[Rearrangement of an emergency department. Reflections on a structure]

Since 1986, a new conception of the emergency department in the hospital of Saint-Denis comes out. It would adapt with a greater efficiency plan to the needs and has entailed a sudden awareness, reflections and critical analysis of the situation. The disposition of the emergency ward, the formal procedures that prevailed over the act of care and the deficiency of the first global relationship with the patient were impediments to the mission of emergency department. A new department that gathers both reception and emergency duties was inaugurated in May 1987. It puts three aims in concrete form: to make the emergency ward more functional, to improve quality and capacities of reception and to improve the medical act.