病区多余药品产生原因及管理对策

Causes of Excess Drugs in Ward and Management Countermeasures

目的:了解医院病区多余药品产生原因,提出可行的管理对策。方法:通过对某院12个病区开展持续的多余药品专项检查,分析了解多余药品产生类型、原因及可能导致的问题,提出相应对策进行干预,通过比较干预前后6次检查中多余药品的数量评价干预效果。结果与结论:多余药品在各病区普遍存在,主要包括片剂和胶囊、小容量注射剂和大容量输液;其产生原因涉及"拼药使用"、预先医嘱及患者发生不良反应等;其可导致药品资源的浪费、药品变质后使用及环境污染等。经制订并实施相关管理文件、完善收费方式及及时处理退药医嘱等,收到了较好的干预效果,第6次检查中多余药品数比第2次检查下降77.0%。因此,根据医院实际情况制订相应管理对策可有效减少多余药品。

OBJECTIVE： To understand the causes of the excess drugs in ward and put forward feasible countermeasures. METHODS： Through the special inspection of the excess drugs in 12 wards, we can analyze the types and the causes of excess drugs, and put forward the corresponding countermeasures. The number of excess drugs was compared among 6 times of examination before and after intervention to evaluate the effect of intervention. RESULTS ＆ CONCLUSIONS ： The excess drugs are commonly found in different wards, including tablets, capsules, injections and infusion solutions. The occurrence of the excess drugs is associated with ＂combined use of drugs＂, advanced medical orders and adverse drug reaction, etc. It can lead to the waste of the drug resources, the use of the metamorphic drugs and the environmental pollution. It has favorable effect through the formulation and implementation of relevant documents, the improvement of the charging method and the timely manner for drug repercussion. The quantity of excess drugs in the sixth check was 77.0% lower than that of the second. Therefore, corresponding management measures can reduce the excess drugs effectively according to the actual situation of the hospital.