Titre : Cystectomie

Cystectomie : Questions médicales fréquentes

Termes MeSH sélectionnés :

Medical Order Entry Systems

Questions fréquentes et termes MeSH associés

Diagnostic 5

#1

Comment diagnostiquer un cancer de la vessie ?

Un cystoscopie, des biopsies et des examens d'imagerie sont utilisés.
Cancer de la vessie Cystoscopie
#2

Quels tests précèdent une cystectomie ?

Des analyses sanguines, des examens d'imagerie et une évaluation de la fonction rénale.
Analyses sanguines Imagerie médicale
#3

Quels symptômes indiquent une cystectomie ?

Sang dans les urines, douleurs pelviennes, et symptômes urinaires persistants.
Hématurie Symptômes urinaires
#4

Quel rôle joue l'échographie dans le diagnostic ?

L'échographie aide à visualiser la vessie et détecter des anomalies.
Échographie Anomalies de la vessie
#5

Quand une cystoscopie est-elle nécessaire ?

Elle est nécessaire pour examiner la vessie et prélever des biopsies.
Cystoscopie Biopsie

Symptômes 5

#1

Quels sont les symptômes d'un cancer de la vessie ?

Hématurie, douleurs lors de la miction, et besoin fréquent d'uriner.
Hématurie Symptômes urinaires
#2

Comment se manifeste une infection urinaire ?

Brûlures, besoin urgent d'uriner, et urine trouble ou malodorante.
Infection urinaire Symptômes
#3

Quels signes indiquent une complication post-opératoire ?

Fièvre, douleurs abdominales sévères, ou saignements excessifs.
Complications chirurgicales Saignement
#4

Quels symptômes nécessitent une consultation urgente ?

Sang dans les urines, douleurs intenses, ou incapacité à uriner.
Urgence médicale Hématurie
#5

Comment reconnaître une obstruction urinaire ?

Difficulté à uriner, douleur abdominale, et distension abdominale.
Obstruction urinaire Symptômes

Prévention 5

#1

Comment prévenir le cancer de la vessie ?

Éviter le tabac, hydrater suffisamment et réduire l'exposition aux produits chimiques.
Prévention du cancer Tabagisme
#2

Quels facteurs de risque sont évitables ?

Le tabagisme et l'exposition à des produits chimiques industriels.
Facteurs de risque Tabagisme
#3

Quel rôle joue l'hydratation dans la prévention ?

Une bonne hydratation aide à diluer les substances cancérigènes dans l'urine.
Hydratation Prévention du cancer
#4

Comment le dépistage aide-t-il à prévenir le cancer ?

Le dépistage précoce permet de détecter des anomalies avant qu'elles ne deviennent graves.
Dépistage Cancer de la vessie
#5

Quels aliments peuvent réduire le risque ?

Les fruits, légumes et aliments riches en antioxydants peuvent aider.
Alimentation Antioxydants

Traitements 5

#1

Quelles sont les indications pour une cystectomie ?

Cancer de la vessie, lésions graves ou maladies de la vessie.
Cystectomie Cancer de la vessie
#2

Quels types de cystectomie existent ?

Cystectomie partielle et cystectomie radicale, selon l'étendue de la maladie.
Cystectomie partielle Cystectomie radicale
#3

Quels soins post-opératoires sont nécessaires ?

Surveillance des signes vitaux, gestion de la douleur et soins des plaies.
Soins post-opératoires Gestion de la douleur
#4

Comment se déroule une cystectomie ?

Elle se fait sous anesthésie générale, avec une incision abdominale ou laparoscopique.
Anesthésie générale Chirurgie laparoscopique
#5

Quels traitements alternatifs à la cystectomie ?

Chimiothérapie, radiothérapie ou immunothérapie selon le stade du cancer.
Chimiothérapie Radiothérapie

Complications 5

#1

Quelles sont les complications possibles d'une cystectomie ?

Infections, saignements, et complications urinaires comme l'incontinence.
Complications chirurgicales Infection
#2

Comment gérer une infection post-opératoire ?

Antibiotiques et soins appropriés de la plaie sont nécessaires.
Infection Antibiotiques
#3

Quels signes indiquent une complication grave ?

Fièvre élevée, douleurs abdominales intenses, ou saignements importants.
Complications chirurgicales Saignement
#4

Comment prévenir les complications après une cystectomie ?

