医药前沿
醫藥前沿
의약전연
YIAYAO QIANYAN
2015年
10期
65-65,66
,共2页
住院药房%退药原因%分析
住院藥房%退藥原因%分析
주원약방%퇴약원인%분석
Hospital pharmacy%Medicine withdraw reasons%Analysis
目的：通过住院药房退药分类统计，分析退药原因，比较各种退药原因中可控因素和不可控因素所占的比例，提出改进措施，以减少退药事件发生，保证药品质量，维护患者安全用药权益。方法：采用回顾性分析调查新海医院2014年7～12月份的退药单，对退药原因、退药科室、退药金额进行统计，分析住院患者的退药情况。结果：广州新海医院2014年7～12月共收集到4566张退药单，总退药金额达673992.75元。各类退药原因中，不可控因素（转科/院、死亡、过敏）占8.14%；而可控因素（改/停用医嘱、出院、电脑录入错误、患者拒绝用药、药房缺药、药房拒绝调配、患者欠费）占91.86%。结论：我院住院药房退药可控因素占比较大，医院应制定退药制度，规范退药流程；提高医护人员职业责任感，加强与患者的沟通，减少人为原因造成的退药。
目的：通過住院藥房退藥分類統計，分析退藥原因，比較各種退藥原因中可控因素和不可控因素所佔的比例，提齣改進措施，以減少退藥事件髮生，保證藥品質量，維護患者安全用藥權益。方法：採用迴顧性分析調查新海醫院2014年7～12月份的退藥單，對退藥原因、退藥科室、退藥金額進行統計，分析住院患者的退藥情況。結果：廣州新海醫院2014年7～12月共收集到4566張退藥單，總退藥金額達673992.75元。各類退藥原因中，不可控因素（轉科/院、死亡、過敏）佔8.14%；而可控因素（改/停用醫囑、齣院、電腦錄入錯誤、患者拒絕用藥、藥房缺藥、藥房拒絕調配、患者欠費）佔91.86%。結論：我院住院藥房退藥可控因素佔比較大，醫院應製定退藥製度，規範退藥流程；提高醫護人員職業責任感，加彊與患者的溝通，減少人為原因造成的退藥。
목적：통과주원약방퇴약분류통계，분석퇴약원인，비교각충퇴약원인중가공인소화불가공인소소점적비례，제출개진조시，이감소퇴약사건발생，보증약품질량，유호환자안전용약권익。방법：채용회고성분석조사신해의원2014년7～12월빈적퇴약단，대퇴약원인、퇴약과실、퇴약금액진행통계，분석주원환자적퇴약정황。결과：엄주신해의원2014년7～12월공수집도4566장퇴약단，총퇴약금액체673992.75원。각류퇴약원인중，불가공인소（전과/원、사망、과민）점8.14%；이가공인소（개/정용의촉、출원、전뇌록입착오、환자거절용약、약방결약、약방거절조배、환자흠비）점91.86%。결론：아원주원약방퇴약가공인소점비교대，의원응제정퇴약제도，규범퇴약류정；제고의호인원직업책임감，가강여환자적구통，감소인위원인조성적퇴약。
objective Through the hospital pharmacy retreat drugs classification statistics, analyzes the reasons of medicine retreat, compare the return back medicine reason proportion of various controllable factors and uncontrollable factors, put forward improvement measures , in order to reduce retreat medicine incident, ensure drug quality, safeguard patient safety administration rights.Methods Survey the reteat drugs list of from July, 2014 to December, 2014 in XinHai Hospital, gather statistic of the retreat drug reason, medicine department, the amount of money of retreat drug, analysis the retreat drugs of hospitalized patients.Results There were 4566retreat prescription collected from July, 2014 to December, 2014 in XinHai Hospital. Total refund medicine value of RMB 673992.75. Among each kind of refund medicine reason, uncontrollable factors (change one's major/courtyard, death, allergy) for 8.14%; And controllable factors (change/stop using the doctor's advice, discharged, computer entry error, refused to medicine, pharmacy, medicine, pharmacy, refused to allocate, patients owe) accounted for 91.86%.Conclusion The controllable factors of our hospital inpatient pharmacy medicine back is much bigger, the hospital should make retreat medicine system, standardize medicine back process;To improve medical personnel professional sense of responsibility, strengthen the communication with patients, reduce artificial reasons caused by the medicine.
