门诊药房退药情况分析与解决对策

Analysis of the retreated medicine situation and the counter-measure in the outpatient pharmacy

目的 :分析2013年门诊退药情况发生原因,促进医院的合理用药。方法 :收集2013年1月至12月门诊退药处方1 225张,不包括未发出药品的退药。对退药原因、退药品种进行分析。结果 :在1 225张门诊退药处方中,退药原因以药物不良反应居首位,占38.37%;其次为医师处方输入错误,占22.29%。退药品种以抗微生物类药物为主,占29.14%;其次为心血管系统用药,占21.55%。结论 :医院应提高诊疗质量,加强医患沟通;提高药学服务水平,开展药师用药咨询服务;完善退药管理制度,以减少门诊退药情况的发生。

Objective： To analyze the reason of the outpatient retreated medicine in 2013 to promote the rational use of medicine in the hospitals. Methods： The retreated medicine prescriptions of 1 225 in the outpatient from January to December in 2013 were collected, in which the retreated drugs that were not issued were not included. The reasons and variety of the retreated medicine were analyzed. Results： In the 1 225 retreated medicine prescriptions, the adverse drug reaction was the first reason for the retreated medicine （ accounting for 38.3%） and the prescriptions with typing errors were the second （ accounting for 22.29%）. The type of the retreated medicine was mainly the antimicrobial drugs （accounting for 29.14%） and followed by cardiovascular system drugs （accounting for 21.55%）. Conclusion： The hospital should enhance the diagnosis and treatment quality, strengthen the communication with the patients, improve the pharmaceutical service level, develop the pharmacist consulting services, and consummate the management system of the retreated medicine to reduce the occurrence of the outpatient retreated medicine.