{"id":22945,"date":"2026-02-28T11:54:06","date_gmt":"2026-02-28T11:54:06","guid":{"rendered":"https:\/\/www.europesays.com\/be-fr\/22945\/"},"modified":"2026-02-28T11:54:06","modified_gmt":"2026-02-28T11:54:06","slug":"haute-autorite-de-sante-flash-securite-patient-retranscription-des-prescriptions-medicamenteuses-copier-une-prescription-cest-risquer-de-coller-des-erreurs","status":"publish","type":"post","link":"https:\/\/www.europesays.com\/be-fr\/22945\/","title":{"rendered":"Haute Autorit\u00e9 de Sant\u00e9 – Flash S\u00e9curit\u00e9 Patient \u00ab (Re)transcription des prescriptions m\u00e9dicamenteuses. Copier une prescription, c\u2019est risquer de coller des erreurs\u00bb"},"content":{"rendered":"

Haute Autorit\u00e9 de Sant\u00e9 – Flash S\u00e9curit\u00e9 Patient \u00ab (Re)transcription des prescriptions m\u00e9dicamenteuses. Copier une prescription, c\u2019est risquer de coller des erreurs\u00bb<\/p>\n


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\t\t <\/p>\n


\n Contexte<\/p>\n

Dans son rapport publi\u00e9 en septembre 2025 sur les \u00e9v\u00e8nements ind\u00e9sirables graves associ\u00e9s aux soins (EIGS) li\u00e9s aux prescriptions m\u00e9dicamenteuses, la Haute Autorit\u00e9 de sant\u00e9 a mis en \u00e9vidence l\u2019existence d\u2019erreurs caus\u00e9es par des retranscriptions.<\/p>\n

La (re)transcription d\u2019une prescription m\u00e9dicamenteuse (copie d\u2019un support papier vers un logiciel, d\u2019un logiciel vers un autre ou d\u2019un logiciel vers un support papier) expose \u00e0 de multiples risques: erreur de dose, confusion d\u2019unit\u00e9, mauvaise mol\u00e9cule, date d\u2019administration incorrecte ou omission d\u2019une information essentielle.<\/p>\n

Ces situations surviennent particuli\u00e8rement lors des transitions de soins (admission, transfert, retour d\u2019hospitalisation), notamment lorsque les syst\u00e8mes d\u2019information ne sont pas interop\u00e9rables. Elles peuvent aussi \u00eatre favoris\u00e9es par des fragilit\u00e9s organisationnelles : absence de prescripteur identifi\u00e9, d\u00e9faut de supervision.<\/p>\n


\n Pour que cela ne se reproduise pas<\/p>\n

La retranscription d\u2019une prescription par un professionnel non habilit\u00e9 \u00e0 prescrire est interdite. S\u2019il n\u2019y a pas de prescription m\u00e9dicale \u00e9crite par des professionnels habilit\u00e9s, il n\u2019est pas possible d\u2019administrer de m\u00e9dicaments, sauf en situation d\u2019urgence (avec r\u00e9gularisation \u00e9crite par le m\u00e9decin dans les meilleurs d\u00e9lais).<\/p>\n

Pour limiter la survenue et les cons\u00e9quences des EIGS li\u00e9s \u00e0 la retranscription, il est pr\u00e9conis\u00e9 de :<\/p>\n

\u00e9viter toute retranscription, m\u00eame par les professionnels habilit\u00e9s \u00e0 prescrire\u00a0;
\n s\u2019appuyer sur une organisation s\u00e9curis\u00e9e qui permet de : <\/p>\n

garantir la disponibilit\u00e9 d\u2019un prescripteur identifi\u00e9,
\n encadrer et superviser les prescriptions des internes ou docteurs juniors,
\n formaliser et tracer les \u00e9changes via une messagerie s\u00e9curis\u00e9e int\u00e9gr\u00e9e aux outils num\u00e9riques\u00a0;<\/p>\n

\u00e9valuer r\u00e9guli\u00e8rement les pratiques (en v\u00e9rifiant la tra\u00e7abilit\u00e9 et la coh\u00e9rence entre prescription, dispensation et administration), et d\u00e9ployer des actions d\u2019am\u00e9lioration continue si n\u00e9cessaire\u00a0;
\n s\u00e9curiser les transitions de soins en mettant en \u0153uvre la conciliation m\u00e9dicamenteuse d\u00e8s l\u2019admission du patient\u00a0;
\n fiabiliser les outils num\u00e9riques\u00a0: <\/p>\n

utilisation syst\u00e9matique d\u2019un logiciel d\u2019aide \u00e0 la prescription (LAP),
\n param\u00e9trage de droits d\u2019acc\u00e8s et de profils utilisateurs appropri\u00e9s,
\n recours \u00e0 un support num\u00e9rique unique pour la prescription et l\u2019administration,
\n interop\u00e9rabilit\u00e9 des syst\u00e8mes d\u2019information,
\n formation r\u00e9guli\u00e8re des professionnels \u00e0 l\u2019usage des logiciels et des outils m\u00e9tiers.<\/p>\n

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\t
\n\tVoir aussi<\/p>\n

\n \t\tOutil d’am\u00e9lioration des pratiques professionnelles\n\t\t\t\t <\/p>\n

04\/03\/2021<\/p>\n

\t <\/p>\n

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suRh2UnTnbZYMNzf<\/p>\n


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