資源描述:
《肝病??谱≡核幏客怂幥闆r調(diào)查研究》由會(huì)員上傳分享,免費(fèi)在線閱讀,更多相關(guān)內(nèi)容在工程資料-天天文庫(kù)。
1、肝病專科住院藥房退藥情況調(diào)查研究【摘要】目的調(diào)查我院肝病??谱≡核幏客怂帬顩r及其原因,探討以采取相應(yīng)的措施和建議,減少和避免退藥現(xiàn)象的發(fā)生,提高藥房的藥品管理水平。方法采用回顧性研究,利用醫(yī)院的HIS系統(tǒng),對(duì)我院肝病??谱≡核幏?010年7月-2011年6月退藥情況進(jìn)行數(shù)據(jù)統(tǒng)計(jì),應(yīng)用Excel表進(jìn)行數(shù)據(jù)錄入與處理。結(jié)果涉及退藥事件4046例,退藥總數(shù)29888個(gè),退藥總金額650957.83元,主要退藥原因有出院,醫(yī)囑變更、調(diào)整,轉(zhuǎn)科/院,系統(tǒng)錯(cuò)誤等,原因復(fù)雜。結(jié)論退藥現(xiàn)象頻繁,大量的退藥增加了住院藥房的工作量,增加了藥品質(zhì)量管理難度,存在嚴(yán)重的醫(yī)療安全隱患,亟待管理規(guī)范,建
2、議對(duì)醫(yī)務(wù)人員的職業(yè)道德、技術(shù)水平、工作態(tài)度等方面加以重視,加強(qiáng)醫(yī)患溝通,完善相關(guān)管理制度和計(jì)算機(jī)信息系統(tǒng),規(guī)范服務(wù)條件,減少退藥現(xiàn)象的發(fā)生?!娟P(guān)鍵詞】肝病??谱≡核幏客怂幹袌D分類號(hào):R95文獻(xiàn)標(biāo)識(shí)碼:B文章編號(hào):1005-0515(2011)11-396-03[Abstract]ObjectiveToinvestigatethesituationofourhospital?shepatologydepartmentshospitalizedpatientsreturningdrugsandanalyzethereasons.Andtopropeintothecorrespon
3、dingmeasuresandadvicesinordertoreduceandavoidthephenomenaofreturningdrugsaswellasimprovedrugcontrolstandardofpharmacy.MethodAdoptretrospectivestudyandmakeuseofHISsystemofhospitaltoprocessdatastatistic(fromJuly,2010toJune,2011)ofourhospitalshepatologydepartment’shospitalizedpatientsreturning
4、drugssituationanduseExceltotype-inthedateandprocesswith.ResultTheresultshowsitinvolved4046casesofreturningdrugs,29888amountsofreturningdrugsandtotalmoneyof650957.83yuan.Themainreasonsofreturningdrugareleavinghospital,doctor?sadvicechangedandadjusted,one’smajororhospitalchanged,systemmistake
5、andsoon.Thereasonsarecomplex.ConclusionBecausethefrequentphenomenaandhugeamountsofreturningdrugs,thepharmacyhasmuchamountofworkandincreasethedifficultyofdrug'squalitycontrol.Sothathasseriousmedicaltreatmentspotentialsafetyhazard.Sothemanagementremainstobestandardization.Thispaperadvisepeopl
6、etopayattentiontoimprovingthemedicalpersonnel/sprofessionalethics,engineeringlevelandworkattitude,strengtheningthecommunicationofdoctorsandpatients,completingthecorrelationmanagementsystemandcomputerinformationsystem.Standardizationtheservicesituation,sothattoreducethesituationofreturningdr
7、ugs.【Keywords】hepatologydepartmenthospitalizedpharmacyDrgurepercussion《醫(yī)療機(jī)構(gòu)藥事管理暫行規(guī)定(2002)》提出的“為保證患者用經(jīng)安全,藥品一經(jīng)發(fā)出,不得退換”,該規(guī)定為醫(yī)院進(jìn)行退藥管理提供了最直接的法規(guī)依據(jù),但是實(shí)際工作中,住院藥房退藥頻繁,不僅增加病區(qū)護(hù)士和藥房藥師的工作量,也大增加了藥房管理的不可控性。據(jù)不完全統(tǒng)計(jì),早在2000年就有某院一年退藥金額達(dá)近200萬(wàn)元之多的報(bào)道。大量的退藥難以確保藥品質(zhì)量,對(duì)患者用藥很可能造成安全