jeudi 29 octobre 2015

La loi MST ignore la iatrogénie car la diminuer ne capte pas de voix

les questions qui se posent:
1/ avons nous des data en France sur le sujet ? Non.
2/ l’agence de la qualité des soins improprement appelée HAS travaille t elle sur ce sujet? Non.
3/ est ce plus important que les soi-disant touchers vaginaux dans un hôpital parisien non identifié? A mon avis oui.
4/Est ce plus important que le tiers payant pour tous? A mon avis oui.
5/ pourquoi les assoc sponsorisées se taisent?
Vous en tirerez les conclusions qui s’imposent.
"Every consumer of healthcare services should be appalled by these results. Recent studies indicate that up to 400,000 people are killed each year due to preventable medical errors (which includes medication errors) and hospital acquired infections. This makes medical errors the third leading cause of death in America, behind heart disease (1st) and cancer (2nd). Additionally, a 2011 Institute of Medicine (IOM) study, “The Healthcare Imperative: Lowering Costs and Improving Outcomes,” indicated that of the $2.5 trillion spent on domestic healthcare costs in 2009, $765 billion (or 30%) was attributable to preventable costs."

  1. Medication errors were observed in almost 1 out of every 2 surgical procedures.
  2. The most frequently observed errors were mistakes in labeling, incorrect dosage, neglecting to treat a problem indicated by the patient’s vital signs, and documentation errors.
  3. Medication errors and adverse drug events were more common with longer procedures, especially those lasting more than six hours and involving 13 or more medication administrations.
  4. More than 1 one in 20 (5%) perioperative medication administrations resulted in a medication error or an adverse drug event.
  5. Of the more than 3,600 medication administrations in the observed operations, 153 medication errors and 91 adverse drug events were recorded either by direct observation or by chart review.
  6. 80% of the medication errors were determined to have been preventable.
  7. 33% of the observed medication errors led to an adverse drug event, and the remaining 66% had the potential to cause an adverse event.
  8. Of all the observed adverse drug events and medication errors that could have resulted in patient harm, 64% were considered serious, 33% were considered significant, and less than 2% were considered life-threatening

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