{"version":"1.0","provider_name":"Gestions hospitali\u00e8res","provider_url":"https:\/\/www.ricom-web8.com\/gestions","author_name":"yann Le Sager","author_url":"https:\/\/www.ricom-web8.com\/gestions\/author\/lesager-yannstudioricom-com\/","title":"La pharmacie clinique, source d\u2019information m\u00e9dicale - Gestions hospitali\u00e8res","type":"rich","width":600,"height":338,"html":"<blockquote class=\"wp-embedded-content\" data-secret=\"1nEyCT6tRP\"><a href=\"https:\/\/www.ricom-web8.com\/gestions\/la-pharmacie-clinique-source-dinformation-medicale\/\">La pharmacie clinique, source d\u2019information m\u00e9dicale<\/a><\/blockquote><iframe sandbox=\"allow-scripts\" security=\"restricted\" src=\"https:\/\/www.ricom-web8.com\/gestions\/la-pharmacie-clinique-source-dinformation-medicale\/embed\/#?secret=1nEyCT6tRP\" width=\"600\" height=\"338\" title=\"\u00ab\u00a0La pharmacie clinique, source d\u2019information m\u00e9dicale\u00a0\u00bb &#8212; Gestions hospitali\u00e8res\" data-secret=\"1nEyCT6tRP\" frameborder=\"0\" marginwidth=\"0\" marginheight=\"0\" scrolling=\"no\" class=\"wp-embedded-content\"><\/iframe><script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\n\/*! This file is auto-generated *\/\n!function(d,l){\"use strict\";l.querySelector&&d.addEventListener&&\"undefined\"!=typeof URL&&(d.wp=d.wp||{},d.wp.receiveEmbedMessage||(d.wp.receiveEmbedMessage=function(e){var t=e.data;if((t||t.secret||t.message||t.value)&&!\/[^a-zA-Z0-9]\/.test(t.secret)){for(var s,r,n,a=l.querySelectorAll('iframe[data-secret=\"'+t.secret+'\"]'),o=l.querySelectorAll('blockquote[data-secret=\"'+t.secret+'\"]'),c=new RegExp(\"^https?:$\",\"i\"),i=0;i<o.length;i++)o[i].style.display=\"none\";for(i=0;i<a.length;i++)s=a[i],e.source===s.contentWindow&&(s.removeAttribute(\"style\"),\"height\"===t.message?(1e3<(r=parseInt(t.value,10))?r=1e3:~~r<200&&(r=200),s.height=r):\"link\"===t.message&&(r=new URL(s.getAttribute(\"src\")),n=new URL(t.value),c.test(n.protocol))&&n.host===r.host&&l.activeElement===s&&(d.top.location.href=t.value))}},d.addEventListener(\"message\",d.wp.receiveEmbedMessage,!1),l.addEventListener(\"DOMContentLoaded\",function(){for(var e,t,s=l.querySelectorAll(\"iframe.wp-embedded-content\"),r=0;r<s.length;r++)(t=(e=s[r]).getAttribute(\"data-secret\"))||(t=Math.random().toString(36).substring(2,12),e.src+=\"#?secret=\"+t,e.setAttribute(\"data-secret\",t)),e.contentWindow.postMessage({message:\"ready\",secret:t},\"*\")},!1)))}(window,document);\n\/* ]]> *\/\n<\/script>\n","description":"\ufeffAvec la mise en place de la tarification \u00e0 l\u2019activit\u00e9 dans les \u00e9tablissements de sant\u00e9, le codage des s\u00e9jours hospitaliers est un vrai enjeu.\u2008Le d\u00e9partement d\u2019information m\u00e9dicale (DIM) est souvent confront\u00e9 \u00e0 des informations m\u00e9dicales incompl\u00e8tes.\u2008Les pharmaciens cliniciens d\u00e9tiennent une partie des donn\u00e9es manquantes, car certains m\u00e9dicaments signent la pr\u00e9sence de comorbidit\u00e9s. Le projet men\u00e9 par les auteurs a consist\u00e9 \u00e0 mettre en \u00e9vidence ces pathologies lors de l\u2019activit\u00e9 de pharmacie clinique et \u00e0 les signaler au DIM pour qu\u2019elles soient int\u00e9gr\u00e9es lors du codage en vue d\u2019am\u00e9liorer celui-ci. Une \u00e9tude de 17 mois men\u00e9e au centre hospitalier de Villefranche-sur-Sa\u00f4ne a permis la valorisation des dossiers m\u00e9dicaux, mais le projet a d\u2019autres perspectives : p\u00e9renniser et optimiser la collaboration DIM\/pharmacie et \u00e9tendre les comp\u00e9tences des pharmaciens cliniciens."}