肝病专科住院药房退药情况调查分析(1)
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【摘要】目的 调查我院肝病专科住院药房退药状况及其原因，探讨以采取相应的措施和建议，减少和避免退药现象的发生，提高药房的药品管理水平。方法 采用回顾性研究，利用医院的HIS系统，对我院肝病专科住院药房2010年7月-2011年6月退药情况进行数据统计，应用Excel表进行数据录入与处理。结果 涉及退药事件4046例，退药总数29888个，退药总金额650957.83元，主要退药原因有出院，医嘱变更、调整，转科/院，系统错误等，原因复杂。结论 退药现象频繁，大量的退药增加了住院药房的工作量，增加了药品质量管理难度，存在严重的医疗安全隐患，亟待管理规范，建议对医务人员的职业道德、技术水平、工作态度等方面加以重视，加强医患沟通，完善相关管理制度和计算机信息系统，规范服务条件，减少退药现象的发生。
【关键词】肝病专科住院药房退药
中图分类号：R95文献标识码：B文章编号：1005-0515(2011)11-396-03
【Abstract】Objective To investigate the situation of our hospital’s hepatology department’s hospitalized patients returning drugs and analyze the reasons. And to prope into the corresponding measures and advices in order to reduce and avoid the phenomena of returning drugs as well as improve drug control standard of pharmacy. Method Adopt retrospective study and make use of HIS system of hospital to processdata statistic (from July,2010 to June, 2011) of our hospital’s hepatology department’s hospitalized patients returning drugs situation and use Excel to type-in the date and process with. Result The result shows it involved 4046 cases of returning drugs, 29888 amounts of returning drugs and total money of 650957.83 yuan. The main reasons of returning drug are leaving hospital, doctor’s advice changed and adjusted, one’s major or hospital changed, system mistake and so on. The reasons are complex. Conclusion Because the frequent phenomena and huge amounts of returning drugs, the pharmacy has much amount of work and increase the difficulty of drug’s quality control. So that has serious medical treatment‘s potential safety hazard. So the management remains to be standardization. This paper advise people to pay attention to improving the medical personnel’s professional ethics, engineering level and work attitude, strengthening the communication of doctors and patients. completing the correlation management system and computer information system. Standardization the service situation, so that to reduce the situation of returning drugs.
【Key words】hepatology department hospitalized pharmacy Drgu repercussion
《医疗机构药事管理暂行规定(2002)》提出的“为保证患者用经安全，药品一经发出，不得退换”，该规定为医院进行退药管理提供了最直接的法规依据，但是实际工作中，住院药房退药频繁，不仅增加病区护士和药房药师的工作量，也大增加了药房管理的不可控性。据不完全统计，早在2000年就有某院一年退药金额达近200万元之多的报道 ......
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