2515张门急诊退药处方分析及管理对策  

Analysis of 2 515 returning drug prescription in outpatients department and management measures

作　　者：王兆斌[1] 

机构地区：[1]安徽省蚌埠市第三人民医院西药科,安徽蚌埠233000

出　　处：《安徽医药》2012年第12期1897-1898,共2页Anhui Medical and Pharmaceutical Journal

摘　　要：目的分析门急诊西药房退药处方,为医院的退药制度管理提供参考依据。方法收集门急诊药房2010年12月—2011年11月退药处方2 515张进行回顾性统计分析。结果退药科室排名前三的是儿科(693张,27.55%)、心内科(430张,17.09%)、妇产科(424张,16.86%);退药原因主要有患者依从性差(557张,22.15%)、医患缺少沟通(265张,10.54%)以及不良反应(256张,10.17%);退回药品最多的是抗微生物药(987张,39.24%);退回药品剂型以口服和注射剂为主。结论为降低门急诊药房的退药率,需针对不同的退药原因实施相应措施,加强医患沟通,提高患者用药依从性,同时健全退药制度和程序,提高医疗服务质量。Objective To investigate the drug repercussion in dispensary for outpatients,so as to provide the reference for the drug repercussion management system in hospital.Methods The prescriptions of drug repercussion in dispensary for outpatients in our hospital during December 2010 to November 2011 were clooected,and 2 515 outpatient pharmacy drug withdrawal were investigated and analyzed statistically.Results The top three departments with the highest and number of returning prescriptions were department of pediatrics（693 cases,27.55%）,department of gynecology and department of cardiology（430 cases,17.09%）,obstetrics（424 cases,16.86%）;the main reasons for patients retreating medicine were poor compliance（557 cases,22.15%）,lack of communication between doctors and patients（265 cases,10.54%）,and adverse reactions（256 cases,10.17%）;the type of returned drugs was mainly antimicrobial drugs（987 cases,39.24%）.Dosage forms were mainly oral and injection dosage.Conclusions To reduce the drug repercussion rate,it is necessary to implement appropriate measures for different drug withdrawal reasons,enhance communication between doctors and patients,improve patients＇ medication compliance,and establish and consummate the drug repercussion system and procedure,so as to improve medical service quality.

关 键 词：门急诊药房 退药 管理对策 

分 类 号：R95[医药卫生—药学]