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286 results on '"Bourdon, O."'

35. RESOURCE UTILIZATION REQUIRED FOR THE USE OF PREMIXED NITROUS OXIDE IN OXYGEN INHALATION IN A LARGE PAEDIATRIC HOSPITAL SETTING

Author

Degrassat-Théas, A, Allouche, A, Dufaÿ Wojcicki, A, Prot-Labarthe, S, Parent de Curzon, O, Bourdon, O, Boudy, V, ORANGE, Colette, Agence Générale des Equipements et Produits de Santé [Paris] (AGEPS), AP-HP Hôpital universitaire Robert-Debré [Paris], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), Unité de Technologies Chimiques et Biologiques pour la Santé (UTCBS - UM 4 (UMR 8258 / U1022)), Ecole Nationale Supérieure de Chimie de Paris - Chimie ParisTech-PSL (ENSCP), Université Paris sciences et lettres (PSL)-Université Paris sciences et lettres (PSL)-Université Paris Descartes - Paris 5 (UPD5)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Institut de Chimie du CNRS (INC)-Centre National de la Recherche Scientifique (CNRS), and Université Paris sciences et lettres (PSL)-Université Paris sciences et lettres (PSL)-Université Paris Descartes - Paris 5 (UPD5)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)-Institut de Chimie du CNRS (INC)

Subjects
[SDV.SP.PG]Life Sciences [q-bio]/Pharmaceutical sciences/Galenic pharmacology, [SDV.SP.PHARMA] Life Sciences [q-bio]/Pharmaceutical sciences/Pharmacology, [SDV.SP.PHARMA]Life Sciences [q-bio]/Pharmaceutical sciences/Pharmacology, [SDV.SP.PG] Life Sciences [q-bio]/Pharmaceutical sciences/Galenic pharmacology
Abstract

International audience; Premixed nitrous oxide (NO) in oxygen is an inhaled gas that is widely used for pain and anxiety management during minor procedures for children. Its rapid onset of action and recovery make NO an attractive option especially in emergency rooms (ER). However, its administration requires a specific organization, notably the involvement of a secondary caregiver specifically dedicated to hold the mask. Literature lacks of data that measure resources specifically devoted to a NO inhalation. We aim to start filling this gap by highlighting the organization and the costs that are necessary in putting in place a treatment by NO in a large paediatric hospital in France.A prospective observational study was conducted from the hospital’s perspective at Robert Debré university hospital (Paris). Our inclusion criteria were children aged from at least 6 months who were presented at the ER in 2015 and to whom NO had been prescribed. We measured the time of the NO inhalation and the time spent by the medical or informal caregivers. Then, we estimated the total cost of the inhalation by patient (time, gas, accessories).The studied sample included 30 children from 1 to 14 years old. In 70% of all cases, a secondary caregiver was required depending on the child’s agitation and anxiety. In 57% of these cases, this help was provided by a member of the medical staff (student or not), otherwise the parents have assisted the child. Our results underline that supplementary medical time is an important part of the cost component (from 10% to 32% depending various scenarios) and would increase if more qualified medical staff had been involved against informal caregivers.Regarding the cost component’s structure, the research of alternative therapeutic options is still relevant for pain and anxiety management during minor procedures for children.

Published
2019
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40. Nutrition parentérale en néonatologie : recommandation de bonne pratique de la Haute Autorité de santé (HAS) en partenariat avec la Société française de néonatologie (SFN)

Author

Tourneux, P., primary, Des Robert, C., additional, Lopez, E., additional, Bourdon, O., additional, Nouyrigat, E., additional, Alexandre, C., additional, Breuil, C., additional, Jouannet, M., additional, Lakhdari, Y., additional, Peretti, N., additional, Provot, S., additional, Rozé, J.-C., additional, Ruitort, S., additional, Saliba, E., additional, and Semama, D., additional

Published
2018
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49. [Consensus validation of a tool to identify inappropriate prescribing in pediatrics (POPI)]

Author

Prot-Labarthe S, Weil T, Np, Nguyen, Aurore Berthe-Aucejo, Angoulvant F, Boulkedid R, Alberti C, and Bourdon O

Subjects
Adult, Male, Consensus, Reproducibility of Results, Guidelines as Topic, Inappropriate Prescribing, Middle Aged, Pharmacists, Drug Prescriptions, Pediatrics, Physicians, Prevalence, Humans, Female, France, Practice Patterns, Physicians', Aged
Abstract

Medication errors including inappropriate prescriptions and drug omissions are one of the causes of adverse drug events in children. Our aim was to develop a preliminary screening tool to detect omissions and inappropriate prescriptions in pediatrics based on French and international guidelines.Disease classification was based on the prevalence rate of pathology and hospital statistics. The criteria were obtained by reviewing many French and international references. The Delphi consensus technique was used to establish the content validity of POPI. The level of agreement and the proposals of healthcare professionals was noted on a nine-point Likert scale.The criteria were categorized according to the main physiological systems (gastroenterology, respiratory infections, pain, neurology, dermatology, and miscellaneous). They were distributed to 16 French pediatric panelists (eight pharmacists, eight pediatricians who were hospital-based [50%] or working in the community [50%]). After two rounds of the Delphi process, 101 of 108 criteria were chosen with strong consensus (76 inappropriate prescriptions and 25 omissions).POPI is the first screening tool to detect inappropriate prescriptions and omissions in pediatrics. It is now necessary to conduct a prospective study to determine inter-rater reliability and the tool's detection capacity.

Published
2015

50. L’outil POPI (Pédiatrie - Omissions et Prescriptions Inappropriées): de la conception à la mise en œuvre de l’application

Author

Ammor, W., Berthe-Aucejo, A, Kosmalski, G., Viard, C, Bréant, V, Chanoine, S., Bourdon, O., Angoulvant, F., and Prot-Labarthe, S.

Abstract

POPI pour Pédiatrie : Omissions et Prescription Inappropriées est le premier outil développé pour détecter les Prescription Inappropriées (PIs) et les Omissions de Prescription (OPs) en pédiatrie. Depuis sa conception en 2011, plusieurs études ont été réalisées autour de l’outil, notamment pour permettre sa validation et son évaluation sur le terrain [1–5].

Published
2024
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