我院住院药房退药处方分析及控制措施建议

Analysis of Prescription of Resident Drug Withdraw and Control Advices

目的:分析本院住院药房退药情况,提高临床服务质量。方法:对本院2013年7-12月住院药房2208张退药处方的相关信息进行统计分析。结果:2208张退药处方中,根据退药金额和退药处方数统计,退药较多的科室为儿科和呼吸内科;各科退药原因主要有调整医嘱982例(占44.47%)、患者临时出院579例(占26.22%)、患者拒绝用药301例(占13.62%),而药物不良反应ARD退药仅62例(占2.83%);退药种类以抗感染药物为主,共912例(占41.30%),其次心脑血管药333例(占15.08%)。结论:本院住院药房的退药量较大,不合理退药比例较高,医院应加强内部管理,提高医护药三方面人员的工作责任心和服务水平,建立完善的退药制度,严格控制抗感染药物的使用,合理用药,从而减少不必要的退药。

Objective： To analyze prescription of resident drug withdraw, and to improve the clinical service quality.Method： A statistical analysis had been clone on the related information of 2208 drug withdrawal prescriptions from July 2013 to December 2013.Result： According to the withdraw amounts of the 2208 withdraw prescriptions, the comparatively more withdraw cases occurred in pediatric and respiratory department.Of all the withdraw reasons, 982 of them were adjustment of prescription （ account for 44.47% ）, 579 were temporary discharge （ account for 26.22% ）, 301 were medication refuse （ account for 13.62% ）, and only 62 of them were adverse drug reaction （ ARD ） withdraws （ account for 2.83% ） . Major withdrew drugs were anti-infective drugs, which were 912 cases, accounting for 41.30%, the secondary were cardiovascular drugs, which were 333 cases, accounting for 15.08%.Conclusion： Apparently, the withdraw amount of our hospital is large, with a high proportion of inappropriatewithdraws.Internal management should be strengthened to improve the sense of responsibility and service of doctors, nurses and pharmacists ; and a complete withdraw principle should be established to control the prescriptions of anti-infective drugs, which would discount the unnecessary withdraws.