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10 mai 2016

Deux chercheurs américains alertent sur les «erreurs médicales»

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Written by: admin
gettyimages-530685483_0

Dans une étude, deux chercheurs américains estiment à plus de 250 000 le nombre de morts dus chaque année aux erreurs médicales, un chiffre qu’ils jugent eux-mêmes en dessous de la réalité. En France, selon un rapport de 2013, le phénomène avoisinerait les 30 000 victimes annuelles.

gettyimages-530685483_0

Selon leurs résultats parus dans la revue scientifique British Medical Journal, les erreurs médicales représenteraient la troisième cause de décès aux Etats-Unis, derrière les maladies cardiovasculaires et les cancers. Outre-Atlantique, 250 000 personnes environ en seraient victimes chaque année.

Erreurs de diagnostic, surdoses de médicaments, soins mal administrés… Les raisons sont nombreuses. Même s’il n’existe aucune statistique offiielle sur les décès liés aux erreurs médicales, leur nombre estimé oscille entre 210 000 et 400 000 personnes hospitalisées aux Etats-Unis. Elles sont donc plus meurtrières qu’en Afrique le sida et le paludisme réunis. Les auteurs se sont basés sur des études répertoriant des admissions à l’hôpital de 1999 à 2013. Ils estiment ainsi que le chiffre avancé de plus de 250 000 est sous-évalué puisqu’il ne concernerait que des personnes décédées à l’hôpital.

Les complications évitables grâce à une meilleure communication font partie de la liste des raisons attribuées à ces morts

Les chercheurs préconisent des enquêtes indépendantes dans le cas de certains décès, comme le fait de vérifier si des erreurs médicales ont été commises, mais ils souhaitent surtout que soient inscrites systématiquement dans le certificat de décès les complications liées aux soins qui auraient, ou qui ont pu jouer, un rôle dans le parcours de santé du patient.

Cette étude a le mérite de reconnaître un problème de santé méconnu, et pas uniquement aux Etats-Unis. En France, un rapport de 2013 évoquait une fourchette de 10 000 à 30 000 décès par an imputables à un accident médicamenteux. « Avec 15 millions d’hospitalisations en France cette année-là, le nombre de décès pourrait ainsi avoisiner les 50 000 », rapportait l’année dernière une association de défense de patients victimes d’accidents médicaux. Ce qui en fait, comme aux Etats-Unis, la troisième cause de mortalité après les cancers et les maladies cardiovasculaires.

La dernière grande enquête date de 1998

La dernière grande enquête consacrée au phénomène date de 1998. Une approche scientifique fiable doit débuter par une reconnaissance du problème afin de répondre aux menaces qui pèsent sur la santé des patients, estiment les deux chercheurs américains. En France, l’Agence nationale de sécurité du médicament et des produits de santé (ANSM) prévoit de réaliser une étude de grande ampleur en 2017 sur les effets cliniques indésirables pour un patient induits par l’administration d’un ou de plusieurs médicaments. Ce phénomène porte un nom : la « iatrogénie ».

Source : RFI – www.rfi.fr



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  83. In mod sigur Insurgent, pentru ca am auzit o gramada de lucruri bune despre serie si imi doresc de mult timp sa o citesc, dar nu am apucat inca. In plus, coperta mi se pare superba.


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  85. For lige at ændre gamet i kommentarerne her: hold nu op hvor er det nogle fede sko!! – de BLÃ… (hvis nogen skulle være i tvivl) – blÃ¥ sko er vejen frem! (hvor er de fra?)Jeg er novice pÃ¥ din blog, men jeg er allerede solgt!Fedt look!


  86. I was slightly creeped out by the foreshadowing (I have not read anything about the actual manner of the Ponds’ departure), but there was a bit where the Doctor and Brian chat about what happens to companions with a kind of neon arrow pointing to their conversation. Oh hai portent of doom.Other than that, I’m quite enjoying this season being a bit easier to follow.


