我院药房退药原因分析及减少退药的措施探讨.docVIP

精品论文 参考文献 我院药房退药原因分析及减少退药的措施探讨 蒋莉妹 江苏省盛泽医院药剂科 215228 【摘 要】目的：研讨导致我院药房退药的相关因素，并制定应对措施以减少退药的情况。方法：检索我院药房2015年5月至12月的4235张退药单，并从退药科室、退药种类及退药原因三方面进行分析和总结。结果：退药科室主要集中在重症监护室、消化科和心内科，所占比重各是7.60%、7.08%和6.09%；退药种类主要是抗微生物药物、调节水电解质与酸碱度紊乱及营养药物、循环系统药物，各占32.14%、17.99%和13.01%；退药原因以医嘱调整居多，占50.15%，其次是患者转科或临时出院和药物副反应，各占15.02%和10.11%。结论：及时了解导致医院药房退药的相关因素，并从规范用药、加强沟通和健全药物副反应监测机制等方面着手应对，是医院控制退药问题、提高综合用药水平的关键。 【关键词】药房；退药原因；减少退药；应对措施 【Abstract】Objective：To discuss the causes of refunding medicine and the measures on reducing to refund medicine in our hospital pharmacy.Methods：From May to December in 2015，4235 refunding medicine indexes in the hospital pharmacy were retrieved，and were analyzed and summarized from 3 sides including refunding medicine department，kinds，reasons.Results：Refunding medicine departments mainly concentrated in the intensive care unit，Digestive department and Cardiology department，with each ratio of 7.60%，7.08% and 6.09%.Refund medicine species mainly included antimicrobials，regulating water electrolyte and Adjust the water electrolyte and acid-base value disorder drugs，and nutrition drugs，and each accounted for 32.14%，17.99% and 17.99%.The reasons about refunding medicine were mainly the doctors advice to adjust，accounting for 50.15%，followed by patients to change ones major or temporary hospital and drug adverse reactions，with each accounting for 15.02% and 10.11%.Conclusion：Knowing the related factors of refunding medicine timely，face to solve from 3 sides including Standard medication，strengthen communication and improve the drug adverse event monitoring mechanism，which are the key to improve the level of comprehensive administration. 【Keywords】Pharmacy；Refund medicine causes；Reduce the refund medicine；Measures 《医疗机构药事管理暂行条例》中明确指出，所有药物一经售出，均不予以退换[1]。但出于多方面考虑，如医院信誉、患者利益及医患纠纷等，目前针对患者退药的现象仍很难杜绝。为尽量避免发生退药的情况，本文对近期4235张退药单进行了分类分析和总结，并制定一些措施应对，现归纳如下。 1 资料与方法 利用医院信息系统检索我院药房2015年5月至12月的退药单共4235张，从退药科室、退药种类及退药原因三方面进行分析和总结，其中涉及的数据由Excel软件处理。 2 结果