天津市某三甲医院消化科病区退药情况分析

Drug withdrawal analysis in gastroenterology ward in a top-three hospital in Tianjin city

目的探讨本院消化科病区退药的现状及原因。方法选取2014年12月1日-2015年2月6日的280例患者作为研究对象,经Excel软件进行退药数据处理,绘制帕累托图,分析退药原因的主要、次要因素。结果总退药单582单,针剂退药单数所占比例最大,其次为口服退药单。帕累托图显示,调整治疗方案（56.53%）和出院（23.54%）为退药的主要因素,患者拒绝用药或检查为次要原因。结论医院退药的因素具有多样化,因此应制订针对性的整改措施,以减少退药现象,加强合理用药,从而保障患者安全,降低医疗纠纷隐患,提高医疗服务质量。

Objective To explore the current status and reason of drug withdrawal in gastroenterology ward of our hospital. Methods 280 patients from December 1st2014 to February 6th2015 were selected as the research group,the drug withdrawal data was recorded by Excel software.By drawing Pareto chart,the primary and secondary factors of returning drugs was analyzed. Results There were 582 pieces of drug withdrawal in total,and the most proportion was injection and oral administration next.The Pareto chart showed the main factors of drug withdrawal were adjustment of treatment（56.53%） and discharge（23.54%）,and the secondary factor was refusing treatment or examination. Conclusion Factor of drug withdrawal in hospital are diverse,and targeted rectification measures should be drafted aiming at drug withdrawal and strengthening rational drug use,which protects patient′ s safety,reduce medical disputes hazards and improve the quality of medical services.