CAJ | 학술논문

目的分析我院住院药房退药现状及原因，减少退药，提出对策，提高住院药房管理水平。方法对住院药房2012年1月～6月的退药数据进行分类和统计分析，并提出建议。结果退药较多的科室是神经内科、呼吸科和脑卒中科，退药比例为23．28％，22．00％和19．69％。按退药种类统计，抗生素类药物、电解质等辅助用药和心血管类药物位于前3位，分别占29．39％，20．36％和15．12％。按退药原因统计，位于前3位的为患者出院、调整医嘱和转科转院，分别占41．57％，21．99％和10．34％。结论个别科室、抗生素和患者出院引起的退药现象较为普遍，临床部门与药学部门应积极合作，提高工作能力，以减少退药现象。
목적분석아원주원약방퇴약현상급원인，감소퇴약，제출대책，제고주원약방관리수평。방법대주원약방2012년1월～6월적퇴약수거진행분류화통계분석，병제출건의。결과퇴약교다적과실시신경내과、호흡과화뇌졸중과，퇴약비례위23．28％，22．00％화19．69％。안퇴약충류통계，항생소류약물、전해질등보조용약화심혈관류약물위우전3위，분별점29．39％，20．36％화15．12％。안퇴약원인통계，위우전3위적위환자출원、조정의촉화전과전원，분별점41．57％，21．99％화10．34％。결론개별과실、항생소화환자출원인기적퇴약현상교위보편，림상부문여약학부문응적겁합작，제고공작능력，이감소퇴약현상。
Objective To analyze the current situation and the reasons of drug repercussion in the inpatient pharmacy of our hospi-tal ,reduce drug withdrawal ,provide countermeasure and improve administration level of the inpatient pharmacy .Method The data of drug repercussion during January to June in 2012 in the inpatient pharmacy in our hospital were classified and analyzed , and then some suggestions were made .Results Drug repercussion occurred mainly in the departments of neurology ,respiratory and stroke ,and the percentages of drug repercussion of the three departments were 23 .28% ,22 .00% and 19 .69% ,respectively . The types of drug repercussion ,antibiotics ,electrolyte and other auxiliary and cardiovascular drugs were located in the top three positions ,and the amount percentages of them were 29 .39% ,20 .36% and 15 .12% ,respectively .The top three reasons of drug repercussion were patient discharged from hospital ,adjustment of doctor′s order and switching of hospital or department ,and the ratios of them were 41 .57% ,21 .99% and 10 .34% ,respectively .Conclusion The phenomenon of drug repercussion caused by individual departments ,antibiotics or patient discharged from hospital was relatively common .In order to reduce the phenomenon of drug repercussion ,the clinic departments and the pharmacy department should cooperate actively .