摘要
目的了解某院临床科室药品退费申请的具体情况,为控制退药频次及退药金额,加强药品质量管理工作提供参考。方法收集2017年某院中心药房的退药申请单14 642张,按退药原因、退药科室及退药品种3方面信息统计申请单数量、退费金额及所占比例。结果退药申请数量及金额最多的前3项原因,依次为病情变化、病人出院及病人拒用。退药申请单数量排名前3位的科室依次为放疗科、内科、胸科,退药金额所占比例排名前3位的科室依次为影像介入科、内镜介入科以及胸科。退药申请单数量最多的药品依次为营养类、消化系统、抗感染药物,金额比例最多的药品依次为抗肿瘤、营养类、造血系统药物。结论通过促进医患沟通,谨慎下达医嘱,加强合理用药,可有效降低退药申请的频次。
OBJECTIVE To understand the specific circumstances of drug refunds in clinical departments of our hospital,and to provide reference for controlling the quantity and sum of drug refund and strengthening the quality control of drugs. METHODS A total of 14 642 applications for drug refund from inpatient pharmacy in 2017 were collected. The number of applications,the sum of refunds was calculated and analyzed according to the reasons for drug refund,the departments applying drug refund,and the types of drugs refunded. RESULTS The three dominant reasons for drug refund were condition change,patient discharge and patient disobedience.The three departments with the largest number of drug refund were radiology department,internal medicine department and thoracic department. The three departments with the largest percentage of drug refund were imaging interventional department,endoscopic interventional department and thoracic department.The largest number of drug refunded was followed by nutrition,digestive system and anti-infective drugs. The largest sum proportions of drug refunded were anti-tumor,nutrition and hematopoietic drugs.CONCLUSION Drug refund can be reduced effectively by promoting communication between doctors and patients,giving proper medical orders and strengthening rational drug use.
作者
张方予
周捷
庄浩裕
黄炎
刘澍
刘韬
ZHANG Fangyu;ZHOU Jie;ZHUANG Haoyu;HUANG Yan;LIU Shu;LIU Tao(Sun Yat-sen University Cancer Center,State Key Laboratory of Oncology in South China,Collaborative Innovation for Cancer Medicine,Guangzhou,Guangdong 510060,China)
出处
《今日药学》
CAS
2018年第7期490-492,496,共4页
Pharmacy Today
基金
广东省医院药学研究基金(2018A29)
关键词
住院药房
退药频次
退药金额
inpatient pharmacy
quantity of drug refund
sum of drug refund