Suivre les instructions post-opératoires et surveiller les signes d'infection.
Prévention des complications Soins post-opératoires
#5

Quels sont les effets à long terme d'une cystectomie ?

Incontinence, changements dans la fonction urinaire et risque accru d'infections.
Effets à long terme Incontinence

Facteurs de risque 5

#1

Quels sont les principaux facteurs de risque du cancer de la vessie ?

Tabagisme, exposition à des produits chimiques, et antécédents familiaux.
Facteurs de risque Cancer de la vessie
#2

Comment l'âge influence-t-il le risque ?

Le risque de cancer de la vessie augmente avec l'âge, surtout après 55 ans.
Âge Cancer de la vessie
#3

Quel rôle joue le sexe dans le risque de cancer de la vessie ?

Les hommes sont plus susceptibles de développer un cancer de la vessie que les femmes.
Sexe Cancer de la vessie
#4

Comment les infections urinaires fréquentes affectent-elles le risque ?

Des infections urinaires répétées peuvent augmenter le risque de cancer de la vessie.
Infections urinaires Cancer de la vessie
#5

Quel impact a l'alimentation sur le risque ?

Une alimentation pauvre en fruits et légumes peut augmenter le risque de cancer.
Alimentation Facteurs de risque
{ "@context": "https://schema.org", "@graph": [ { "@type": "MedicalWebPage", "name": "Cystectomie : Questions médicales les plus fréquentes", "headline": "Cystectomie : Comprendre les symptômes, diagnostics et traitements", "description": "Guide complet et accessible sur les Cystectomie : explications, diagnostics, traitements et prévention. Information médicale validée destinée aux patients.", "datePublished": "2024-07-05", "dateModified": "2026-03-27", "inLanguage": "fr", "medicalAudience": [ { "@type": "MedicalAudience", "name": "Grand public", "audienceType": "Patient", "healthCondition": { "@type": "MedicalCondition", "name": "Cystectomie" }, "suggestedMinAge": 18, "suggestedGender": "unisex" }, { "@type": "MedicalAudience", "name": "Médecins", "audienceType": "Physician", "geographicArea": { "@type": "AdministrativeArea", "name": "France" } }, { "@type": "MedicalAudience", "name": "Chercheurs", "audienceType": "Researcher", "geographicArea": { "@type": "AdministrativeArea", "name": "International" } } ], "reviewedBy": { "@type": "Person", "name": "Dr Olivier Menir", "jobTitle": "Expert en Médecine", "description": "Expert en Médecine, Optimisation des Parcours de Soins et Révision Médicale", "url": "/static/pages/docteur-olivier-menir.html", "alumniOf": { "@type": "EducationalOrganization", "name": "Université Paris Descartes" } }, "isPartOf": { "@type": "MedicalWebPage", "name": "Procédures de chirurgie urologique", "url": "https://questionsmedicales.fr/mesh/D013520", "about": { "@type": "MedicalCondition", "name": "Procédures de chirurgie urologique", "code": { "@type": "MedicalCode", "code": "D013520", "codingSystem": "MeSH" }, "identifier": { "@type": "PropertyValue", "propertyID": "MeSH Tree", "value": "E04.950.774" } } }, "about": { "@type": "MedicalCondition", "name": "Cystectomie", "alternateName": "Cystectomy", "code": { "@type": "MedicalCode", "code": "D015653", "codingSystem": "MeSH" } }, "author": [ { "@type": "Person", "name": "James W F Catto", "url": "https://questionsmedicales.fr/author/James%20W%20F%20Catto", "affiliation": { "@type": "Organization", "name": "Academic Urology Unit, University of Sheffield, Sheffield, UK." } }, { "@type": "Person", "name": "Prokar Dasgupta", "url": "https://questionsmedicales.fr/author/Prokar%20Dasgupta", "affiliation": { "@type": "Organization", "name": "The Urology Centre, Guy's and St. Thomas' NHS Foundation Trust Guy's Hospital London UK." } }, { "@type": "Person", "name": "Matthew Mossanen", "url": "https://questionsmedicales.fr/author/Matthew%20Mossanen", "affiliation": { "@type": "Organization", "name": "Division of Urologic Surgery, Brigham and Women's Hospital, Boston, MA; Center for Surgery and Public Health, Brigham and Women's Hospital, Boston, MA; Dana-Farber Cancer Institute, Boston, MA; Harvard Medical School, Boston, MA. Electronic address: mjhuynh9@gmail.com." } }, { "@type": "Person", "name": "None None", "url": "https://questionsmedicales.fr/author/None%20None", "affiliation": { "@type": "Organization", "name": "" } }, { "@type": "Person", "name": "Peter