questionsmedicales.fr
Administration des services de santé
Organisation et administration
Administration d'établissement de santé
Administration hospitalière
Services hospitaliers
Département infirmier hospitalier
Département infirmier hospitalier : Questions médicales fréquentes
Termes MeSH sélectionnés :
Medical Order Entry Systems
Diagnostic
5
Évaluation clinique
Diagnostic médical
Outils de diagnostic
Tests de laboratoire
Infection
Culture bactérienne
Imagerie médicale
Biopsie
Évaluation de la douleur
Échelle de douleur
Symptômes
5
Déshydratation
Symptômes cliniques
Réaction allergique
Dermatite
Crise cardiaque
Douleur thoracique
Thrombose veineuse
Symptômes cliniques
Prévention
5
Infections nosocomiales
Hygiène des mains
Chutes
Sécurité des patients
Escarres
Soins de la peau
Vaccination
Prévention des maladies
Déshydratation
Hydratation
Traitements
5
Infection bactérienne
Antibiotiques
Douleur post-opératoire
Analgésiques
Hypertension
Médicaments antihypertenseurs
Déshydratation
Réhydratation
Asthme
Bronchodilatateurs
Complications
5
Complications chirurgicales
Infection
Chimiothérapie
Complications
Soins intensifs
Infection
Effets secondaires
Médicaments
Facteurs de risque
5
Maladies cardiovasculaires
Facteurs de risque
Obésité
Facteurs de risque
Tabagisme
Maladies pulmonaires
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"position": 16,
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"position": 19,
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"name": "Quelles complications peuvent survenir après une chirurgie ?",
"position": 21,
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"position": 22,
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"@type": "Question",
"name": "Comment gérer les complications d'une chimiothérapie ?",
"position": 23,
"acceptedAnswer": {
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"text": "Les complications incluent nausées, fatigue et infections, nécessitant un suivi médical."
}
},
{
"@type": "Question",
"name": "Quelles complications des soins intensifs ?",
"position": 24,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications incluent infections, délires et complications respiratoires."
}
},
{
"@type": "Question",
"name": "Quels effets secondaires des médicaments ?",
"position": 25,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les effets secondaires peuvent inclure nausées, somnolence et réactions allergiques."
}
},
{
"@type": "Question",
"name": "Quels facteurs de risque pour les maladies cardiovasculaires ?",
"position": 26,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les facteurs incluent l'hypertension, le tabagisme, et l'obésité."
}
},
{
"@type": "Question",
"name": "Comment le diabète influence-t-il la santé ?",
"position": 27,
"acceptedAnswer": {
"@type": "Answer",
"text": "Le diabète augmente le risque de maladies cardiovasculaires, rénales et neurologiques."
}
},
{
"@type": "Question",
"name": "Quels sont les risques liés à l'obésité ?",
"position": 28,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'obésité augmente le risque de diabète, maladies cardiaques et certains cancers."
}
},
{
"@type": "Question",
"name": "Comment le stress affecte-t-il la santé ?",
"position": 29,
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}
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{
"@type": "Question",
"name": "Quels sont les risques du tabagisme ?",
"position": 30,
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Expert en Médecine, Optimisation des Parcours de Soins et Révision Médicale
Validation scientifique effectuée le 27/04/2025
Contenu vérifié selon les dernières recommandations médicales
2 publications dans cette catégorie
Affiliations :
Universidade Federal de Santa Maria, Santa Maria, Rio Grande do Sul, Brazil.
Publications dans "Département infirmier hospitalier" :
2 publications dans cette catégorie
Affiliations :
Universidade Federal de Santa Maria, Santa Maria, Rio Grande do Sul, Brazil.
Publications dans "Département infirmier hospitalier" :
2 publications dans cette catégorie
Affiliations :
Universidade Federal de Santa Catarina, Florianópolis, Santa Catarina, Brazil.
Publications dans "Département infirmier hospitalier" :
2 publications dans cette catégorie
Affiliations :
Centennial College, Toronto, Canadá.
Publications dans "Département infirmier hospitalier" :
2 publications dans cette catégorie
Affiliations :
Universidade Federal de Santa Maria, Santa Maria, Rio Grande do Sul, Brazil.
Publications dans "Département infirmier hospitalier" :
2 publications dans cette catégorie
Affiliations :
Associação Paulista para o Desenvolvimento da Medicina. São Paulo, São Paulo, Brazil.
