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[Prevention of avoidable iatrogenic disease: when patient safety joins with health care economics].

The prevention of preventable adverse therapeutic events (iatrogenic), especially drug related, is a major medical goal for patients, economics and the community. Its incidence is 5 to 15 per cent of hospitalization days. Preventable iatrogenic is a main problem in terms of public health owing to its human and economic consequences. Prevention of iatrogenic is based on better knowledge of its reality, on well-adapted initial and long-term intensive training of physicians, other healthcare workers and also patients and citizens. A better healthcare system is also needed.

Delivery of Health Care↗
PubMed1983

[Iatrogenic diseases of the hematopoietic system in the aged].

As far as iatrogenic damage to haematopoesis in old-aged patients is concerned, diagnostic methods present little danger. However, a staging-laparotomy in malignant lymphomas is contraindicated. Significant are late-initiated examinations due to uncontemplated haematological illnesses, especially erythropoiesis. Polymorbidity often leads to medicinal polypragmasy especially when several organ specialists are at work and the local practitioner is not carrying out the treatment alone. The results are agranulocytosis and aplastic anaemia. An intensified hemorrhagic diathesis can occur with old age through damage to the functioning of the thrombocytes. An increased preparedness for thrombosis in old age necessitates a fortified thrombosis prophylaxis. Anticoagulants should be used with extreme precaution. In the treatment of haematoblastosis aggressive chemotherapy can be replaced by symptomatic methods with increased old age.

Aged↗