{"id":2001,"date":"2014-10-01T01:00:00","date_gmt":"2014-10-01T00:00:00","guid":{"rendered":"https:\/\/angh.net\/abstracts\/evaluation-des-pratiques-professionnelles-epp-sur-la-pertinence-des-prescriptions-des-ipp-dans-un-centre-hospitalier-general-resultats-de-la-seconde-enquete-de-pratique-realisee-apres-mise-en-plac\/"},"modified":"2018-10-20T18:40:12","modified_gmt":"2018-10-20T16:40:12","slug":"evaluation-des-pratiques-professionnelles-epp-sur-la-pertinence-des-prescriptions-des-ipp-dans-un-centre-hospitalier-general-resultats-de-la-seconde-enquete-de-pratique-realisee-apres-mise-en-plac","status":"publish","type":"post","link":"https:\/\/angh.net\/abstracts\/evaluation-des-pratiques-professionnelles-epp-sur-la-pertinence-des-prescriptions-des-ipp-dans-un-centre-hospitalier-general-resultats-de-la-seconde-enquete-de-pratique-realisee-apres-mise-en-plac\/","title":{"rendered":"Evaluation des pratiques professionnelles (EPP) sur la pertinence des prescriptions des IPP dans un centre hospitalier g\u00e9n\u00e9ral : r\u00e9sultats de la seconde enqu\u00eate de pratique r\u00e9alis\u00e9e apr\u00e8s mise en place d\u2019actions d\u2019am\u00e9lioration."},"content":{"rendered":"

2014<\/strong><\/p>\n

Gilles Macaigne (1), C\u00e9line Saint-Laurent (2), Catherine Cuvelier (2), Florence Harnois (1), Brigitte Loison (2). (1) service de gastro-ent\u00e9rologie, (2) pharmacie. Centre Hospitalier de Marne la Vall\u00e9e. 2-4 cours de la gondoire 77 600 Jossigny.<\/em><\/p>\n

Vie Professionnelle <\/strong>– \u00a02014-04-22 –\u00a0CO –<\/p>\n

________________________________<\/p>\n

INTRODUCTION
\nLes inhibiteurs de la pompe \u00e0 protons (IPP) sont largement prescrits en ville et \u00e0 l\u2019h\u00f4pital. Ils repr\u00e9sentent un budget important de remboursement pour l\u2019assurance maladie, et bien qu\u2019ils poss\u00e8dent une bonne tol\u00e9rance \u00e0 court terme, leur utilisation au long cours peut exposer \u00e0 des risques d\u2019effets ind\u00e9sirables graves.
\nUne premi\u00e8re \u00e9tude de pratique professionnelle \u00e9valuant la conformit\u00e9 des prescriptions d\u2019IPP a \u00e9t\u00e9 men\u00e9e dans notre centre hospitalier (CH) en juin 2012 : 34% des malades hospitalis\u00e9s \u00e9taient sous IPP et seules 30% des indications recens\u00e9es correspondaient \u00e0 celles de l\u2019AMM.
\nL\u2019objectif de ce travail a \u00e9t\u00e9 d\u2019\u00e9valuer, apr\u00e8s la mise en place d\u2019une d\u00e9marche de qualit\u00e9 avec actions d\u2019am\u00e9lioration pour la pertinence des prescriptions et la sensibilisation \u00e0 la iatrog\u00e9nie potentielle des IPP, la conformit\u00e9 des prescriptions aux recommandations valid\u00e9es, pour tous les patients hospitalis\u00e9s dans un centre hospitalier g\u00e9n\u00e9ral. <\/p>\n

