Informatisation des prescriptions médicamenteuses et Never events : le retour d’expérience des professionnels de santé comme point de départ à une utilisation plus sécuritaire du logiciel d’aide à la prescription

Haute Autorité de santé. Mettre en œuvre la certification pour la qualité des soins [Internet]. [Cité 28 mars 2022. Disponible sur : https://www.has-sante.fr/jcms/r_1495044/fr/mettre-en-oeuvre-la-certification-pour-la-qualite-des-soins]. Fiche mémo FORAP « médicament à risque » [Internet]. [Cité 26 mars 2022. Disponible sur : https://www.ceppraal-sante.fr/ressources/outils-2/]. ANSM. Les évènements qui ne devraient jamais arriver – « Never Events » – ANSM : Agence nationale de sécurité du médicament et des produits de santé [Internet]. [Cité 1 nov 2021. Disponible sur : https://archiveansm.integra.fr/Dossiers/Securite-du-medicament-a-l-hopital/Les-evenements-qui-ne-devraient-jamais-arriver-Never-Events/(offset)/0]. Ministère du Travail, de l’Emploi et de la Santé. Circulaire no DGOS/PF2/2012/72 du 14 février 2012 relative au management de la qualité de la prise en charge médicamenteuse dans les établissements de santé [Internet]. [Cité 12 oct 2021. Disponible sur : http://circulaire.legifrance.gouv.fr/pdf/2012/02/cir_34700.pdf]. Shamliyan, 2008, Just what the doctor ordered. Review of the evidence of the impact of computerized physician order entry system on medication errors, Health Serv Res, 43, 32, 10.1111/j.1475-6773.2007.00751.x Ciapponi, 2021, Reducing medication errors for adults in hospital settings, Cochrane Database Syst Rev, 11, CD009985 Prgomet, 2017, Impact of commercial computerized provider order entry (CPOE) and clinical decision support systems (CDSSs) on medication errors, length of stay, and mortality in intensive care units: a systematic review and meta-analysis, J Am Med Inform Assoc, 24, 413, 10.1093/jamia/ocw145 Manias, 2020, Interventions to reduce medication errors in adult medical and surgical settings: a systematic review, Ther Adv Drug Saf, 11, 10.1177/2042098620968309 Roumeliotis, 2019, Effect of electronic prescribing strategies on medication error and harm in hospital: a systematic review and meta-analysis, J Gen Intern Med, 34, 2210, 10.1007/s11606-019-05236-8 Campbell, 2006, Types of unintended consequences related to computerized provider order entry, J Am Med Inform Assoc, 13, 547, 10.1197/jamia.M2042 Ash, 2007, The extent and importance of unintended consequences related to computerized provider order entry, J Am Med Inform Assoc, 14, 415, 10.1197/jamia.M2373 Korb-Savoldelli, 2018, Prevalence of computerized physician order entry systems-related medication prescription errors: a systematic review, Int J Med Inf, 111, 112, 10.1016/j.ijmedinf.2017.12.022 Videau, 2021, Characteristics of pharmacist's interventions triggered by prescribing errors related to computerised physician order entry in French hospitals: a cross-sectional observational study, BMJ Open, 11, e045778, 10.1136/bmjopen-2020-045778 Lecointre, 2015, Étude rétrospective des erreurs médicamenteuses liées à l’informatisation au sein d’un établissement chirurgical, Pharm Hosp Clin, 50, 180 Horsky, 2005, Comprehensive analysis of a medication dosing error related to CPOE, J Am Med Inform Assoc, 12, 377, 10.1197/jamia.M1740 Kuitunen, 2021, Systemic causes of in-hospital intravenous medication errors: a systematic review, J Patient Saf, 17, e1660, 10.1097/PTS.0000000000000632 Wetterneck, 2011, Factors contributing to an increase in duplicate medication order errors after CPOE implementation, J Am Med Inform Assoc, 18, 774, 10.1136/amiajnl-2011-000255 Charpiat, 2012, [Opportunities for medication errors and pharmacist's interventions in the context of computerized prescription order entry: a review of data published by French hospital pharmacists], Ann Pharm Fr, 70, 62, 10.1016/j.pharma.2012.02.002 Hellot-Guersing, 2016, [Medication errors related to computerized physician order entry at the hospital: record and analysis over a period of 4 years], Ann Pharm Fr, 74, 61, 10.1016/j.pharma.2015.06.001 FORAP, 2017 Lamand, 2018, Never events, never forget! [Internet] Muhiyaddin, 2020, The impact of clinical decision support systems (CDSS) on physicians: a scoping review, Stud Health Technol Inform, 272, 470 Girard, 2017, Face aux erreurs médicamenteuses, quelles sont l’expérience et la perception des professionnels de santé d’un centre hospitalier français ?, Pharmactuel, 50, 241 Grissinger, 2010, Harmful medication errors involving unfractionated and low-molecular-weight heparin in three patient safety reporting programs, Jt Comm J Qual Patient Saf, 36, 195 Schiff, 2016, Computerised prescribing for safer medication ordering: still a work in progress, BMJ Qual Saf, 25, 315, 10.1136/bmjqs-2015-004677 Lamont, 2010, Improving the safety of oxygen therapy in hospitals: summary of a safety report from the National Patient Safety Agency, BMJ, 340, c187, 10.1136/bmj.c187 Masson E. Évaluation des connaissances sur les gaz médicaux : première étape vers une sécurisation du circuit [Internet]. EM-Consulte. [cité 12 nov 2022. Disponible sur : https://www.em-consulte.com/article/944607/evaluation-des-connaissances-sur-les-gaz-medicaux]. Jungreithmayr, 2021, The impact of a computerized physician order entry system implementation on 20 different criteria of medication documentation-a before-and-after study, BMC Med Inform Decis Mak, 21, 279, 10.1186/s12911-021-01607-6 Villard, 2014, E-learning et never events : à propos des erreurs de programmation des dispositifs d’administration, Pharm Hosp Clin, 49, 323 Davoine, 2016, Analyse de risque : focus sur la prescription des héparines, Pharm Hosp Clin, 51, 342 Charpiat, 2016, [Identification of knowledge deficits of pharmacy students at the beginning of the fifth year of pharmacy practice experience: proposals to change the content of academic programs], Ann Pharm Fr, 74, 404, 10.1016/j.pharma.2016.01.001 Vialle, 2011, [To know, understand and combating medication errors related to computerized physician order entry], Ann Pharm Fr, 69, 165, 10.1016/j.pharma.2011.01.005 Lee, 2014, Impact of a clinical decision support system for high-alert medications on the prevention of prescription errors, Int J Med Inf, 83, 929, 10.1016/j.ijmedinf.2014.08.006 Masson E. État des lieux de l’utilisation du chlorure de potassium injectable en vue du référencement de solutions prêtes a l’emploi [Internet]. EM-Consulte. [cité 12 nov 2022. Disponible sur : https://www.em-consulte.com/article/1278575/etat-des-lieux-de-l-utilisation-du-chlorure-de-pot]. Breniaux, 2022, [Analysis of heparin sodium prescribing practices with a electric syringe pump], Ann Pharm Fr