Wiklund", "url": "https://questionsmedicales.fr/author/Peter%20Wiklund", "affiliation": { "@type": "Organization", "name": "Department of Urology, Icahn School of Medicine at Mount Sinai, New York, NY, USA." } } ], "citation": [ { "@type": "ScholarlyArticle", "name": "A Mobile Post Anesthesia Care Unit Order Reminder System Improves Timely Order Entry.", "datePublished": "2024-06-10", "url": "https://questionsmedicales.fr/article/38856813", "identifier": { "@type": "PropertyValue", "propertyID": "DOI", "value": "10.1007/s10916-024-02079-7" } }, { "@type": "ScholarlyArticle", "name": "Effect of knowledgebase transition of a clinical decision support system on medication order and alert patterns in an emergency department.", "datePublished": "2023-12-01", "url": "https://questionsmedicales.fr/article/38040729", "identifier": { "@type": "PropertyValue", "propertyID": "DOI", "value": "10.1038/s41598-023-40188-4" } }, { "@type": "ScholarlyArticle", "name": "A systematic review of data elements of computerized physician order entry (CPOE): mapping the data to FHIR.", "datePublished": "2023-12-06", "url": "https://questionsmedicales.fr/article/37723918", "identifier": { "@type": "PropertyValue", "propertyID": "DOI", "value": "10.1080/17538157.2023.2255285" } }, { "@type": "ScholarlyArticle", "name": "Interprofessional Evaluation of a Medication Clinical Decision Support System Prior to Implementation.", "datePublished": "2024-07-31", "url": "https://questionsmedicales.fr/article/39084615", "identifier": { "@type": "PropertyValue", "propertyID": "DOI", "value": "10.1055/s-0044-1787184" } }, { "@type": "ScholarlyArticle", "name": "Adoption by clinicians of electronic order communications in NHS secondary care: a descriptive account.", "datePublished": "2024-05-10", "url": "https://questionsmedicales.fr/article/38729772", "identifier": { "@type": "PropertyValue", "propertyID": "DOI", "value": "10.1136/bmjhci-2023-100850" } } ], "breadcrumb": { "@type": "BreadcrumbList", "itemListElement": [ { "@type": "ListItem", "position": 1, "name": "questionsmedicales.fr", "item": "https://questionsmedicales.fr" }, { "@type": "ListItem", "position": 2, "name": "Procédures de chirurgie opératoire", "item": "https://questionsmedicales.fr/mesh/D013514" }, { "@type": "ListItem", "position": 3, "name": "Procédures de chirurgie urogénitale", "item": "https://questionsmedicales.fr/mesh/D013519" }, { "@type": "ListItem", "position": 4, "name": "Procédures de chirurgie urologique", "item": "https://questionsmedicales.fr/mesh/D013520" }, { "@type": "ListItem", "position": 5, "name": "Cystectomie", "item": "https://questionsmedicales.fr/mesh/D015653" } ] } }, { "@type": "MedicalWebPage", "name": "Article complet : Cystectomie - Questions et réponses", "headline": "Questions et réponses médicales fréquentes sur Cystectomie", "description": "Une compilation de questions et réponses structurées, validées par des experts médicaux.", "datePublished": "2026-06-06", "inLanguage": "fr", "hasPart": [ { "@type": "MedicalWebPage", "name": "Diagnostic", "headline": "Diagnostic sur Cystectomie", "description": "Comment diagnostiquer un cancer de la vessie ?\nQuels tests précèdent une cystectomie ?\nQuels symptômes indiquent une cystectomie ?\nQuel rôle joue l'échographie dans le diagnostic ?\nQuand une cystoscopie est-elle nécessaire ?", "url": "https://questionsmedicales.fr/mesh/D015653?mesh_terms=Medical+Order+Entry+Systems#section-diagnostic" }, { "@type": "MedicalWebPage", "name": "Symptômes", "headline": "Symptômes sur Cystectomie", "description": "Quels sont les symptômes d'un cancer de la vessie ?\nComment se manifeste une infection urinaire ?\nQuels signes indiquent une complication post-opératoire ?\nQuels symptômes nécessitent une consultation urgente ?\nComment reconnaître une obstruction urinaire ?", "url": "https://questionsmedicales.fr/mesh/D015653?mesh_terms=Medical+Order+Entry+Systems#section-symptômes" }, { "@type": "MedicalWebPage", "name": "Prévention", "headline": "Prévention sur Cystectomie", "description": "Comment prévenir le cancer de la vessie ?\nQuels facteurs de risque sont évitables ?\nQuel rôle joue l'hydratation dans la prévention ?\nComment le dépistage aide-t-il à prévenir le cancer ?