某院门急诊药房退药原因及对应策略分析  

Reasons and Corresponding Strategies of Drug Withdrawal in Outpatient and Emergency Pharmacy

作　　者：黄栗 胡永胜[1] 杨洋[1] HUANG Li;HU Yong-sheng;YANG Yang(The 906th Hospital of the Joint Logistics Support Force of PLA,Wenzhou 325000,China)

机构地区：[1]中国人民解放军联勤保障部队第九○六医院,浙江温州325000

出　　处：《海峡药学》2024年第11期108-111,共4页Strait Pharmaceutical Journal

摘　　要：目的 分析我院门急诊药房患者退药原因,并提出对应策略。方法 采用回顾性分析方法,选取我院2023年1月1日至12月31日门急诊药房退药处方共71张作为研究对象,对退药原因进行分析。结果 2023年门急诊药房处方总数为74245张,其中退药处方71张,退药率约为0.096%。退药原因主要为药物因素、医护因素、患者自身因素等。其中患者自身因素占总退药数量的52.11%。退药患者以19~59岁中青年群体居多,占比57.57%。消化系统用药为退药涉及药品种类最高的,占比19.23%。退药科室中烧伤科占比最高,为23.94%。结论 导致门急诊药房退药的原因较多,应完善优化医院退药制度与流程,加强医患沟通,增强患者依从性。同时也需加强医院各部门之间的协调沟通,促进合理用药,降低退药率。OBJECTIVE To analyze the reasons of drug withdrawal in outpatient and emergency pharmacy of our hospital,and put forward corresponding strategies.METHODS A retrospective analysis method was used to select 71 drug withdrawal prescriptions from the outpatient and emergency pharmacy of our hospital from January 1 to December 31,2023 as the research object,and the reasons for drug withdrawal were analyzed.RESULTS The total number of prescriptions in outpatient and emergency pharmacies in 2023 was 74245,of which 71 prescriptions were withdrawn,with a withdrawal rate of 0.096%.The main reasons for drug withdrawal were drug factors,medical factors,and patients′ own factors.Patients′ own factors accounted for 52.11% of the total number of drug withdrawal.The majority of patients with drug withdrawal were young and middle-aged people aged 19-59 years,accounting for 57.57%.Digestive system drugs were the most common drugs involved in drug withdrawal,accounting for 19.23%.The department of Burns accounted for the highest proportion of drug withdrawal departments,accounting for 23.94%.CONCLUSION There are many reasons leading to drug withdrawal in outpatient and emergency pharmacies.It is necessary to improve and optimize the hospital drug withdrawal system and process,strengthen doctor-patient communication,and enhance patient compliance.At the same time,it is necessary to strengthen the coordination and communication between various departments of the hospital,promote rational drug use,and reduce the withdrawal rate.

关 键 词：门急诊药房 退药原因 对应策略 

分 类 号：R969[医药卫生—药理学]