医院药房退药环节中质量风险管理的应用效果分析

Analysis of the application effect of quality risk management in drug withdrawal link of hospital pharmacy

目的:研究医院药房退药环节中质量风险管理的应用效果。方法:选取在医院药房退药的120例病例资料作为对照组,另选取经过相关部门风险识别、评估、控制、审核等程序进行质量管理后药房退药的120例病历资料作为研究组。对比两组进行质量风险管理后退回药品再利用率、风险因素发生率、医疗纠纷和医疗投诉发生率。结果:进行质量风险管理后,研究组中各风险因素(需要进行特殊储存的药品储存条件不当、超过有效期、批号不符、无追溯登记、按小包装清点数量不符)的发生率低于对照组,差异有统计学意义(P<0.05)。研究组中外包装破损的发生率与对照组比较,差异无统计学意义(P>0.05)。研究组的医疗投诉和医疗纠纷的发生率明显低于对照组,差异有统计学意义(P<0.05)。研究组中退回药品的可再利用数量和可再利用率明显高于对照组,差异有统计学意义(P<0.05)。结论:进行质量风险管理后,医院药房退药环节清晰明确,可显著降低医疗纠纷和医疗投诉的发生,风险因素发生率也显著减少,退回药品的再利用率显著提高。

Objective To study the application effect of quality risk management in drug withdrawal link of hospital pharmacy.Method the data of 120 cases of drug withdrawal in hospital pharmacy were selected as the control group,and 120 cases of medical records for drug dispensing after quality management were selected as the research group through the related department risk identification,evaluation,control,audit and other procedures.The drug utilization rate,risk factor incidence,medical disputes and incidence of complaints were compared between the two groups after quality risk management.Results After quality risk management,the incidence of various risk factors in the study group（unsuitable storage conditions for special storage,exceeding the validity period,batch number discrepancy,non traceability registration,and small packing count） was lower than the control group,and the difference was statistically significant（P〈0.05）.The incidence of loss was not statistically significant compared with the control group（P〈0.05）.After quality risk management,the incidence of medical complaints and medical disputes in the study group was significantly lower than that of the control group（P〉0.05）.After quality risk management,the reused quantity of retreated drugs in the study group and the number of reused drugs in the study group were also carried out.The reutilization rate was significantly higher than that of the control group（P〈0.05）.Conclusion After the management of the quality risk,the drug withdrawal link of the hospital pharmacy is clear and clear,which can significantly reduce the incidence of medical disputes and complaints,and the incidence of risk factors is significantly reduced,and the utilization rate of the returned drugs is significantly improved.