\nQuels aliments peuvent réduire le risque ?", "url": "https://questionsmedicales.fr/mesh/D015653?mesh_terms=Medical+Order+Entry+Systems#section-prévention" }, { "@type": "MedicalWebPage", "name": "Traitements", "headline": "Traitements sur Cystectomie", "description": "Quelles sont les indications pour une cystectomie ?\nQuels types de cystectomie existent ?\nQuels soins post-opératoires sont nécessaires ?\nComment se déroule une cystectomie ?\nQuels traitements alternatifs à la cystectomie ?", "url": "https://questionsmedicales.fr/mesh/D015653?mesh_terms=Medical+Order+Entry+Systems#section-traitements" }, { "@type": "MedicalWebPage", "name": "Complications", "headline": "Complications sur Cystectomie", "description": "Quelles sont les complications possibles d'une cystectomie ?\nComment gérer une infection post-opératoire ?\nQuels signes indiquent une complication grave ?\nComment prévenir les complications après une cystectomie ?\nQuels sont les effets à long terme d'une cystectomie ?", "url": "https://questionsmedicales.fr/mesh/D015653?mesh_terms=Medical+Order+Entry+Systems#section-complications" }, { "@type": "MedicalWebPage", "name": "Facteurs de risque", "headline": "Facteurs de risque sur Cystectomie", "description": "Quels sont les principaux facteurs de risque du cancer de la vessie ?\nComment l'âge influence-t-il le risque ?\nQuel rôle joue le sexe dans le risque de cancer de la vessie ?\nComment les infections urinaires fréquentes affectent-elles le risque ?\nQuel impact a l'alimentation sur le risque ?", "url": "https://questionsmedicales.fr/mesh/D015653?mesh_terms=Medical+Order+Entry+Systems#section-facteurs de risque" } ] }, { "@type": "FAQPage", "mainEntity": [ { "@type": "Question", "name": "Comment diagnostiquer un cancer de la vessie ?", "position": 1, "acceptedAnswer": { "@type": "Answer", "text": "Un cystoscopie, des biopsies et des examens d'imagerie sont utilisés." } }, { "@type": "Question", "name": "Quels tests précèdent une cystectomie ?", "position": 2, "acceptedAnswer": { "@type": "Answer", "text": "Des analyses sanguines, des examens d'imagerie et une évaluation de la fonction rénale." } }, { "@type": "Question", "name": "Quels symptômes indiquent une cystectomie ?", "position": 3, "acceptedAnswer": { "@type": "Answer", "text": "Sang dans les urines, douleurs pelviennes, et symptômes urinaires persistants." } }, { "@type": "Question", "name": "Quel rôle joue l'échographie dans le diagnostic ?", "position": 4, "acceptedAnswer": { "@type": "Answer", "text": "L'échographie aide à visualiser la vessie et détecter des anomalies." } }, { "@type": "Question", "name": "Quand une cystoscopie est-elle nécessaire ?", "position": 5, "acceptedAnswer": { "@type": "Answer", "text": "Elle est nécessaire pour examiner la vessie et prélever des biopsies." } }, { "@type": "Question", "name": "Quels sont les symptômes d'un cancer de la vessie ?", "position": 6, "acceptedAnswer": { "@type": "Answer", "text": "Hématurie, douleurs lors de la miction, et besoin fréquent d'uriner." } }, { "@type": "Question", "name": "Comment se manifeste une infection urinaire ?", "position": 7, "acceptedAnswer": { "@type": "Answer", "text": "Brûlures, besoin urgent d'uriner, et urine trouble ou malodorante." } }, { "@type": "Question", "name": "Quels signes indiquent une complication post-opératoire ?", "position": 8, "acceptedAnswer": { "@type": "Answer", "text": "Fièvre, douleurs abdominales sévères, ou saignements excessifs." } }, { "@type": "Question", "name": "Quels symptômes nécessitent une consultation urgente ?", "position": 9, "acceptedAnswer": { "@type": "Answer", "text": "Sang dans les urines, douleurs intenses, ou incapacité à uriner." } }, { "@type": "Question", "name": "Comment reconnaître une obstruction urinaire ?", "position": 10, "acceptedAnswer": { "@type": "Answer", "text": "Difficulté à uriner, douleur abdominale, et distension abdominale." } }, { "@type": "Question", "name": "Comment prévenir le cancer de la vessie ?", "position": 11, "acceptedAnswer": { "@type": "Answer", "text": "Éviter le tabac, hydrater suffisamment et réduire l'exposition aux produits chimiques." } }, { "@type": "Question", "name": "Quels facteurs de risque sont évitables ?", "position": 12, "acceptedAnswer": { "@type": "Answer", "text": "Le tabagisme