我院门诊退药现象的分析与解决对策  

Analysis and countermeasure of outpatient drug return in our hospital

作　　者：王晓君[1] 

机构地区：[1]浙江省绍兴市人民医院药剂科,浙江绍兴312000

出　　处：《药学实践杂志》2013年第1期67-68,77,共3页Journal of Pharmaceutical Practice

摘　　要：目的分析我院2011年门诊退药情况,促进医院合理用药。方法收集我院2011年1月～12月门诊退药处方共1 095张,以《医疗机构药事管理规定》为依据,按退药原因、退药品种进行统计、分析。结果 1 095张门诊退药处方中,退药原因以药物不良反应居首位,占36.71%,其次为医师处方录入错误,占19.82%;退药品种以抗微生物类药物为主,占24.48%;其次为循环系统用药,占20.27%。结论医院应提高诊疗质量,加强医患沟通;提高药学服务,开展药师用药咨询服务;完善退药管理制度以减少门诊退药情况。Objective To analyze the outpatient drug return in 2011 and promote rational drug use. Methods 1905 pre- scriptions of drug return in our hospital between January and December in 2011 were collected. Based on The medical organization drug management stipulation, the return causes and drug kinds were analyzed. Results In 1 095 outpatient drug return prescriptions, the return reason of adverse drug reaction was in the first place, accounted for 36.71% , followed by input error in physicians prescription, accounted for 19.82% ,24.48% of drug return were antimicrobial drugs, 20.27% of drug return were circulating system drugs. Con- clusion The quality of diagnosis and treatment should be improved, the doctor-patient communication should be strengthened,pharma- ceutical care should be improved, medication consultation service should be carried out. Retreat drug management system should be op- timized in order to reduce drug return.

关 键 词：门诊退药 原因 分析 对策 

分 类 号：R95[医药卫生—药学]