In this study the results were gained through analysis the causes of the remainder oral medications in the hospital.
1. Out of the remainder medications, the pure medications appeared to be 43.1% of the total percentage, and the remainder medications, resulted from the incompletion of doctors´ inputting the information for cancellation of prescription was 25.2%, and the figure prescription made out to the patients by the nurses and the information they have computerized was 31.7%, which brought out the serious inquiry that appeared to be due unnecessary repetition of the work.
2. 52.4% of the remainder medications appeared to be 43.1% before or after the coming out of hospital at most, so complete re-examination of the process concerning the matters of coming out of the hospital was confirmed to be required in order to reduce the remainder medications.
3. 43% of the remainder medications appeared to be cancelled without the doctors´ agreement computerized, and it has made clear that nurses with only oral orders from the doctors generally conduct the administration of medicines.
4. The results of the survey came out to that 75.1% of the remainder medications occurred from the 8 clinical department including GI dept´, and 71.3% from the 8 wards beginning East 16 ward.
Following suggestions have been made in this hospital according to the result above in order to cut down on the remainder medications.
First, current prescription and return programs developed on the assumption of computerization of the doctors´ cancellation of the prescription should be amended quickly according to the reality, so the return programs of the official prescription cancellation must be reflected additionally so that the return of un-adiministrated medications that are not paid for yet can be conducted systematically oven if without the doctors´ computerization of the cancellation of prescription. Second, it is urgent to establish the systems which can minimize the doctors´ oral orders. If oral orders are accumulation, not only prescription the return programs based on the computerization of orders become good for nothing but also the pharmacist office will fill prescriptions that will not be administered, and conclusively more medications out of management will be stretched, in addition, the efficiency and satisfaction with work through the repetition of prescription & return will go down continually. The computerization is not correct, it is needless to say that the printout can not be trusted. Third, the rule of previous notice on day before the coming out of the hospital must be kept after the day of coming out of the hospital is cancelled, it will be considered efficient to reduce the remainder medications a lot. fourth, the pharmacist office should give out the continuous and effective instructions to consultation rooms and wards where the remainder medications occurs a lot. Fifth, prepared for the change of the medical systems intending medical service for the hospitalized patients ultimately, suggestions that the change form the centralized prescription system to decentralized prescription system is pursued and unit Dose System which makes immediate administration of medicines based on the management of medical histories of the patients should be adopted have been just made out.
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