摘要
目的分析慈溪市第三人民医院病区药房退药情况及原因，提出退药管理对策，以规范用药，减少退药，促进临床合理用药，保证用药安全。方法收集慈溪市第三人民医院病区病房2015年1月～2015年3月的退药医嘱单2256份，分析退药情况及原因。结果内科、儿科、外科、妇产科和重症监护科5个科室涉及退药，金额合计54.22万元，占同科室消费金额的9.72%，其中内科和儿科的退药金额及比例最大，分别为13.26万元和12.13%。抗生素类、维生素类/营养类、激素类、呼吸系统类用药、血液系统类用药、妇科用药、心脑血管类用药和其他8类药物涉及退药，退药品种数为128种，共退药2256次。抗生素的品种居多，其退药频次也较高，共计口服、外用、注射剂、吸入和其他5类制剂涉及退药，口服制剂的品种居多，其退药频次也最高，本院退药的主要原因有来自多方面，包括医嘱改变、出院/转科、不合理用药、患者拒用、不合理退药和其他，其中医嘱改变和出院/转科所占比例最高。结论慈溪市第三人民医院各病区退药现象普遍，退药原因主要与医生相关，需要制定相应的退药制度，医生应该加强医疗技术，药师与医生护士应加强沟通，以降低退药率，保证用药安全。
Objective To analyze the situation and reasons of drug withdrawal in the ward of the third People's hospital of Cixi city,and put forward the countermeasures of drug withdrawal for drug standardization.Methods2256cases in the third People's hospital of Cixi citywithdrawed medicine orders from January2015to March2015were collected and the situation and reasons of drug withdrawal were analyzed.Results5departments like the department of internal medicine,pediatrics,surgery,obstetrics and gynecology and intensive care unit involved in drug withdrawal.The total amounts of RMB542,200were recorded,which was counted for9.72%of all consumption in5departments.The largest amount of drug withdrawals were internal medicine and pediatrics,13.26%and12.13%,respectively.The antibiotics,vitamins/nutrition,hormones,respiratory system drugs,blood system drugs,gynecological drugs,cardiovascular and cerebrovascular drugs were involved in the drug withdrawal,128kinds of drugs and2256times drug withdrawals were recorded.The largest drug withdrawals were antibiotics whose withdrawal frequency was also higher.The oral,topical,injections and inhalation were related to withdrawal drugs,oral preparations was the majority of withdrawal drug,whose withdrawal frequency is also the highest.The main reasons for withdrawal in the third People's hospital of Cixi city included medical advice change,discharge/transcendental,irrational medication,patients refused to use,unreasonable retreatment and other,where the doctor to change and discharge/transitions accounted for the highest proportion.Conclusion The main reason of drug withdrawal in the third People's hospital of Cixi city is mainly related to the doctor,which needs to develop the corresponding countermeasures for drug withdrawal.Doctors should strengthen the medical technology,pharmacists and doctors nurses should strengthen communication to reduce the rate of withdrawal,to ensure drug safety.
作者
高方
施央群
GAO Fang;SHI Yang-qun(Department of Pharmacy, the Third People’s Hospital of Cixi City, Cixi 315324, China)
出处
《中国生化药物杂志》
CAS
2017年第11期390-391,394,共3页
Chinese Journal of Biochemical Pharmaceutics
关键词
病区药房
退药
对策
ward pharmacy
drug withdrawal
countermeasure
