2017年某医院住院药房退药处方分析.docVIP

2017年某医院住院药房退药处方分析 黄利 成都大学附属医院药剂科 X 关注成功！ 加关注后您将方便地在 我的关注中得到本文献的被引频次变化的通知！ 新浪微博 腾讯微博 人人网 开心网 豆瓣网 网易微博 摘????要： 目的 了解掌握我院住院药房病区退药的相关原因, 从中找出问题, 分析问题, 与临床科室沟通, 从而减少退药的发生, 保障患者用药安全。方法 从我院2017年上半年对各科室的退药情况进行统计, 主要是对退药排名前5的科室进行退药原因统计, 并与临床科室沟通, 统计结果。结果 我院退药原因众多, 有的是可以避免的, 而有的是不能避免的。结论 通过对退药处方的分析, 找出退药原因, 把可以避免的退药处理掉, 极大地减少了药房的工作, 解放了生产力, 同时也提高了患者的用药安全。 关键词： 退药原因; 药品质量; 避免; 原因分析; 作者简介：黄利, 女, 30岁, 药师。 Analysis of Prescriptions for Withdrawal in Inpatient Dispensary of a Hospital in 2017 HUANG Li Department of pharmacy; Affiliated Hospital of Chengdu University; Abstract： Objective To understand the reasons for withdrawal of drugs in the inpatient dispensary of our hospital, find out the problems, analyze the problems and communicate with the clinical departments, so as to reduce the occurrence of withdrawal and ensure the safety of medication. Methods From 2017 to the first half of our hospital, the statistics of the drug repercussion in each department were carried out, and the reasons for the withdrawal of drugs in the top 5 departments were investigated. The results were communicated with the clinical departments and the statistical results were obtained. Results There are many reasons for withdrawal in our hospital, some can be avoided, and some cant be avoided. Conclusion: through the analysis of the prescription, find out the reasons for the withdrawal, avoid the withdrawal of drugs, greatly reduce the pharmacy work, emancipate the productive forces, and also improve the safety of the patients medication. Keyword： Reasons for withdrawal; Quality of drugs; Avoidance; Cause analysis; 0 引言 《医疗机构药事管理暂行规定》明确指出:为保障患者用药安全, 药品一经发出不得退换。但实际情况是住院药房每天仍然有很多退药。而且退药还有逐月增加的趋势, 这给药品的质量管理带来很大的不便, 而且有的药品需要特殊保存, 比如2-8℃冰箱保存, 避光保存, 药品一旦离开药房, 它的保存环境是药学人员不可控的。我院目前针对特殊保存的药品采取的措施是;让科室写借条, 在它下次开具相同的药品时扣除。但是这个方法治标不治本, 而且也增加了药房的工作量。还无法保证患者的用药安全。所以怎样减少退药, 才是解决问题的根本。 1 资料来源 2017年上半年我院住院药房退药处方一共是10981次, 我院一共有个科室, 从中抽取退药最多的5个科室, 进行退药原因分析。其中各科室退药情况见表1。 表1 各科室退药情况 ?? 下载原表 2 资料分析 根据各科