Publications dans "Département infirmier hospitalier" :
2 publications dans cette catégorie
Affiliations :
Universidade Federal de São Paulo. São Paulo, São Paulo, Brazil.
Publications dans "Département infirmier hospitalier" :
2 publications dans cette catégorie
Affiliations :
Universidade Federal de São Paulo. São Paulo, São Paulo, Brazil.
Publications dans "Département infirmier hospitalier" :
2 publications dans cette catégorie
Publications dans "Département infirmier hospitalier" :
2 publications dans cette catégorie
Affiliations :
School of Economics and Management, Beijing Information Science & Technology University, Beijing, China.
Publications dans "Département infirmier hospitalier" :
2 publications dans cette catégorie
Affiliations :
Teaching and Research Section of Clinical Nursing, Xiangya Hospital, Central South University, Changsha, China.
National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, China.
Xiangya Nursing School, Central South University, Changsha, China.
Publications dans "Département infirmier hospitalier" :
2 publications dans cette catégorie
Affiliations :
Teaching and Research Section of Clinical Nursing, Xiangya Hospital, Central South University, Changsha, China.
Xiangya Nursing School, Central South University, Changsha, China.
Publications dans "Département infirmier hospitalier" :
2 publications dans cette catégorie
Affiliations :
Teaching and Research Section of Clinical Nursing, Xiangya Hospital, Central South University, Changsha, China.
Xiangya Nursing School, Central South University, Changsha, China.
Publications dans "Département infirmier hospitalier" :
2 publications dans cette catégorie
Affiliations :
Teaching and Research Section of Clinical Nursing, Xiangya Hospital, Central South University, Changsha, China.
Xiangya Nursing School, Central South University, Changsha, China.
Publications dans "Département infirmier hospitalier" :
2 publications dans cette catégorie
Affiliations :
Teaching and Research Section of Clinical Nursing, Xiangya Hospital, Central South University, Changsha, China.
Publications dans "Département infirmier hospitalier" :
2 publications dans cette catégorie
Affiliations :
Teaching and Research Section of Clinical Nursing, Xiangya Hospital, Central South University, Changsha, China.
Publications dans "Département infirmier hospitalier" :
2 publications dans cette catégorie
Affiliations :
Teaching and Research Section of Clinical Nursing, Xiangya Hospital, Central South University, Changsha, China.
Xiangya Nursing School, Central South University, Changsha, China.
Publications dans "Département infirmier hospitalier" :
2 publications dans cette catégorie
Affiliations :
Teaching and Research Section of Clinical Nursing, Xiangya Hospital, Central South University, Changsha, China.
Publications dans "Département infirmier hospitalier" :
1 publication dans cette catégorie
Affiliations :
Author Affiliations: DNP Graduate Student (Dr Foxx) and Graduate Instructor (Dr Garner), College of Graduate and Professional Studies of Abilene Christian University, Abilene, Texas.
Publications dans "Département infirmier hospitalier" :
1 publication dans cette catégorie
Publications dans "Département infirmier hospitalier" :
A 'renal pharmacist consultant service' (RPCS) reviewing patients' charts with renal impairment (RI) for drug-related problems (DRP) can foster patient safety. However, the benefit of this service in ...
Over a period of 3 months (02-04/2021), elective orthopaedic and trauma patients with eGFR...
During 53 working days, 712 (30.5%) of 2331 screened patients were included with an eGFR...
In the setting of prescribing in a CPOE-CDS-system, that provides physicians with advice for drug or dose adaption, the pharmacist-led medication reviews still identified DRP in orthopaedic and trauma...
Transition to the postanesthesia care unit (PACU) requires timely order placement by anesthesia providers. Computerized ordering enables automated order reminder systems, but their value is not fully ...
Parenteral nutrition (PN) offers a quality therapeutic option when enteral feeding is non-tolerated or impossible. However, it can be associated with an increased risk of medical errors, especially in...
The frequency of medication errors in PN, in a teaching neonatal intensive care unit, was prospectively reviewed by a pharmacist between December 2018 and March 2019 in a two-phase interventional stud...
Implementation of CPOE system decreased PN order errors from 379 to 147 representing a 61.1% reduction. The decreases on PN order errors per stage, i.e. prescribing and preparation, were form 207 to 2...
