我院门诊药房退药原因分析与建议  

Analysis and Suggestion of Drug Repercussion in Out-patient Pharmacy in Our Hospital

作　　者：崔晓荣[1] 石春生[1] 宫淑艳[1] 

机构地区：[1]首都医科大学燕京医学院附属密云医院药剂科,北京市101500

出　　处：《中国药房》2011年第25期2393-2395,共3页China Pharmacy

摘　　要：目的:了解门诊药房退药原因,促进医院合理用药。方法:收集我院2010年1-5月门诊药房退药处方共276张,以《医疗机构药事管理暂行规定》为依据,从退药科室、退药原因、退药品种等角度进行统计、分析,并提出建议。结果与结论:退药最多的科室为心内科(96张,34.8%),其次为内分泌科(40张,14.5%);退药原因包括医师开错药(110张,39.86%)、用法用量错误(22张,7.97%)等;所退药品以抗微生物类药物(69张,25.0%)、循环系统用药(55张,19.9%)为主。为降低门诊药房退药率,医院相关部门应建立退药制度与奖惩制度;加强法规宣传与职业教育;加强医患沟通,提高患者用药依从性;加强药房管理与"医、药"沟通;开展药师用药咨询和指导工作等。OBJECTIVE： To find the reasons of drug repercussion in out-patient pharmacy,and to promote rational use of drugs.METHODS： From Jan.to May in 2010,a total of 276 pieces of drug repercussion records were collected.According to Pharmaceutical Administration Regulation for Medical Institutions （trials）,drug repercussion records were analyzed statistically in respect of the department of drug repercussion,reasons of drug repercussion,types of returned drugs,etc.RESULTS CONCLUSION： The departments of drug repercussion are mainly cardiology department （96 pieces,34.8%）,followed by endocrinology department （40 pieces,14.5%）.The main causes of out-patient drug repercussion are dispensing errors （110 pieces,39.86%） and usage and dosage errors （22 pieces,7.97%）,etc.Types of returned drugs are mainly antimicrobial agents （69 pieces,25.0%） and circulatory system agents （55 pieces,19.9%）.It is urgent to establish drug repercussion system and the system of reward and punishment,spread rules and regulations vocational education,enhance the communication between the doctors and patients,improve patient compliance,strengthen pharmacy management and communication between pharmacists and doctors and develop medication consultation and guidance of pharmacists.

关 键 词：门诊药房 退药 原因 分析 建议 

分 类 号：R95[医药卫生—药学]