200例门诊药房退药分析及思考  

The analysis and reflection on 200 cases of drug withdrawal in outpatient pharmacy

作　　者：李义[1] 

机构地区：[1]陕西省人民医院,陕西西安710068

出　　处：《临床医药实践》2011年第8期599-602,共4页Proceeding of Clinical Medicine

摘　　要：目的:了解我院门诊药房退药情况,提出减少退药的措施与对策。方法:收集2010年6月—2010年12月门诊药房部分典型退药案例,进行归纳分析。结果:引起患者退药的原因主要包括:药物不良反应;不合理用药;自觉药物不对症;处方差错;医院信息系统问题;改变治疗方案;患者拒绝治疗;患者转诊或死亡;用药重复或大处方;医保费用问题。结论:加强医师及药师的业务素质,加强对患者配伍禁忌及不良反应的告知,加强处方管理、医患沟通;完善退药制度,可以减少急诊退药的发生。Objective ：To understand of drug withdrawal in our hospital pharmacy ,putting forward measures and countermeasures to reduce drug withdrawal. Methods ：Form June 2010 to December 2010,some of the typical outpatient pharmacy drug withdrawal cases were analysis inductively. Results ：The main reason for drug withdrawal in patients were ：adverse drug reactions;irrational drug use ;consciousness is not symptomatic drugs ;prescription errors; hospital information system;changing the treatment program;treatment refusal ;patient referral or death duplication or large prescription medication;health care costs. Conclusion：To enhance the professional quality of physicians and pharmacists ,strengthen the inform of incompatibility and adverse reactions to patients ,enhance prescription management, patient-doctor communication improve the system of drug withdrawal,drug withdrawal can reduce the incidence of emergency.

关 键 词：门诊药房 退药 原因 分析 

分 类 号：R952[医药卫生—药学]