儿科病区退药原因分析及干预前后的效果对比

Causes of Drug-Return in Pediatric Ward and Contrast Before and After Intervention

目的:分析我院儿科病区退药情况,查找退药原因,探讨减少退药的方法。方法:对我院儿科2014年病区退药情况进行统计,分析退药类别及原因,给予针对性干预措施,并与2015年干预后的儿科退药情况进行比较。结果:儿科病区2014年退药总条目数416例,位居全院前列,退药金额29 820元;退药主要原因为药物不良反应(23%)、医嘱错误(22%)、家属拒绝使用(21%)、病情变化(19%)等。给予对应性干预措施后,2015年儿科病区退药条目数182例,总退费金额13 622元,与2014年退费金额、退药条目数、退药构成比比较差异有统计学意义(P<0.01)。结论:医院病区退药虽不可避免,但通过对退药原因的分析及有效的干预措施,可明显改善退药情况,保障患者的用药安全,提升服务品质。

Objective ： To investigate and analyze the situation of drug-return in department of pediatrics of our hospital, find out causes of drug-return, and explore intervention to reduce drug-return cases. Methods： The category and cause of drng-return in department of pediatrics in 2014 were retrospectively analyzed. The situation of drug-return in 2015 was compared with that in 2014 after conducting targeted interventions. Results： Totally 416 drug-return cases in pediatric department of our hospital were cataloged in 2014, which took up 29,820 yuan. In causes of drng-return, 23% of which were due to adverse drug reactions, 22% of which were due to pediatrician＇ s order error, 21% of which were due to that the patient refused to use the drug, 19% of which were due to alteration in condition of the patient. After conducting the corresponding interventions, the total number of entries in department of pediatrics in 2015 was reduced to 182 cases, and the refund was reduced to 13,622 yuan. The situation of drug-return had improved obviously after the targeted interventions and the differences were both significant as compared with those in 2014 （P〈0. 01 ）. Conclusion： Although drug-return to dispensary in the wards is inevitable, the situation can be significantly improved through analysis of＂ the causes and effective interventions. Particularly, the intervention mainly reduces the drug-return cases due to pediatrician＇ s order errors, which improve medication safety of the patient.