医院病区药房退药原因分析及其应对策略  

Analysis of the reasons for drug returns in hospital ward pharmacy and its corresponding strategies

作　　者：胡敏 郭敬茜 HU Min;GUO Jing-xi(Xuzhou Central Hospital,Xuzhou 221000,China)

机构地区：[1]徐州市中心医院,221000 [2]徐州仁慈医院,221000

出　　处：《中国现代药物应用》2024年第3期151-154,共4页Chinese Journal of Modern Drug Application

摘　　要：目的探究医院病区药房退药原因及其应对策略。方法回顾性分析1500张病区药房退药单,分析退药的原因,提出对应的解决措施。结果1500张退药单的退药原因:药品不良反应(23.73%)占首位,其次为患者依从性差(23.00%)、患者出院退药(10.40%)以及药房原因(9.67%)等。1500张退药单的退药种类:抗感染类药物(29.07%)占首位,其次为消化系统类药物(23.33%)、解热镇痛类药物(23.00%)以及心血管系统类药物(9.93%)等。1500张退药单的退药科室:肿瘤内科一病区(15.20%)占首位,其次为急诊重症加强护理病房(EICU)(11.73%)、肿瘤内科二病区(9.93%)以及重症加强护理病房(ICU)(8.07%)等。1500张退药单的退药时间:2022年11月~2023年3月退药单数量(30.40%)占首位,对比2021年3~7月份退药单数量(9.93%)升高;2021年8~12月退药单数量(22.47%)多于2022年1~5月(14.53%)。结论经过对医院病区药房的退药原因进行分析,退药的原因与患者自身、医师、护理人员以及药师等相关,故对其采取相应措施,提高护理人员、医师、药师等的专业知识,降低医师对医嘱的下错率,严格从源头对处方进行处理;医院加强对药房的把控力度,使退药的数量明显降低,也降低了医院退药的亏损率;除此之外,对患者的知识面普及也尤为重要,患者的自我意识提升,从而对药物的排斥度降低,进而提高治疗依从性;通过提高退药的制度程序管理,有利于医院加强对药房退药情况的管理,使得流程更加的规范、有序化。Objective To explore the reasons for drug returns in hospital ward pharmacy and its corresponding strategies.Methods Retrospectively analyzed 1500 refund orders,analyzed the reasons for drug returns,and proposed corresponding solutions.Results Reasons for 1500 refund orders:adverse drug reactions(23.73%)were the most common,followed by poor patient compliance(23.00%),drug returns to patient discharges(10.40%),and pharmacy reasons(9.67%).The types of 1500 refund orders,the anti infective drugs(29.07%)were the most common,followed by digestive system drugs(23.33%),antipyretic and analgesic drugs(23.00%),and cardiovascular system drugs(9.94%).Departments of 1500 refund orders,the first ward of the oncology department has the highest drug return rate(15.20%),followed by emergency intensive care unit(EICU)(11.73%),the second ward of the oncology department(9.93%),and the intensive care unit(ICU)(8.07%).Time periods of 1500 refund orders,the number of refund orders from November 2022 to March 2022(30.40%)was the most,but the trend was generally rise compared to March to July 2021(9.93%),and the number of refund orders from August to December 2021(22.47%)was higher than that from January to May 2022(14.53%).Conclusion Based on the analysis of the reasons for drug returns in the hospital's ward pharmacy,it can be concluded that the reasons for drug returns are determined by the patients themselves,doctors,nursing staff and pharmacists,etc.Therefore,measures are taken to improve the professional knowledge of nursing staff,doctors,pharmacists,etc.,reduce the error rate of doctors giving medical orders,and strictly handle prescriptions from the source.Strengthening the control of pharmacies in hospitals can significantly reduce the number of drug returns and also reduce the loss rate of hospital drug returns.In addition,it is particularly important to popularize the knowledge of patients,as their self-awareness increases,leading to a decrease in drug rejection and an increase in treatment compliance.By improving the system

关 键 词：医院病区药房退药 原因分析 应对策略 

分 类 号：R952[医药卫生—药学]