我院住院药房退药原因分析及对策

Reasons analysis and countermeasures of drug repercussion in the inpatient pharma cy of our hospital

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。

Objective To analyze the current situation and the reasons of drug repercussion in the inpatient pharmacy of our hospital,reduce drug withdrawal,provide countermeasure and improve administration level of the inpatient pharmacy.Method The data of drug repercussion during January to June in 2012in 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.