PATIENTS ET METHODES
\nUne premi\u00e8re EPP \u00e9valuant la conformit\u00e9 des prescriptions d\u2019IPP a \u00e9t\u00e9 men\u00e9e dans notre CH en juin 2012. Plusieurs actions d\u2019am\u00e9lioration ont \u00e9t\u00e9 men\u00e9es au d\u00e9cours de la premi\u00e8re enqu\u00eate : cr\u00e9ation d\u2019une proc\u00e9dure \u00ab traitement personnel du patient \u00bb ayant pour but de r\u00e9\u00e9valuer les prescriptions d\u2019IPP \u00e0 l\u2019entr\u00e9e du malade au CH ; informations sur la pertinence des prescriptions des IPP (fiche de bon usage avec mention des indications valid\u00e9es et des posologies associ\u00e9es remise \u00e0 chaque m\u00e9decin s\u00e9nior et junior, formations de l\u2019ensemble des m\u00e9decins et des internes \u00e0 l\u2019arriv\u00e9e dans l\u2019h\u00f4pital) ; \u00ab prescription pr\u00e9f\u00e9rentiellement le matin \u00e0 jeun \u00bb mentionn\u00e9e en note informatique dans le logiciel de prescription informatis\u00e9e. Toutes ces mesures et ont \u00e9labor\u00e9es et valid\u00e9es par le COMEDIMS.
\nCette seconde EPP a \u00e9t\u00e9 men\u00e9e sur une journ\u00e9e en avril 2014, au cours de laquelle toutes les prescriptions d\u2019IPP des services d\u2019hospitalisation du Centre Hospitalier de Jossigny ont \u00e9t\u00e9 collig\u00e9es. Le recueil des donn\u00e9es a \u00e9t\u00e9 r\u00e9alis\u00e9 \u00e0 partir d\u2019un questionnaire comportant des informations relatives au patient (\u00e2ge, ant\u00e9c\u00e9dents,..), aux traitements associ\u00e9s, \u00e0 la posologie et \u00e0 l\u2019indication de l\u2019IPP prescrit. La validit\u00e9 des prescriptions a \u00e9t\u00e9 \u00e9valu\u00e9e au regard de l\u2019AMM et des recommandations \u00e9mises par l\u2019HAS, l\u2019AFSSaPS et l\u2019ACCF\/ACG\/AHA. Ces r\u00e9sultats ont ensuite \u00e9t\u00e9 compar\u00e9s \u00e0 ceux obtenus au cours de la premi\u00e8re enqu\u00eate de 2012 men\u00e9e avant les actions d\u2019am\u00e9lioration.<\/p>\n

RESULTATS
\nLa totalit\u00e9 des r\u00e9sultats seront pr\u00e9sent\u00e9s au congr\u00e8s de B\u00e9ziers.<\/p>\n","protected":false},"excerpt":{"rendered":"

2014 Gilles Macaigne (1), C\u00e9line Saint-Laurent (2), Catherine Cuvelier (2), Florence Harnois (1), Brigitte Loison (2). (1) service de gastro-ent\u00e9rologie, (2) pharmacie. Centre Hospitalier de Marne la Vall\u00e9e. 2-4 cours de la gondoire 77 600 Jossigny. Vie Professionnelle – \u00a02014-04-22 –\u00a0CO – ________________________________ INTRODUCTION Les inhibiteurs de la pompe \u00e0 protons (IPP) sont largement prescrits […]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[5],"tags":[25],"class_list":["post-2001","post","type-post","status-publish","format-standard","hentry","category-professionnel","tag-25"],"yoast_head":"\nEvaluation des pratiques professionnelles (EPP) sur la pertinence des prescriptions des IPP dans un centre hospitalier g\u00e9n\u00e9ral : r\u00e9sultats de la seconde enqu\u00eate de pratique r\u00e9alis\u00e9e apr\u00e8s mise en place d\u2019actions d\u2019am\u00e9lioration. - Abstracts des congr\u00e8s de l'ANGH<\/title>\n<meta name=\"description\" content=\"ANGH R\u00e9sum\u00e9s congr\u00e8s H\u00e9patologie Gastroent\u00e9romogie Hepatology Gastroenterology Etudes cliniques Clinical study\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/angh.net\/abstracts\/evaluation-des-pratiques-professionnelles-epp-sur-la-pertinence-des-prescriptions-des-ipp-dans-un-centre-hospitalier-general-resultats-de-la-seconde-enquete-de-pratique-realisee-apres-mise-en-plac\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Evaluation des pratiques professionnelles (EPP) sur la pertinence des prescriptions des IPP dans un centre hospitalier g\u00e9n\u00e9ral : r\u00e9sultats de la seconde enqu\u00eate de pratique r\u00e9alis\u00e9e apr\u00e8s mise en place d\u2019actions d\u2019am\u00e9lioration. - 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