某医院静脉药物配置中心退药现状调查分析

The investigation and analysis of current status of drug repercussion in Pharmacy Intravenous Admixture Services in our hospital

目的:分析医院静脉药物配置中心(PIVAS)退药情况,减少退药的发生,提高PIVAS工作效率,提高患者用药安全。方法:对2012年4-9月PIVAS退药处方共78534张进行分类统计。结果:第0、1、2批次中的退药处方占总量的75.70%;抗生素退药占37.62%;退药原因主要包括病情需要停药或者换药,出院、转科、手术、死亡,医嘱不合理等。结论:应通过优化PIVAS退药流程、规范退药管理、加强医护人员培训以及与PIVAS药师的沟通协调来降低退药的发生率。

Objective： To analyze the current status of drug repercussion in Pharmacy Intravenous Admixture Services （PIVAS）, to reduce drug repercussion, and to improve work efficiency of PIVAS and patients＇ medication safety. Methods： We analyzed 78 534 drug repercussion orders in PIVAS from April to September 2012. Results： Among 78534 orders of drug prescriptions, 75.70% were in 0,1and 2 batches and 37.62% were bacterial drugs. The causes of drug repercussion included stopping or changing drugs according to patient conditions, discharge, changing departments, surgery, death, irrational orders, and so on. Conclusion： We should reduce drug repercussion by optimizing the process of PIVAS drug repercussion, regulating drug repercussion management, strengthening medical personnel＇s training, and enhancing the communication with PIVAS pharmacists.