  87. A minute saved is a minute earned, and this saved hours!


  88. Hello,I am looking for booklets/tracts/Bible extracts to give to friends who are not yet believers, in their party bag after my 60th next week!! Time is tight I know. Would you recommend Life Story?Your name came from Anni Davey of Open Air Campaigners


  89. I could read a book about this without finding such real-world approaches!


  90. Dans le désordre :- How I Met Your Mother- Heroes- Friends- My So-Called Life- je laisse une place pour tout un tas d’autres séries que je dévore !!


  91. Legal o vídeo, mais legal ainda é saber que existem jovens q voltam suas atenções para coisas realmente produtivas e com fundamento. Fico triste pq é na Bélgica, onde existe uma cultura BEM maior q a nossa neah! .. Infelizmente, por aqui, os jovens de 18 anos só fazem FUNK CARIOCA por enquanto Rsrs!


  92. The genius store called, they’re running out of you.


  93. If you’re looking to buy these articles make it way easier.


  94. Thanks for some other informative site. The place else may just I am getting that kind of information written in such a perfect means? I’ve a undertaking that I am just now working on, and I’ve been on the glance out for such information.


  95. lieve mensen,wat een narigheid.als we iets kunnen doen,geef dan een seintje,het maakt niet uit wat je ons zou willen vragen


  96. shelf. If I attempt to sleep in, she taps items off the shelf which happily land on my face. It's usually hair bobbins or elastics, until it was my phone once. I don't leave heavy things on said shelf anymore.


  97. What a beautiful story – it brought back memories of camping and fishing with my father too. I love all of the new pictures – the twins just keep getting cuter and cuter!


  98. Jetpack comments are really great, but I still don’t use them because the title has “Arial” as front-size. Is there any way you’ll make this more customizeable in the future?


  99. That’s really shrewd! Good to see the logic set out so well.


  100. aku tengok 2, 3 hari ni ada sorang mamat ke minah gila pi taip banyak banyak . hoi, kau ni sakit ke hapa. pegi main jauh jauh ler jangan menyemak kat sini.Well-loved.


  101. It’s good to get a fresh way of looking at it.


  102. disse:Thanks for the tips you reveal through this blog. In addition, lots of young women who become pregnant do not even attempt to get medical health insurance because they dread they probably would not qualify. Although many states today require that insurers produce coverage no matter the pre-existing conditions. Fees on these kinds of guaranteed options are usually higher, but when considering the high cost of medical care it may be a new safer route to take to protect your financial potential.


  103. Thanks for the link Morpeth. I really wish Space Imaging would get back to me with permission to use their newer photos. They really are spectacular.If you enjoy spying on Area 51, you may also like spying on former spy planes. My page plots the location of every remaining Mach 3 Blackbird.


  104. The subsequent time I learn a weblog, I hope that it doesnt disappoint me as a lot as this one. I mean, I know it was my option to learn, however I actually thought youd have something attention-grabbing to say. All I hear is a bunch of whining about one thing that you would repair in the event you werent too busy in search of attention.


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  106. Could you write about Physics so I can pass Science class?


  107. Hmmmm. I’m afraid our children will tell you our Saturday tradition was laundry! I have vivid memories of spending the entire day washing, drying, and then folding into stacks on the kitchen table. But I also remember music, laughter, conversation, and a sense of total peace and contentment while we were all under the same roof for a few hours, just doing our chores.


  108. Vraiment sympa le documentaire ! Une bonne plongée dans l’univers du vinyle avec en toile de fond, quelques portraits de passionnés, et quelques garages qui prennent l’eau


  109. I’m truly enjoying the style and layout of your site. It is a really effortless on the eyes which makes it significantly a lot more enjoyable for me to come here and go to more often. Did you hire out a designer to create your theme? Excellent function!


  110. Please keep throwing these posts up they help tons.


  111. Muchas Felicidades guapa!! me apunto a tu concurso, a ver si hay suerte!! los flanes de hoy te han quedado geniales, tienen una pintaza que no veas!!Un besete!!


  112. i would like to … i would like to make this for my kids..i have 4 and i am on benefits…plus i work and get tax credits…i have no insurance and car tax and 3 illegal tyres….thanks….


