頁籤選單縮合
題名 | 廢棄藥檢收成果之探討=The Analysis of Drug Disposal on Patient Medication Behavior in a Medical Center |
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作者 | 溫軒琳; 龐琇綾; 蔡淑貞; 許育涵; 劉安娜; Wen, Hsuan-lin; Pang, Hsin-ling; Tsai, Shu-chen; Hsu, Yu-han; Liu, An-na; |
期刊 | 藥學雜誌 |
出版日期 | 20130900 |
卷期 | 29:3=116 2013.09[民102.09] |
頁次 | 頁138-143 |
分類號 | 412.24 |
語文 | chi |
關鍵詞 | 廢棄藥品檢收; 用藥合理性; 病人用藥安全; |
中文摘要 | 自98年開始,本院以環保、執行社會公益、增加病人用藥安全及醫療品質為訴求,開始回收病人居家廢棄藥品,每月平均檢收20公斤。迄今持續進行資料收集,秉持專業藥事服務精神,持續推展用藥合理性與用藥安全衛教宣導。本研究資料收集期間為99年5月-101年12月,利用藥物諮詢櫃臺及設置藥品回收箱,檢收民眾居家廢棄藥品,並同時收集相關資料,包含藥品品項、就診科別、開方醫師等。並製作公版廢棄藥品檢收宣導簡報、衛教單張,加強宣導,另於院內張貼宣導標示,並進行相關問卷調查。研究期間共收集4,081人次 (共13,077筆藥品) 的退藥,總重量有2,772 Kg(平均每月約90 Kg),收廢藥的藥費約600萬元。處方開立科別中,以神經內科、心臟血管科為最多。檢收藥品依藥理分類統計,最多依序為中樞神經用藥、心血管用藥、胃腸用藥等。依據研究結果顯示,民眾的廢棄藥品除了症狀治療用藥外,也包含了很多慢性病用藥,由依據剩藥原因來看,此與民眾的用藥依順性及認知不足等有關。將秉持專業藥事服務精神,以持續增加病人用藥安全及醫療品質為訴求,持續推展用藥合理性與用藥安全衛教宣導。 |
英文摘要 | A medical center recovered drug disposal in 1999, average 20 kilogram disposal amount per month. To avoid accumulating not-used drug at home and preventing secondary environment pollution, we enhance to educate the general public to return the not-used, expired, no indicated drugs to hospital from May 2010. We destraged them by burning or melting. This study collected the drug disposal in a medical center from May 2010 to Dec. 2012. We set up a disposal center located on drug information counter. Standard form is designed including classified item of drug, prescribing department, the reason of recovery. Writing poster for the public to remind the information of provided education sheet and a serious of lectures to improve the policy of drug disposal. During the study period, totally 4,081 patients took disposal drug to the center (13,077 items of not-used medicines, 2,772 kg total weight, average 90 kg/month). We analyzed the expenses of drug disposal around 6,000,000 NTD. The results revealed those major departments of prescription for disposal drug were neurology and cardiovascular disease. The major pharmacological classification of disposal drug were central nervous system agents, antihypertensive and gastrointestinal agents. In this study, we concluded that most reason of drug disposal was chronic symptom relief and the waste of medicine. If patient only took home the prescription drugs, but they did not follow the order to take them, we must confer the true reason are loss of confidence to medical treatment, poor education to compliance or overlapping medicine, duplicates consulting, and cognition insufficiency. Augmenting the correct patient medication behavior by use the medicine record or strengthen patient education is very important issue for patient medication safety. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。