我院静脉药物配置中心退药情况的分析与讨论-肿瘤药学.PDFVIP

- 476 - 肿瘤药学 2015 年 12 月第 5 卷第 6 期　Anti-tumor Pharmacy, December 2015, Vol. 5, No. 6 ●药学服务● 我院静脉药物配置中心退药情况的分析与讨论 向左娟 ，王 尔兵 ，龙明辉 ，伍　 奕，杨立平 （中南大学湘雅 医学院附属肿瘤 医院，湖南 长沙，4 100 13 ） 摘要：目的　对我院静脉药物配置中心的退药情况进行统计和分析，促进临床合理用药。方法　对我院静脉药 物配置中心 2014 月 7 月～2015 年 7 月的退药记录进行统计和分析，并结合退药单分析退药原因。结果　我院静脉药 物配置中心 2014 月 7 月～2015 年 7 月退药金额为 1 787 195.51 元，退药金额最多的依次为抗肿瘤药、营养类药物、抗 生素、水电解质平衡药物、抗肿瘤药辅助用药和中药注射剂，退药原因主要有患者拒绝执行、不良反应、出院、手术取 消、医嘱错误等。结论　退药分析反映了临床用药过程中的不足，静脉药物配置中心应规范管理和退药流程，医生应 在药师指导和监督下合理用药，严格管理抗肿瘤药、抗生素、营养类药物等应用，加强与患者的沟通，提供个体化服 务，从而减少退药。 关键词：静脉药物配置中心；退药；分析 中图分类号：R954 文献标识码 ：A 文章编号：2095-1264（2015）06-0476-05 doi：10.3969/j.issn.2095-1264.2015.06.017 Analysis of the Drug Withdrawal in Pharmacy Intravenous Admixture Services XIANG Zuoj uan, WANG Erbing, LONG Minghui, WU Yi, YANG Lip ing (The Aff iliated Cancer Hosp ital of XiangYa School of Medicine, Central South University, Changsha, Hunan, 410013, China) Abstract: Objective To analyze the drug withdrawal in pharmacy intravenous admixture services (PIVAS) and to promote ra- tional drug use. Methods The data of drug withdrawal between July 2014 and July 2015 in PIVAS were calculated and analyzed. And the drug withdraw notes were collected to analyze the causes. Results The sum of the drug retreated was ¥ 1 787 195.51. Among the retreated drugs, antineoplastic, nutrition support, antibiotic, drugs for water electrolyte balance and traditional Chinese medicine injection were the most frequent species. The causes for drug withdrawal included refusal of patients, adverse drug reac- tion, discharge, cancellation of surgery, irrational orders, and so on. Conclusion We should reduce drug withdrawal and promote the rational drug use by