  113. Ho fatto ieri sera questa strepitosissima torta. E' venuta davvero buona, ma un po' diversa dalla tua: più bassa e cremosa, quasi come una mud-cake, e una srta di crosticina sopra che si è un po' frantumata nel togliere la carta forno…. avrò sbagliato qualcosa?? il sapore è meraviglioso, mio marito ha pulito completamente la ciotola dell'impasto…


  114. Super les filles !! je suis fier de toi didouine !!!j’ai vu la video c’est super, j’espère que vous etes pas trop fatiguées…en tous cas profiter bien des dernier jours….ca passe vite…gros bisous et à très bientotla famille bontaz


  115. This shows real expertise. Thanks for the answer.


  116. Good to see real expertise on display. Your contribution is most welcome.


  117. Most help articles on the web are inaccurate or incoherent. Not this!


  118. Hello Philippa,I enjoyed your commentary before the August 8 show. I wanted to ask if you could expand on your slightly cryptic note in the program: “My thanks to Annie Smart, set designer, for going to extraordinary lengths to help me to ascertain when and where we could declare Noel Coward’s mother dead.” -Doug


  119. A bit surprised it seems to simple and yet useful.


  120. Enlightening the world, one helpful article at a time.


  121. Pour ma part j’utilise Support (je m’adaptais au langage de Vohrshak), Tank, Offtank, DPS.Oui les "jeunes" veulent à tout pris du daypayèsse, se spécialisent uniquement en dégâts et oublient totalement la survie… ils meurent… "Bé jcompren pô j’ai mass dps !" – Hé oui jeune scarabée, il faut penser aux compétences de survie, bienvenue sur Guild Wars 2!Je met longtemps avant de trouver un pick-up car mourir ça coûte cher en réparations ^^Dans tout les cas merci du compliment Juliaan !


  122. 11fI keep listening to the news broadcast talk about getting boundless online grant applications so I have been looking around for the finest site to get one. Could you tell me please, where could i get some?


  123. Thank you for sharing most of these wonderful posts. In addition, the optimal travel and medical insurance program can often eliminate those problems that come with vacationing abroad. Any medical crisis can quickly become costly and that’s likely to quickly slam a financial problem on the family finances. Setting up in place the great travel insurance program prior to leaving is worth the time and effort. Thank you


  124. As someone who studies philosophy FOR A LIVING, Matth – you are so full of shit. The last time you read Kierkegaard was either in some random seminar you took as a junior in college or never. Stop trying to sound profound – it totally backfires and makes you looks like a complete ass instead. God, you must be such a bore at parties.


  125. Sorry about that. It hadn’t happened before, so I figured my internets must have glitched up and my comment vanished into the ether. At least you can delete the redundant ones


  126. The bias of the media is not the problem. What is the problem is the dumbing down, the trivialisation, the “gotcha” mentality and the laziness and the game playing.The ABC are the worst offenders as far as the “gotcha” mentality is concerned, and Kerry O’Brien is the worst of the worst, with Fran Kelly not far behind.


  127. I want to to thank you for this excellent read!! I definitely enjoyed every little bit of it. I have got you saved as a favorite to look at new things you post?


  128. Nothing I could say would give you undue credit for this story.


  129. You make things so clear. Thanks for taking the time!


  130. below error. am putting the password. it is working fine when it extract the part7 and 8 it says wrong password kindly guide me for solution! D:\\CCBootcamp\\CCBC.Sec.Tech.Lab.v3.VoD_1-8_.part07.rar: CRC failed in the encrypted file CCBC.Sec.Tech.Lab.v3.VoD(1-8)\\CCBootCamp_Tech_Section-4_IPS.mp4 (wrong password ?)Rajesh Agrawal


  131. Min plante er definitivt hortensia, bÃ¥de ute, inne og i staudebedet og i alle farger etter jordsmonn….primula er ogsÃ¥ deilige fargeklatter pÃ¥ denne "gustne" tiden. Her hos oss pøser regnet ned og det er skikkelig guffent ute. NÃ¥ er det bare Ã¥ kose seg innendørs.


  132. wonderful put up, very informative. I wonder why the other specialists of this sector do not discover this. You ought to proceed your writing. I’m confident, you’ve an enormous visitors’ foundation currently!


