儿童医院1160例门诊患儿退药原因分析  

Causal Analysis of 1160 Drug Repercussion from Out-patients in Children's Hospital

作　　者：郭梦云[1] 叶伟峰[1] 盛炳义[1] 

机构地区：[1]浙江大学医学院附属儿童医院,浙江杭州310003

出　　处：《儿科药学杂志》2009年第5期43-45,共3页Journal of Pediatric Pharmacy

摘　　要：目的：分析我院门诊药房退药原因并提出相应对策。方法：根据我院2008年7月-9月的1160例门诊患儿的退药处方，统计分析退药原因。结果：1160例退药中，家长要求退药的为394例，占退药总数的33．97％；因药品不良反应而要求退药的为203例，占17．50％；因住院治疗而要求退药的为160例，占13．79％；因治疗方案改变而要求退药的为123例，占10．60％；因医生开错药而要求退药的为115例，占9．91％；因家里有药而要求退药的为85例，占7．33％；因依从性差而要求退药的为35例，占3．02％，因其他原因退药的为45例，占3．88％。结论：制定和实施退药干预，协调门诊与住院系统机制，改善医患关系，重视打印纸质处方的必要性，努力提高医疗服务质量。Objective： To analyze drug repercussion and discuss the countermeasure. Methods： A total of 1,160 out-patient prescriptions involved in drug repercussion from Jul. to Sep. in 2008 in our children＇s hospital were analyzed statistically in respect of the cause for drug repercussion. Results： Of the 1,160 prescriptions, 394 （33.97%） returned drags on account of parents request, 203 （ 17.50% ） on account of adverse drug reactions, 160 （ 13.79% ） on account of hospitalization after further diagnosis, 123 （ 10.60% ） on account of therapeutic schedule alteration, 115 （9.91%） on account of doctor＇s wrong advice, 85 （7.33%） on account of the medicine already prepared at home, 35 （3.02%） on account of poor compliance, and 45 （3.88%） on account of other reasons. Conclusions： Systematic intervention of drug repercussion should be formulated and implemented, coordinating out-patient and in-hospital mechanisms, improving the relation between medical staffs and patients, attaching more importance to print prescriptions and reinforcing medical service quality.

关 键 词：儿童 退药 分析 干预 

分 类 号：R952[医药卫生—药学]