首都医药
首都醫藥
수도의약
CAPITAL MEDICINE
2014年
24期
18-20
,共3页
门诊西药房%退药分析%对策
門診西藥房%退藥分析%對策
문진서약방%퇴약분석%대책
Outpatient pharmacy%Drug withdrawal analysis%Strategy
目的：对我院门诊西药房退药情况进行统计分析，并提出相应对策，以减少退药，促进临床合理用药。方法收集我院2013年6月-2013年12月门诊西药房退药处方，按退药科室、退药原因及退药品种进行统计分析。结果在门诊西药房调配的1107360张处方中有742张退药处方，退药率为0.67‰。退药科室位居前3位分别是呼吸科、急诊科、消化内科，分别占全部退药的14.82%、9.84%、9.84%；引起退药的主要原因是患者用药后发生不良反应，占全部退药的47.17%；其次是患者拒绝用药以及医师错开医嘱，分别占全部退药的26.95%和10.38%；退药类别以抗菌药物居多，占全部退药的44.20%，其次为中药类和诊断用药，分别占全部退药的13.21%和10.65%。结论建议规范退药程序，并加强医师、药师及患者之间的沟通，以减少退药，保障患者的用药安全。
目的：對我院門診西藥房退藥情況進行統計分析，併提齣相應對策，以減少退藥，促進臨床閤理用藥。方法收集我院2013年6月-2013年12月門診西藥房退藥處方，按退藥科室、退藥原因及退藥品種進行統計分析。結果在門診西藥房調配的1107360張處方中有742張退藥處方，退藥率為0.67‰。退藥科室位居前3位分彆是呼吸科、急診科、消化內科，分彆佔全部退藥的14.82%、9.84%、9.84%；引起退藥的主要原因是患者用藥後髮生不良反應，佔全部退藥的47.17%；其次是患者拒絕用藥以及醫師錯開醫囑，分彆佔全部退藥的26.95%和10.38%；退藥類彆以抗菌藥物居多，佔全部退藥的44.20%，其次為中藥類和診斷用藥，分彆佔全部退藥的13.21%和10.65%。結論建議規範退藥程序，併加彊醫師、藥師及患者之間的溝通，以減少退藥，保障患者的用藥安全。
목적：대아원문진서약방퇴약정황진행통계분석，병제출상응대책，이감소퇴약，촉진림상합리용약。방법수집아원2013년6월-2013년12월문진서약방퇴약처방，안퇴약과실、퇴약원인급퇴약품충진행통계분석。결과재문진서약방조배적1107360장처방중유742장퇴약처방，퇴약솔위0.67‰。퇴약과실위거전3위분별시호흡과、급진과、소화내과，분별점전부퇴약적14.82%、9.84%、9.84%；인기퇴약적주요원인시환자용약후발생불량반응，점전부퇴약적47.17%；기차시환자거절용약이급의사착개의촉，분별점전부퇴약적26.95%화10.38%；퇴약유별이항균약물거다，점전부퇴약적44.20%，기차위중약류화진단용약，분별점전부퇴약적13.21%화10.65%。결론건의규범퇴약정서，병가강의사、약사급환자지간적구통，이감소퇴약，보장환자적용약안전。
Objective To investigate the drug withdrawal situation in outpatient pharmacy in our hospital and put forward corresponding strategies, so as to reduce the incidence of drug withdrawal and promote rational drug use in clinical practice. Methods The medical prescriptions of withdrawal drugs from June 2013 to December 2013 in outpatient pharmacy were analyzed according to the section department, the reasons of drug withdrawal and the varieties of withdrawal drugs. Results There were 742 medical prescriptions of drug withdrawal out of 1107360 prescriptions in the outpatient pharmacy, which accounted for 0.67‰in total medical prescriptions. The first three departments where most drug withdrawal happened were department of respiration, emergency and gastroenterology, accounting for 14.82%, 9.84% and 9.84% respectively. The main reason of drug withdrawal was the occurrence of adverse drug reaction, accounting for 47.17% all drug withdrawal, followed by patient refusal and wrong medical orders by physicians, which accounted for 26.95% and 10.38% respectively. The main category of withdrawal drugs was antibacterials, accounting for 44.20% of all drug withdrawal, followed by traditional Chinese drugs and diagnostic agents, accounting for 13.21% and 10.65% respectively. Conclusions It is recommended that makes drug withdrawal procedure regularly, and strengthen the communications among the physicians, pharmacists and patients, which can reduce drug withdrawal and protect patients' medication safety.