  133. There’s nothing like the relief of finding what you’re looking for.


  134. A hora da eleição é fundamental.As Democracias sempre reservam mecanismos para as hipóteses de erros nas eleições ou desvios dos eleitos.O remédio previsto no Brasil é: faz-se a denúncia e esta, se aceita, é julgada pelo competente tribunal.O Ministério Público fez a denúncia, o Senado elegeu seu Presidente.Ao STF cabe aceitar ou não a denúncia e decidir se existe culpado ou inocente. Que se realize a Democracia no Brasil.


  135. Lulu,I don’t think people choose to be like that. Hard times fall on all of us and it takes nice people helping others to get us all back on our feet after a fall. Poor people don’t choose to be poor. Some just choose to stay poor and that frustrates me. That’s what I was trying to say. Thank you for challenging my comment.


  136. I was very delighted to find this site on google.I wanted to say many thanks to you with regard to this great article!! I definitelyloved every little bit of it and I’ve you bookmarked to check out new stuff you post.


  137. ruggles :66The problem was there are no “true” comparable sales to your 1880′s colonial on 2 acres. The banks have swung the pendelum to the opposite extreme….2 years ago they would loan money to anyone who could fog a mirror. Now 790 FICO’s and 200K cash assets are not enough!Bank #1 wanted comparable sales within 1 mile and 6 months….simply ain’t possible with a house of that nature. Bank #2 went 3 miles away to find low end sales that weren’t comparable to your house, just to downgrade the appraisal.


  138. – uh oh. I better tell my wife she can’t ski. She’s also taking speed skating lessons; I keep looking for a good image to fake up a “Cool Runnings 2″ poster (she’s half-Jamaican, grew up in Canada).


  139. Hej Niklas, tack för att du tog kontakt med mig pÃ¥ videorullen för nÃ¥gra minuter sedan! Jag var ju självklart tvungen att gÃ¥ in här direkt… Du berättade om ditt liv och dina svÃ¥righeter efter “olyckan” för mig, men glöm inte att du utstrÃ¥lar lika tydligt det klara brillianta och fungerande i dig!Kram om dig!Jessica


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  141. What is so dreadful about JavaFX? Sure, it is not yet as powerfull as Flex/Air, but is certainly potential and has features Java is lacking (and are probably ported to Java eventually, which is good for the Java GUI-stuff).


  142. I feel like you could probably teach a class on how to make a great blog. This is fantastic! I have to say, what really got me was your design. You certainly know how to make your blog more than just a rant about an issue. Youve made it possible for people to connect. Good for you, because not that many people know what theyre doing.


  143. Overlooked in this discussion is that Massachusetts experience. 97% of the Mass residents have health insurance. Health insurance is available that is not tied to employment. Insurers cannot penalize people for pre-existing conditions. However, the cost problem still remains.Most interesting is how long it takes to make a change like this…. the Mass system is 3 years old and bringing costs under control is expected to take 5 more years.


  144. Have you heard about Google sniping ? there is a buzz about it right now . Basically its an alternative to blogging NOBODYSDEAD.COM check it out and tell me what you think please


  145. I can’t believe you’re not playing with me–that was so helpful.


  146. I think this is one of the most significant information for me. And i am glad reading your article. But want to remark on few general things, The website style is great, the articles is really nice : D. Good job, cheers


  147. disse:Nossa, Isa. Realmente as coisas devem ser ainda mais complicadas para quem tem um filho com alguma necessidade especial. E fica o alerta pra a gente vigiar ainda mais o nosso próprio julgamento: a gente realmente nunca sabe qual a realidade daquela pessoa…


  148. Science studies reality. Beware of anyone telling you we should only study what they think is “appropriate.”I have never felt any such restriction in my research (plenty of other ones) and hope never to. Smacks of what happened with Stalin/Lysenko and what the Wedge Document people are attempting to impose.  Ken  


  149. It’s good to get a fresh way of looking at it.


  150. That really captures the spirit of it. Thanks for posting.


  151. I’m sure I don’t have to tell you that my absolute favorite is tuberose. I think I could easily share a perfume cabinet with Sugandaraja, who mentions many of my white-floral favorites. A few others would include Chanel 22, YSL Nu edp, and the late, discontinued L’Artisan Orchidee Blanche. Not that I own the latter two, but they are worth sniffing if you ever get a chance.


