Analysis and management countermeasure of 2256 cases of drug withdrawal in the third People's hospital of Cixi city
Objective To analyze the situation and reasons of drug withdrawal in the ward of the third People's hospital of Cixi city, and put forward the countermeasures of drug withdrawal for drug standardization. Methods 2256 cases in the third People's hospital of Cixi citywithdrawed medicine orders from January 2015 to March 2015 were collected and the situation and reasons of drug withdrawal were analyzed. Results 5 departments like the department of internal medicine, pediatrics, surgery, obstetrics and gynecology and intensive care unit involved in drug withdrawal. The total amounts of RMB 542,200 were recorded, which was counted for 9.72% of all consumption in 5 departments. The largest amount of drug withdrawals were internal medicine and pediatrics, 13.26 % and 12.13%, respectively. The antibiotics, vitamins / nutrition, hormones, respiratory system drugs, blood system drugs, gynecological drugs, cardiovascular and cerebrovascular drugs were involved in the drug withdrawal, 128 kinds of drugs and 2256 times drug withdrawals were recorded. The largest drug withdrawals were antibiotics whose withdrawal frequency was also higher. The oral, topical, injections and inhalation were related to withdrawal drugs, oral preparations was the majority of withdrawal drug, whose withdrawal frequency is also the highest. The main reasons for withdrawal in the third People's hospital of Cixi city included medical advice change, discharge / transcendental, irrational medication, patients refused to use, unreasonable retreatment and other, where the doctor to change and discharge/transitions accounted for the highest proportion. Conclusion The main reason of drug withdrawal in the third People's hospital of Cixi city is mainly related to the doctor, which needs to develop the corresponding countermeasures for drug withdrawal. Doctors should strengthen the medical technology, pharmacists and doctors nurses should strengthen communication to reduce the rate of withdrawal, to ensure drug safety.
NETL
NSTL
万方数据
维普