et l'exposition à des produits chimiques industriels." } }, { "@type": "Question", "name": "Quel rôle joue l'hydratation dans la prévention ?", "position": 13, "acceptedAnswer": { "@type": "Answer", "text": "Une bonne hydratation aide à diluer les substances cancérigènes dans l'urine." } }, { "@type": "Question", "name": "Comment le dépistage aide-t-il à prévenir le cancer ?", "position": 14, "acceptedAnswer": { "@type": "Answer", "text": "Le dépistage précoce permet de détecter des anomalies avant qu'elles ne deviennent graves." } }, { "@type": "Question", "name": "Quels aliments peuvent réduire le risque ?", "position": 15, "acceptedAnswer": { "@type": "Answer", "text": "Les fruits, légumes et aliments riches en antioxydants peuvent aider." } }, { "@type": "Question", "name": "Quelles sont les indications pour une cystectomie ?", "position": 16, "acceptedAnswer": { "@type": "Answer", "text": "Cancer de la vessie, lésions graves ou maladies de la vessie." } }, { "@type": "Question", "name": "Quels types de cystectomie existent ?", "position": 17, "acceptedAnswer": { "@type": "Answer", "text": "Cystectomie partielle et cystectomie radicale, selon l'étendue de la maladie." } }, { "@type": "Question", "name": "Quels soins post-opératoires sont nécessaires ?", "position": 18, "acceptedAnswer": { "@type": "Answer", "text": "Surveillance des signes vitaux, gestion de la douleur et soins des plaies." } }, { "@type": "Question", "name": "Comment se déroule une cystectomie ?", "position": 19, "acceptedAnswer": { "@type": "Answer", "text": "Elle se fait sous anesthésie générale, avec une incision abdominale ou laparoscopique." } }, { "@type": "Question", "name": "Quels traitements alternatifs à la cystectomie ?", "position": 20, "acceptedAnswer": { "@type": "Answer", "text": "Chimiothérapie, radiothérapie ou immunothérapie selon le stade du cancer." } }, { "@type": "Question", "name": "Quelles sont les complications possibles d'une cystectomie ?", "position": 21, "acceptedAnswer": { "@type": "Answer", "text": "Infections, saignements, et complications urinaires comme l'incontinence." } }, { "@type": "Question", "name": "Comment gérer une infection post-opératoire ?", "position": 22, "acceptedAnswer": { "@type": "Answer", "text": "Antibiotiques et soins appropriés de la plaie sont nécessaires." } }, { "@type": "Question", "name": "Quels signes indiquent une complication grave ?", "position": 23, "acceptedAnswer": { "@type": "Answer", "text": "Fièvre élevée, douleurs abdominales intenses, ou saignements importants." } }, { "@type": "Question", "name": "Comment prévenir les complications après une cystectomie ?", "position": 24, "acceptedAnswer": { "@type": "Answer", "text": "Suivre les instructions post-opératoires et surveiller les signes d'infection." } }, { "@type": "Question", "name": "Quels sont les effets à long terme d'une cystectomie ?", "position": 25, "acceptedAnswer": { "@type": "Answer", "text": "Incontinence, changements dans la fonction urinaire et risque accru d'infections." } }, { "@type": "Question", "name": "Quels sont les principaux facteurs de risque du cancer de la vessie ?", "position": 26, "acceptedAnswer": { "@type": "Answer", "text": "Tabagisme, exposition à des produits chimiques, et antécédents familiaux." } }, { "@type": "Question", "name": "Comment l'âge influence-t-il le risque ?", "position": 27, "acceptedAnswer": { "@type": "Answer", "text": "Le risque de cancer de la vessie augmente avec l'âge, surtout après 55 ans." } }, { "@type": "Question", "name": "Quel rôle joue le sexe dans le risque de cancer de la vessie ?", "position": 28, "acceptedAnswer": { "@type": "Answer", "text": "Les hommes sont plus susceptibles de développer un cancer de la vessie que les femmes." } }, { "@type": "Question", "name": "Comment les infections urinaires fréquentes affectent-elles le risque ?", "position": 29, "acceptedAnswer": { "@type": "Answer", "text": "Des infections urinaires répétées peuvent augmenter le risque de cancer de la vessie." } }, { "@type": "Question", "name": "Quel impact a l'alimentation sur le risque ?", "position": 30, "acceptedAnswer": { "@type": "Answer", "text": "Une alimentation pauvre en fruits et légumes peut augmenter le risque de cancer." } } ] } ] }
Dr Olivier Menir

