门诊药房退药情况分析与改进措施  

Analysis of the Reasons and Improvement Measures of Drug Return from Outpatient Pharmacy

作　　者：李红兵[1] 闻超[1] 黄秋明[1] 段曼[1] 

机构地区：[1]孝感市中心医院药学部,湖北孝感432000

出　　处：《亚太传统医药》2014年第20期129-131,共3页Asia-Pacific Traditional Medicine

摘　　要：目的:分析某医院门诊药房退药原因,提出合理改进措施,以保证患者用药安全、合理、有效。方法:对某院门诊药房1 200张退药处方进行回顾性调查分析,总结退药原因,提出改进措施。结果:药品不良反应、不合理用药、患者病情改变、处方录入错误、重复开药、患者拒绝用药6个因素是患者退药的主要原因,占总退药原因的80%,其中抗菌药物、消化系统用药、自制制剂、中药注射剂4类品种是退药的主要品种,主要涉及儿科、消化内科、急诊科、普通外科和耳鼻喉科等科室。结论:应加强医务人员专业知识学习,规范药房管理,开展药物咨询,加大处方点评力度,以促进临床合理用药,减少退药情况发生,保证患者用药安全有效。Objective： To analyze the causes of drug return from outpatient pharmacy, and put forward reasonable improvement measures, so as to ensure safe, reason and effect of clinical application. Methods： 1 200 prescriptions relating drug return were analyzed retrospectively from outpatient pharmacy of some hospital. Results： The major reasons of drug return were related to the drug adverse reaction, irrational medication, the patient＇s condition changed, prescription error, repeat medicine, patient refusal to medication etc. six factors , which accounted for 80% of the total reasons of drug return, mainly related the antibacterial drugs, drugs for digestive system, traditional Chinese medicine injections etc. Some of them were mainly involving pediatric emergency depart- ment, Department of internal medicine, Department of ENT and Department of general surgery, and so on. Conclusion：Some im- provement measures should taken such as strengthening the medical personnel professional knowledge, standardized management of pharmacy, development of medication consultation, reinforcement of prescription comment, so as to promote clinical rational use of drug, and to reduce patient drug return, and to ensure medicine sate and effect of patients.

关 键 词：退药 调查分析 合理用药 改进措施 

分 类 号：R952[医药卫生—药学]