  152. Grade A stuff. I’m unquestionably in your debt.


  153. Parallels were less than tenuous. And Christie hasn’t been “Hummana-Hummaning”, he’s just acknowledged the problems. OTOH – Has Corzine explained why he paid off Katz, or shown us the email correspondence he had when they were negotiating on the side a couple of years ago? Or did he send his AG’s office to court, spending our tax money, to keep his treachery a secret?


  154. O mês de julho chega ao fim… E o julgamento do mensalão já vai começar. Quando será que o exmo. sr. José Antonio Dias Toffoli, “ex-advogado do PT, ex-assessor de José Dirceu, ex-integrante do governo que inventou o mensalão, ex-sócio do escritório que defendeu três mensaleiros e até hoje amigo de alguns dos mais destacados réus do processo”, segundo a Veja, vai brindar o Brasil com sua renúncia à participação nesse processo? Será que esse senhor ainda desfruta um resquício de decência?Nelson Penteado de Castro


  155. I never thought I would find such an everyday topic so enthralling!


  156. Hello, i read your blog occasionally and i own a similar one and i was just wondering if you get a lot of spam feedback? If so how do you stop it, any plugin or anything you can suggest? I get so much lately it’s driving me insane so any support is very much appreciated.


  157. Please teach the rest of these internet hooligans how to write and research!


  158. e abbastanza attinente il parallelo con lo smistamento della posta.Infine: dove si vota per le primarie?Però giurami che sceglierai delle pon-pon migliori della sciura del tatuaggio!


  159. Liebe BarbaraMöchtest du diese süsse Karte wirklich weiter geben? Ich finde sie so herzig – obwohl ich als "Stoffige Frau" euer Papier-Latein nicht immer verstehe, was genau damit gemein ist (Und dann eben zweimal das gleiche frage, gell!!). Aber man muss ja auch nicht alles verstehen! Hauptsache ist, dass mir das alles so gefällt!Herzlichst Rita


  160. I’m not easily impressed. . . but that’s impressing me! 🙂


  161. No complaints on this end, simply a good piece.


  162. Nash Pad~ Our Recent move to Nashville as we support our daughter who is pursuing her music. (Just posted my first post in that Category- “Why leave the home we built to live in an apartment in Nashville?”


  163. Surprisingly well-written and informative for a free online article.


  164. Szia!Fú hirtelen nem is tudom, hogy mit mondjak! Egyszerűen hihetetlen, hogy milyen szépen írsz, és a történet is fantasztikus!A lány, akivel Rob beszélgetett, lehet, hogy az a lány, aki az álmaiban szerepelt?:O Azt hittem, hogy adsz valami magyarázatot a kagylóra, de az túlságosan egyszerű lett volna..Ugye? :DKérlek siess a folytatással!Puszy ♥ Chanel


  165. Right, so once we ventured to The Blue Cobra in North End to check out the hype, it was pretty damn good. If not more locally I enjoy either Aubergine or The Jaipur, both on Albert Road, def the best ones for me.


  166. Also don’t forget that her housekeeper that comes every other day(bullsheet I say…there house can’t be THAT messy) also gives her mani/pedis.


  167. That’s a mold-breaker. Great thinking!


  168. He…He… yea, there no humor like kid humor. Had a friend who taught kids music and one half hour after Christine McAuliffe blew up in the Shuttle he heard the kids say, “What subject did McAuliffe teach? Well she use to be social studies now she’s history”Well, too late for psychological intervention they’re already fucked up. Good stuff my man, I want a gift crack card…


  169. kita rugi mempunyai menteri yg mejoritinya Islam tp tak sanggup nak tegakkan Islam.cakap berdegar2 kata Msia sebuah negara Islam tp lihat pakaian menteri wanitanya…Undang2 Islam diambil sebahagian dan sebahagian lagi dibuang. Inilah ciri2 Islam sejati kata mereka.