Contenu validé par Dr Olivier Menir

Expert en Médecine, Optimisation des Parcours de Soins et Révision Médicale


Validation scientifique effectuée le 27/03/2026

Contenu vérifié selon les dernières recommandations médicales

Auteurs principaux

Matthew Mossanen

4 publications dans cette catégorie

Affiliations :
  • Division of Urologic Surgery, Brigham and Women's Hospital, Boston, MA; Center for Surgery and Public Health, Brigham and Women's Hospital, Boston, MA; Dana-Farber Cancer Institute, Boston, MA; Harvard Medical School, Boston, MA. Electronic address: mjhuynh9@gmail.com.

Jonathan L Wright

3 publications dans cette catégorie

Affiliations :
  • Department of Urology, University of Washington, Seattle, WA; Fred Hutchinson Cancer Research Center, Seattle, WA.

Shahrokh F Shariat

3 publications dans cette catégorie

Affiliations :
  • Department of Urology, Medical University of Vienna, Vienna, Austria.
  • Department of Urology, Weill Cornell Medical College, New York, New York.
  • Department of Urology, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
  • Karl Landsteiner Institute of Urology and Andrology, Vienna, Austria.

Mark D Tyson

3 publications dans cette catégorie

Affiliations :
  • Department of Urology, Mayo Clinic Hospital, Phoenix, AZ.

Francesco Montorsi

3 publications dans cette catégorie

Affiliations :
  • Department of Urology and Division of Experimental Oncology, IRCCS San Raffaele Scientific Institute, Vita-Salute San Raffaele University, 20132 Milan, Italy.

Sources (10000 au total)

Effect of knowledgebase transition of a clinical decision support system on medication order and alert patterns in an emergency department.

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....

A systematic review of data elements of computerized physician order entry (CPOE): mapping the data to FHIR.

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...

Interprofessional Evaluation of a Medication Clinical Decision Support System Prior to Implementation.

Computerized physician order entry (CPOE) and clinical decision support systems (CDSS) are widespread due to increasing digitalization of hospitals. They can be associated with reduced medication erro... Therefore, we aimed to evaluate a commonly used CDSS containing Medication-Safety-Validators (e.g., drug-drug interactions), which can be locally activated or deactivated, to identify limitations and ... Within the implementation process of Meona (commercial CPOE/CDSS) at a German University hospital, we conducted an interprofessional evaluation of the CDSS and its included Medication-Safety-Validator... Based on the evaluation, we deactivated 3 of 10 Medication-Safety-Validators due to technical or content-related limitations. For the seven activated Medication-Safety-Validators, we chose the interru... An interprofessional evaluation of CPOE and CDSS prior to implementation in clinical routine is crucial to detect limitations. This can contribute to a sustainable utilization and thereby possibly inc...

Adoption by clinicians of electronic order communications in NHS secondary care: a descriptive account.

