| 引用本文:李季梅，王莹，孟悦，李春玉.药房输液制剂退药情况分析与对策[J].世界中医药,2016,(07):. |
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| 药房输液制剂退药情况分析与对策 |
| Analysis of Infusion Drug Repercussion in Inpatient Dispensary |
| 投稿时间：2016-06-18 |
| DOI：10.3969/j.issn.1673-7202.2016.07.056 |
| 中文关键词: 输液制剂 退药 住院药房 合理用药 分析对策 |
| English Keywords:Infusion drug repercussion Inpatient dispensary Rational drug use Analyze countermeasures |
| 基金项目: |
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| 摘要点击次数: 1054 |
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| 中文摘要: |
| 目的：找出减少住院药房退药的可控环节，制定退药管控措施。方法：HIS系统收集2013年住院患者输液制剂退药信息5 379例、2014年住院患输液制剂退药信息2 721例，以退药金额、频次、种类及原因反应退药状况，找出退药根本原因，并实施改进措施，并与2014年输液制剂退药整体情况比较，呈现改善结果。结果：2014年经分析退药原因后进行改善，将退药例数降至2 721例，两年比较有统计学意义(P<0.05)。2014年除变更医嘱、临时出院、患者转科这三类原因外，其余退药因素改善后的发生频次下降率均在50%以上，有显著改善。2013年退/用金额比较率为7.11%，2014年退/用金额比较率为3.61%，两年退/用金额比较率有统计学意义(P<0.05)。结论：通过优化流程、加强医患沟通、遵守工作流程等措施会降低退药发生率。 |
| English Summary: |
| To identify the controllable factors of drug repercussion in the inpatient dispensary and to find corresponding measures. Methods: To collect 5 379 cases of drug repercussion in 2013 and 2721 cases in 2014 through HIS system, then analyze the reasons, total amount of money, frequency, types of repercussion. After finding the root cause of drug repercussion, take measures to improve the condition of 2014, then compare the results with 2013. Results: The drug repercussion cases in 2014 decreased to 2721 cases after measures taken (P<0.05). In 2004, except for changes of doctor′s advice, temporary discharge from the hospital, and patients transfer, the occurrence of drug repercussion due to other reasons decreased by more than 50%. The rate of refund was 3.61% in 2013, higher than that of 7.11% in 2014 with significant difference (P<0.05). Conclusion: Through optimizing procedures, increasing doctor-patient communication, abiding by working disciplines, the incidence of drug repercussion can be cut down. |
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