In addition to the rigorous application of the recommendations, the CPOE system allows to reduce the risk of PN medication errors. This improves the safety and quality of medicines in newborns....
The introduction of a computerized physician order entry (CPOE) system is changing workflows and redistributing tasks among health care professionals....
The aim of this study is to describe exemplary changes in workflow, to objectify the time required for medication documentation, and to evaluate documentation quality with and without a CPOE system (C...
Workflows were assessed either through direct observation and in-person interviews or through semistructured online interviews with clinical staff involved in medication documentation. Two case scenar...
CPOE implementation simplified medication documentation. The overall time needed for medication documentation increased from a median of 12:12 min (range: 07:29-21:10 min) without to 14:40 min (09:18-...
This study revealed that CPOE implementation simplified the medication documentation process but increased the time spent on medication documentation by 20% in two fictitious cases. This increased tim...
Prescribing errors represent a safety risk for hospitalized patients, especially in pediatrics. Computerized physician order entry (CPOE) might reduce prescribing errors, although its effect has not y...
Computerized physician order entry (CPOE) systems are one way to reinforce evidence-based transfusion indications for blood products. The new CPOE system that was implemented at our institution allowe...
Transfusion order records for packed red blood cells (RBCs), platelets, and fresh frozen plasma (FFP) from high product-ordering areas of Long Island Jewish Medical Center and Cohen's Children's Medic...
9.7% of RBC orders, 1.9% of platelet orders, and 18.2% of FFP orders were placed with "Other" as the indication for transfusion (χ...
The findings from our study provide examples of potential difficulties hospitals may encounter when they implement a new computerized physician order entry system. Provider education may play an impor...
A knowledgebase (KB) transition of a clinical decision support (CDS) system occurred at the study site. The transition was made from one commercial database to another, provided by a different vendor....
Medication errors are the third leading cause of death. There are several methods to prevent prescription errors, one of which is to use a Computerized Physician Order Entry system (CPOE). In a CPOE s...
PubMed, Web of Science, Embase, and Scopus databases for studies up to October 2019 were searched. Two reviewers independently assessed original articles to determine eligibility for inclusion in this...
We retrieved 5162 articles through database searches. After the full-text assessment, 21 articles were included. In total, 270 data elements were identified and mapped to the FHIR standard. These elem...
The results of this study showed that the same data elements were not used in the CPOE systems, and the degree of homogeneity of these systems is limited. The mapping of extracted data with data eleme...
Therapeutic duplication, the presence of multiple agents prescribed for the same indication without clarification for when each should be used, can contribute to serious medical errors. Joint Commissi...
The objective of this study is to design and evaluate effectiveness of clinical decision support (CDS) to reduce therapeutic duplication with acetaminophen and ibuprofen orders....
This study was done in a pediatric health system with three freestanding hospitals. We iteratively designed and implemented two CDS strategies aimed at reducing the therapeutic duplication with these ...
Therapeutic duplications decreased from 1,485 in the 30 days prior to the first alert implementation to 818 in the 30 days after but rose back to 1,208 in the 30 days prior to the second intervention....
Interruptive alerts may reduce therapeutic duplication but are associated with high rates of user frustration and alert fatigue. Leveraging discrete PRN reasons for "first line" and "second line" prod...
Computerised Physician Order Entry (CPOE) software is increasingly used across the world to improve medication safety. However, few high-quality studies have reviewed the impact of CPOE on prescribing...
To investigate the effect of a hybrid CPOE-paper prescribing system on prescribing errors at a secondary hospital site....
An interrupted time-series study was conducted by identifying prescribing errors via prospective medical chart review before and after the implementation of CPOE across three medical wards....
The medication orders of all patients admitted to the medical wards during the study period were reviewed....
Implementation of a CPOE across three medical wards....
A blinded expert panel risk stratified the errors according to level of severity, preventability and potential for harm. Pearson's chi square and segmented regressions were used to determine if there ...
A total of 10,535 medication orders were reviewed pre-CPOE and 13,841 medication orders reviewed post-CPOE. Analysis demonstrated that after implementation of CPOE there were reductions in the proport...
The introduction of CPOE was associated with reductions in prescribing errors. There is also evidence that this translated into a reduced risk of harm to patients post-CPOE implementation through the ...