我院门诊西药房118例退药记录分析

Analysis of 118 drug repercussion cases in outpatient pharmacy of our hospital

目的了解我院门诊西药房退药的原因及特点,减少医患纠纷,保证患者用药安全。方法对我院门诊西药房2012年118例退药记录进行回顾性分类统计、分析。结果静脉给药方面引起的退药有60例(占50.85%);退药的科室分布存在较大差异,其中最多的是风湿科系统,其次是内科系统;抗菌药物的退药频率最高,头孢菌素类有44例(占37.29%),其次为解热镇痛、骨代谢调节药等。退药原因中因不良反应的有64例(占54.24%)。结论应加强药品不良反应的监测、上报工作,加强医务人员的责任心,从而保障患者用药安全。

Objective To investigate the main reasons and characteristics of the drug repercussion in our hospital ,to ensure drug safety and decrease the medical disputes .Methods 118 cases of drug repercussion record of 2012 were retrospectively classified and analyzed in outpatient pharmacy of our hospital .Results Drug repercussion cases were mostly caused by intravenous route of administration ,60 cases（50 .85% ）;there was a big difference in department distribution ;the first department was rheumatic dis-eases system ;the second department was the internal medicine system .Antimicrobial drug repercussion frequency was the high-est ,44 cases（37 .29% ） ,followed by antipyretic analgesic drugs and bone metabolism drugs .The major cause of drug with drawal was the adverse reaction of drugs ,64 cases（54 .24% ） .Conclusion The adverse drug reaction monitoring and reporting work should be strengthen .