Sicot Christian
Secrétaire général du Sou Médical groupe MACSF, 10 cours du Triangle de l'Arche 92919 La Defense cedex.
Bull Acad Natl Med. 2005 Nov;189(8):1735-41.
In 2004, the 116000 French doctors who belong to the MACSF group "Sou Medical" submitted 41 declarations of adverse drug reactions (2% of all accident declarations). The most numerous related to complications of anticoagulant treatments (11 declarations). Aside from accidents due to inappropriate supervision (oral anticoagulants), which tend to be more frequently hemorrhagic than thrombotic, these declarations highlight the emergence of accidents resulting from poor management of anticoagulant treatment (oral anticoagulants, antiplatelet drugs) during invasive procedures, and that are more frequently thrombotic (stroke, myocardial infarction) than hemorrhagic. The legal decisions handed down in the same year as a result of complaints by victims of adverse drug reactions generally penalised the doctor for making a wrong prescription, but sometimes also the pharmacist who supplied the drug and the nurse who administered it, in cases where the medical prescription clearly did not comply with the product's approved uses.
2004年，属于MACSF组织“索医”的116000名法国医生提交了41份药品不良反应声明（占所有事故声明的2%）。其中数量最多的与抗凝治疗并发症相关（11份声明）。除了因监管不当（口服抗凝剂）导致的事故往往出血比血栓形成更频繁外，这些声明还凸显出在侵入性操作过程中，抗凝治疗（口服抗凝剂、抗血小板药物）管理不善导致的事故的出现，而且这些事故血栓形成（中风、心肌梗死）比出血更频繁。同年，因药品不良反应受害者投诉而做出的法律裁决，通常会因开具错误处方而惩罚医生，但在医疗处方明显不符合产品批准用途的情况下，有时也会惩罚供应药品的药剂师和给药的护士。
