摘要
目的分析住院药房退药现况及预防对策,以减少临床退药发生,保证用药合理、安全。方法收集2019年6-11月江苏省徐州市中心医院住院药房所有退药申请单8172条,分析退药的病区、药物种类及退药原因。结果所有病区中退药率>3%的病区18个,占退药申请单的86.26%,其中EICU病区退发药百分比最高,其次是急诊皮肤烧伤病区,第三是消化二病区。退药类别中抗感染类占比最高,占总退药的28.22%;其次是消化类,占总退药的15.51%;第三是营养类,占总退药的10.88%。申请退药的原因中,病情变化和死亡、转院、转科的占比较大,分别占38.33%和21.04%。结论通过分析医院临床实际退药单的现状,建立相关的药物管理制度,对患者进行合理用药,在保证用药安全的同时,减少退药,加强医患沟通,可减少医师和药师的工作量,提高工作效率。
Objective To explore the current situation of drug withdrawal in inpatient pharmacy and preventive measures to reduce the clinical drug withdrawal and ensure the safety of rational drug use.Methods Collected all 8172 drug withdrawal applications from the inpatient pharmacy of Xuzhou Central Hospital in Jiangsu Province from June to November in2019,and analyzed the wards,types of drugs and reasons for withdrawal.Results Among all wards,there were 18 wards with a drug withdrawal rate>3%,accounting for 86.26%of the drug withdrawal applications.Among them,the EICU ward had the highest percentage of drug withdrawal,followed by the emergency skin burn ward,and the third was the digestive second ward.Among the drug withdrawal categories,anti-infectives accounted for the highest proportion,accounting for28.22%of the total drug withdrawals;followed by digestion,accounting for 15.51%of the total drug withdrawals;and the third was the nutrition category,accounting for 10.88%of the total drug withdrawals.Among the reasons for applying for drug withdrawal,changes in condition and death,transfer to hospital and department accounted for a relatively large proportion,accounting for 38.33%and 21.04%respectively.Conclusion By analyzing the actual status of the hospital’s clinical drug withdrawal form,establishing a relevant drug management system,and rationally administering drugs to patients,while ensuring drug safety,reducing drug withdrawals and strengthening doctor-patient communication can reduce the workload of physicians and pharmacists and increase work efficiency.
作者
刘文侠
王光勇
LIU Wenxia;WANG Guangyong(Department of Pharmacy,Xuzhou Central Hospital,Jiangsu Province,Xuzhou 221009,China;不详)
出处
《临床合理用药杂志》
2020年第35期26-28,共3页
Chinese Journal of Clinical Rational Drug Use
关键词
住院药房
退药现况分析
预防对策
效果
Inpatient pharmacy
Analysis of the current situation of drug withdrawal
Preventive measures
Effect
