628张门诊退药处方分析及措施

Analysis of 628 Outpatient Drug-repercussion Prescriptions and Countermeasures

目的:为减少门诊退药,确保患者用药安全,对门诊退药处方进行分析。方法:按退药原因系统分析本院2008年3月～2009年2月628张退药处方。结果:退药主要原因是药房缺药和药品收费错误,其次为发生不良反应,以抗菌药物青霉素和头孢菌素类药物最多。结论:必须加强对药房工作的监督管理,提高相关工作人员的业务水平和责任心;要求临床医师提高药学知识,加强医患沟通,提高处方质量;医院各科要通力合作,提高服务质量。

OBJECTIVE： To analyze the outpatient drug- repercussion prescriptions so as to reduce the incidence of drug repercussion and ensure patients＇ medication safety. METHODS： A total of 628 drug- repercussion prescriptions in our hospital from Mar. 2008 to Feb. 2009 were systematically analyzed with regard to the reasons for drug repercussion.RESULTS ： The main reasons for drug repercussion included the drugs were run out of supply and drug charge error followed by occurrence of adverse drug reactions （ADRs）, with antibiotics such as Penicillins and Cephalosporins showing the highest incidences of ADRs. CONCLUSION： It is urgent to tighten monitoring and management on pharmacy work to improve the related staff＇s professional level and responsibility, moreover, clinicans are required to improve their pharmaceutical knowledge, strengthen doctor- patient communication and improve the quality of prescriptions; last but not least, all the departments in hospital should cooperate well with each other to improve their service quality.