南方医科大学南方医院住院病人退药情况分析及其对策

Analysis of the Drug Return Status of the Patient in Southern Medical University Nanfang Hospital and Its Countermeasures

目的:了解我院住院病人退药情况,分析退药原因,为减少并规范临床退药提供参考。方法:收集我院2011年1-4月的住院病人退药申请单1341张,对退药原因,退药科室和药品种类进行统计分析。结果:消化科,普外科和血液科居前三位;病人临时出院,医生更改医嘱和医嘱录入错误是主要原因;抗微生物药的退药频次最高。结论:应规范医疗行为,加强用药管理,建立健全的退药制度,加强医、药、护、患的沟通,减少退药发生。

Objective： To understand the drug return status in our hospital and analyze the reasons in order to provide a reference for reducing and standardizing the clinical drug return.Method： To collect the 1341 application forms about drug return in our hospital from January to April 2011 and make statistical analysis of the reasons and drug return sections and types.Results： The gastroenterology,general surgery and hematology are the top three;and the main reasons are the temporary discharge of patients,change of the doctors＇ advice and error input of doctors＇ advice;the frequency of anti-microbial drugs is the highest.Conclusion： we should standard the medical practices,strengthen drug management,establish a sound system for drug return,enhance the communication among doctor,medicine,nurse,and patient and reduce the occurrence of drug return.