Due to the rapid advancement in information technology, changes to communication modalities are increasingly implemented in healthcare. One such modality is Computerised Provider Order Entry (CPOE) sy... This retrospective single-centre study investigates the longitudinal uptake of communications through the Prescribing, Information and Communication System (PICS). The development and configuration of... In the first 6 months of implementation, a total of 832 new request types (imaging types and specialty referrals) were added to the system. Subsequently, an average of 6.6 new request types were added... CPOE was popular, rapidly adopted and diversified across specialties encompassing wide-ranging requests....

Custom order entry for Parkinson's medications in the hospital improves timely administration: an analysis of over 31,000 medication doses.

Patients with Parkinson's disease (PD) are at increased risk for hospital acquired complications. Deviations from home medication schedules and delays in administration are major contributing factors.... We reviewed 31,404 orders placed for PD medications from January 2, 2016 to April 30 2021. We evaluated the orders to determine if they were placed in a Custom format or using a default non-custom ord... 14,204 (45.23%) orders were placed using a custom schedule and 17,200 (54.77%) orders were placed using non-custom defaults. The custom group showed a significantly lower median delay of 3.06 minutes ... This is the largest study to date examining the effects of order entry type on timely administration of PD medications in the hospital. Orders placed using a custom schedule may help reduce delays in ...

Design and evaluation of an electronic prospective medication order review system for medication orders in the inpatient setting.

Since the 1970s, a plethora of tools have been introduced to support the medication use process. However, automation initiatives to assist pharmacists in prospectively reviewing medication orders are ... A subset of the most frequently verified medication orders were identified for inclusion. A team of clinical pharmacist experts developed best-practice EPMOR criteria. The established criteria were in... Overall, 13 404 medication orders were included. Of those orders, 13 133 passed pharmacist review, 7388 of which passed EPMOR. A total of 271 medication orders failed pharmacist review due to order mo... This simulation was capable of effectively discriminating and triaging orders. Protocolization and automation of the prospective medication order review process in the EHR appear possible using clinic... Further research is necessary to refine such algorithms to maximize value, improve efficiency, and minimize safety risks in preparation for the implementation of fully automated systems....

Use of Computerized Physician Order Entry with Clinical Decision Support to Prevent Dose Errors in Pediatric Medication Orders: A Systematic Review.

Prescribing is a high-risk task within the pediatric medication-use process and requires defenses to prevent errors. Such system-centric defenses include electronic health record systems with computer... This study followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 criteria and Synthesis Without Meta-Analysis (SWiM) items. The study protocol was registered in... A total of 17 studies published in 2007-2021 met the inclusion criteria. The most used CDS tools were dose range check (n = 14), dose calculator (n = 8), and dosing frequency check (n = 8). Alerts wer... The CPOE-CDS systems have the potential to reduce pediatric dose errors. Most beneficial interventions seem to be system customization, implementing CDS alerts, and the use of dose range check. While ...

A Data-Driven Approach to Evaluate Barcode-Assisted Medication Preparation Alerts at a Large Academic Medical Center.

The purpose of this study was to develop a data-driven process to analyze barcode-assisted medication preparation alert data with a goal of minimizing inaccurate alerts.... Medication preparation data for the prior three-month period was obtained from an electronic health record system. A dashboard was developed to identify recurrent, high-volume alerts and associated me... The institution averaged 31,000 medication preparation alerts per month. The "barcode not recognized" alert (13,000) was the highest volume over the study period. Eighty-five medication records were i... This quality improvement project highlighted opportunities to improve medication purchasing, storage, and preparation through development of a standard process to evaluate barcode-assisted medication ...

Ability of machine-learning based clinical decision support system to reduce alert fatigue, wrong-drug errors, and alert users about look alike, sound alike medication.

The overall benefits of using clinical decision support systems (CDSSs) can be restrained if physicians inadvertently ignore clinically useful alerts due to "alert fatigue" caused by an excessive numb... We conducted a retrospective study that evaluated MedGuard alerts, the alert acceptance rate, and the rate of LASA alerts between July 1, 2019, and June 31, 2021, from outpatient settings at an academ... Over the two-year study period, 1,206,895 prescriptions were ordered and a total of 28,536 alerts were triggered (alert rate: 2.36 %). Of the 28,536 alerts presented to physicians, 13,947 (48.88 %) we... This study shows that machine learning based CDSS, MedGuard, has an ability to improve patients' safety by triggering clinically valid alerts. This system can also help improve problem list documentat...