浅谈医院退换药现象及应对措施  

Phenomenon of Drugs Return and Exchange in Hospital and the Countermeasures

作　　者：武培璐 武为宝 

机构地区：[1]安徽省六安市中医院,六安237006 [2]六安市食品药品检验所

出　　处：《中国药事》2014年第10期1158-1159,共2页Chinese Pharmaceutical Affairs

摘　　要：目的分析医院退换药现象产生的原因,针对性地提出应对措施,保障患者用药安全有效。方法对我院2013年退换药情况进行回顾性研究分析。结果在退换药品与医患关系方面,医生因素占47.6%,患者因素占46.0%;在退换药品与药物属性的关系方面,药品不良反应高居榜首,占57.3%。结论应强化咨询指导,提升药学服务能力;严格制度,规范医务人员诊疗行为;加强沟通,提高患者用药依从性。尽量避免或减少退换药现象的发生。Objective To analyze the reasons for the phenomenon of drugs return and exchange in hospital,and to propose the countermeasures to ensure safety and effectiveness of medication for patients.Methods Retrospective study analysis was conducted regarding the causes of drugs return and exchange in our hospital in 2013.Results In the aspect of doctor-patient relationship,the doctor factors accounted for 47.6%,and the patient factors accounted for 46.0%.In the aspect of drug properties,adverse drug reactions ranked the first,accounting for 57.3%.Conclusion We should strengthen consultation and improve pharmacy service capabilities,develop more strict systems,standardize the practices of the medical staff,and enhance communication to ensure patients′medication safety.With the above countermeasures,the occurrence of drugs return and exchange phenomenon might be avoided or reduced.

关 键 词：医院药事管理 退药换药 因素分析 不良反应 应对措施 

分 类 号：R95[医药卫生—药学]