  170. I never thought I would find such an everyday topic so enthralling!


  171. I like to party, not look articles up online. You made it happen.


  172. Stunning quilt! Such beautiful colours and the perfect design to show them off. I love it!As a recent first time Pink Chalk customer, I also purchased a Kona colour stack (Hot Summer Nights) and have a quilt underway using some of the solids from it. I’m loving it! Thanks so much, Kathy and the Pink Chalk team for the gorgeous fabrics.


  173. Hahahaha. I’m not too bright today. Great post!


  174. In the complicated world we live in, it’s good to find simple solutions.


  175. Thank you so much for this article, it saved me time!


  176. « Canaille prétentieuse » coûtera trente-huit euros à Dolto-fille pour avoir distingué ainsi D. Lumbroso, biographe décapsuleuse. A vous Passou, la note devrait être plus salée si Daniela a su vous lire. Car nous ne sommes plus à l’époque de louis 64, comme dit Traube, grand brasseur.


  177. That’s a quick-witted answer to a difficult question


  178. Szia Karcsi!Nagyon szép ez a madár, és nagyon köszi a bejegyzést és hírt róla és a csodás fotókat.Csak azt nem tudom, hogy a jó dolgok mindíg miért a Te környékeden történnek, hozzád közel? 🙂 Fülöp miért nem itt hozzám közel, mondjuk Bogdányban, vagy Rátóton telel? 🙂 Ez nem igazság :-))))) (tudod, csak viccelek) :-)))


  179. Gena: It is a terrific cookotp. See? Even Sellsius agrees! As for that score? Easy come, easy go. But, if we were to start chatting about Howard Stern and Anna Nicole or Brittney Spears shaved head, our blog scores would surely increase!jf: Our experience was the same. I wish we were still cooking with it now.


  180. I can completely relate — when my oldest daughter was small, I prided myself on doing it all — working full time, raising her, etc. Now, after a failed marriage, God blessing me with a wonderful husband and 3 more amazing children, I seriously couldn't care less about going to work. Isn't it funny how He brings us around? Found you through the Tea Party Social!


  181. . If you need a two-layer cake you definitely don’t want mine. It’s far too moist and rich to be stacked. The other will work out better just as a practical matter. Thanks again and best of luck with the cake! Send pictures! – Joe


  182. Very nice post. I just stumbled upon your blog and wanted to say that I have truly enjoyed surfing around your blog posts. After all I will be subscribing to your rss feed and I hope you write again soon!


  183. has'nt will proven that he is desperate and to be despised? over and over in fact. hey sophie, next time just delete his comments ok. not worth your time, not a moment of it


  184. Beautiful photos. Especially like the way the clouds look in the first one oh and that little sparrow. Jealous that you already have so many flowers in bloom. I won’t see that here for another two months. Enjoy!


  185. Boa noite, sou microempreendedor individual no interior do estado de SP, quero vender pela internet para todo o estado do brasil, para emitir nota fiscal entre estados precisa ser a nota fiscal eletrônica? Se for nota fiscal eletrônica o microempreendedor individual tera que arcar com os impostos na venda para cada estado? Obrigado


  186. Reading posts like this make surfing such a pleasure


  187. Keine Ahnung, warum mein erster Kommentar nicht angezeigt wird. Moderation? Ich vermute ein Problem mit MySQL, vielleicht hat dein Hoster ja auf eine neue Version umgestellt oder bei der Konfiguration etwas geändert. Die Symptome sind typisch für einen Umstieg von MySQL 4 auf 5. Dort hat sich die Charset-Behandlung entscheidend geändert (verbessert), was allerdings ein Umkonfiguration der Datenbanken zur Folge hat. -Tim


  188. Berlin is different. In Berlin there are still millions of “old Berliners”. They have a typical Berliner accent and (very direct)character. It is called the “Berliner Schnauze”.


  189. I remember at least one EU Star Wars book that had a gay couple (I think it was one of the Rogue Squadron books but I could be wrong), and you could romance Juhani as a woman (and only as a woman).So I call bullshit on no gays in Star Wars.


  190. For the 50000 avios with your first purchase and another 50000 avios on the one year anniversary, does the first purchase have to be on a British airways flight or can it be as simple as a cup of coffee? Also, if my wife and I each sign up, are an we household link these avios?