasmus hospital and academic campus in Anderlecht. Two internal centres (the Erasmus Medical Centre – EMC and the Erasmus Imedia Centre), one external polyclinic (Lothier) and two external centres (Trauma and Rehabilitation Centre – CTR and the Geriatric Rehabilitation Centre – CRG) complete the patient care facilities. Image Image Institution Since 1977 the Erasmus Hospital has been proposing general care adapted to the individual patient. Also recognised as a Belgian reference centre for 12 rare diseases and member of several European reference networks, the hospital is situated on the Erasmus hospital and university campus in Anderlecht. Institution Values and missions As a university institution, the Erasmus Hospital pursues three major missions: patient care, research and teaching. Through these missions, the hospital strives to provide the highest quality care to patients while advancing scientific knowledge and passing on its knowledge to future generations. Values and missions Organisation and institutions In order to meet patients' expectations as effectively as possible, the Erasme Hospital has several committees: the Management Committee, the Board of Directors, the Medical Council. Organisation and institutions Quality The Erasmus Hospital is driven by a dynamic of continuous improvement rooted in a quality culture that is evident across all its activities and that involves all members of staff. Quality Patient-Partnership The Erasme Hospital ensures that every patient can be a partner in his or her own care. We also encourage patients to play an active role in our institution by setting up a patient partnership committee to help improve the quality and safety of your care, and that of other patients, as well as the ongoing training of carers. Patient Partnership
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Access and parking
Image Hospitals access Addresses and access by car and public transport Image Parkings There are two supervised car parks, managed by an external company. Image Finding your way around the hospital Signposting at the Erasmus Hospital functions like a road system. Image Info for Persons with Reduced Mobility (PRM) Access and organisation of the hospital are designed for people with reduced mobility Here you will find full details concerning addresses, access, car parks, signposting and PRM facilities