我院2008年8月~2009年1月门-急诊退药情况分析.docVIP

我院2008年8月~2009年1月门\急诊退药情况分析[摘要] 目的:通过分析我院2008年8月～2009年1月门、急诊退药情况,减少不合理退药的发生。方法:对门、急诊退药原因分布情况,退药科室分布情况,退药药物分布情况进行统计分析。结果:门、急诊退药的原因前3位分别为患者病情变化、药物不良反应、患者不配合治疗,退药科室前3位分别为儿科、急诊科、神经内科,退药药物主要为注射用抗生素和中药注射剂。结论:不合理用药和医患沟通不足是不合理退药的主要原因,应该加强以患者为中心的服务意识,促进合理用药,减少退药现象的发生。 [关键词] 退药情况;合理用药;不良反应 [中图分类号] R197.323[文献标识码] A [文章编号] 1673-7210(2010)05(b)-138-02 Analysis on drug withdrawal for out-patients and emergency in the hospital during August 2008 to January 2009 LIAO Yinbiao, SUN Yidong, HUANG Yongbin, LU Yuling (Zhuhai Branch Hospital, Guangdong Provincial Hospital of Traditional Chinese Medicine, Zhuhai 519015, China) [Abstract] Objective: To analysis of our hospital drug withdrawal for out-patients and emergency to reduce the occurrence of irrational drug withdrawal. Methods: Statistical analysis the distribution of the reasons for drug withdrawal, the distribution of departments for drug withdrawal and the distribution of drug withdrawal on drugs. Results: Patients’ condition changes, adverse drug reactions and treatment of patients with mismatch were the top three reasons; pediatrics, emergency department, neurology were the top three departments for the number of drug withdrawal; withdrawal of drugs primarily for drug injection with antibiotics and Traditional Chinese Medicine injections. Conclusion: Irrational drug use and lack of communication between doctors and patients are the main reason for unreasonable drug withdraw, we should strengthen the patient-centered services in promoting the rational use of medicines to reduce the occurrence of the phenomenon of drug withdrawal. [Key words] Drug withdrawal; Rational use of drugs; Adverse drug reaction 为了保证药品质量和患者的用药安全,由卫生部、国家中医药管理局联合颁布的《医疗机构药事管理暂行规定》第7章第28条规定:为保证患者用药安全,药品一经发出,除医方责任外,不得退换[1]。但药品的特殊性决定了特殊的消费方式,患者没有选择药品的主动权,处于被动消费的状态。随着全社会文化程度的提高和医学知识的普及,患者的自我保护意识也不断增强[2],退药现象不时出现。医疗机构出于维护患者利益,缓和医患关系,弹性执行了此项规定,带来了一定的经济损失。现就我院2008年8月～2009年1月退药情况作一分析,探讨门、急诊用药的规范性,达到安全有效用药、减少退药的目的。 1 资料与方法 1.1 一般资料