Une synth\u00e8se de retour d\u2019exp\u00e9rience mise en ligne le 6 ao\u00fbt 2026 dans le cadre du dispositif d\u2019accr\u00e9ditation des m\u00e9decins et \u00e9quipes m\u00e9dicales analyse les \u00e9v\u00e8nements ind\u00e9sirables associ\u00e9s aux soins li\u00e9s \u00e0 la gestion p\u00e9riop\u00e9ratoire des traitements antithrombotiques (anticoagulants et antiagr\u00e9gants plaquettaires) en France. Plusieurs millions de patients sont concern\u00e9s par ces traitements, qui exposent \u00e0 des risques h\u00e9morragiques et thrombotiques accrus lors d\u2019une intervention. Malgr\u00e9 l\u2019existence de nombreuses recommandations, des d\u00e9faillances persistent dans la pratique, pouvant entra\u00eener des \u00e9v\u00e8nements ind\u00e9sirables graves, tels que des prolongations d\u2019hospitalisation, des reprises chirurgicales ou des d\u00e9c\u00e8s.<\/p>\n
L\u2019analyse de la base de retour d\u2019exp\u00e9rience a identifi\u00e9 363 \u00e9v\u00e8nements ind\u00e9sirables graves li\u00e9s \u00e0 la gestion p\u00e9riop\u00e9ratoire des anticoagulants, la majorit\u00e9 \u00e9tant cons\u00e9cutive \u00e0 des erreurs de prescription. Les principaux facteurs contributifs relev\u00e9s sont des d\u00e9faillances de communication entre professionnels (notamment lors de la r\u00e9alisation de la check-list ou lors des transitions dans le parcours de soins), une organisation insuffisamment formalis\u00e9e (absence de protocoles, r\u00e9partition des t\u00e2ches peu claire) et des consignes insuffisamment claires ou mal comprises par les patients concernant l\u2019arr\u00eat, la reprise ou le relais du traitement.<\/p>\n
Le document propose des pistes d\u2019am\u00e9lioration des pratiques pour r\u00e9duire ces risques. Pour les professionnels hospitaliers, il s\u2019agit de s\u2019appuyer sur des protocoles locaux fond\u00e9s sur les recommandations existantes, de partager l\u2019information avec les autres professionnels de sant\u00e9, notamment de ville, et d\u2019impliquer les patients via des outils d\u00e9di\u00e9s (dossier m\u00e9dical partag\u00e9, passeport \u201cintervention au bloc op\u00e9ratoire sous antithrombotiques\u201d, supports d\u2019information). Il est \u00e9galement pr\u00e9conis\u00e9 de r\u00e9aliser collectivement le temps 3 de la check-list au bloc op\u00e9ratoire, d\u2019anticiper la sortie du patient et de lui fournir un contact en cas de question. Pour les professionnels de ville, les recommandations portent sur la v\u00e9rification de la coh\u00e9rence des prescriptions et de la compr\u00e9hension par le patient, ainsi que sur l\u2019alerte en cas de doute ou de complication. L\u2019ensemble de ces \u00e9l\u00e9ments vise \u00e0 structurer davantage la gestion p\u00e9riop\u00e9ratoire des antithrombotiques et \u00e0 renforcer la coordination ville\u2013h\u00f4pital et l\u2019information des patients, sans toutefois que des mesures r\u00e9glementaires sp\u00e9cifiques ne soient mentionn\u00e9es.\u00a0(contenu r\u00e9sum\u00e9 par l’IA)\u200bLire la Suite<\/a>\u200b<\/p>","protected":false},"excerpt":{"rendered":" Une synth\u00e8se de retour d\u2019exp\u00e9rience mise en ligne le 6 ao\u00fbt 2026 dans le cadre du dispositif d\u2019accr\u00e9ditation des m\u00e9decins et \u00e9quipes m\u00e9dicales analyse les \u00e9v\u00e8nements ind\u00e9sirables associ\u00e9s aux soins […]<\/p>\n","protected":false},"author":1,"featured_media":4149,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center 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