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目的通过对烧伤整形科的退药原因分析,探讨避免和减少退药的管理方法及防范干预措施。方法根据计算机信息中心提供的退药数据,分析科室常见退药原因和现存的状况,实施积极的干预措施,对退药的管理过程进行适时的监控和反馈。统计比较干预前(2013年5月-9月)和干预后(2013年10月-2014年2月)的退药指标:退药人次、退药笔数、退药金额、退发药比、退药综合排位。结果干预后,退药原因的排位有明显改变,无计划临时更改医嘱由第1位下降至第3位,病情变化需转科由第4位上升至第2位。干预后的退药人次、退药笔数、退药金额、退发药比、综合排位较干预前均有显著下降(P<0.05)。结论实施积极有效的退药干预措施有助于减少退药,规范临床用药,保证用药安全,提高了患者的满意度,提升医疗护理质量。
Objective To analyze the reasons for the withdrawal of burn and plastic surgery, and to explore ways to avoid and reduce the withdrawal of drugs and to prevent interventions. Methods According to the withdrawal data provided by the Computer Information Center, the causes and existing conditions of common withdrawal in departments and departments were analyzed and positive intervention measures were implemented to monitor and feedback the administration process of drug withdrawal timely. Statistical comparison of withdrawal indicators before intervention (May-September 2013) and after intervention (October 2013-February 2014): withdrawal rate, withdrawal amount, withdrawal amount, withdrawal rate, Retired general qualifying. Results After the intervention, there was a significant change in the ranking of the reasons for the withdrawal of drug. No change in medical order was planned from the first to the third without any plan, and the change of the condition needed to change from the fourth to the second. After the intervention, the number of people returning to drug withdrawal, the number of withdrawal, the amount of withdrawal, the ratio of withdrawal drug and the comprehensive ranking decreased significantly (P <0.05). Conclusion The implementation of active and effective drug withdrawal interventions helps to reduce withdrawal, standardize clinical medication, ensure drug safety, improve patient satisfaction and improve the quality of medical care.