某院西院区门诊药房2013～2015年退药情况分析

Analysis of Drug Repercussion in Outpatient Pharmacy in West Branch of One Hospital during 2013-2015

目的：了解某院西院区门诊药房近年来退药情况，分析退药原因，提出改进建议。方法：通过医院信息系统（HIS）收集某院西院区门诊药房2013年1月1日～2015年12月31日的退药信息，对药品名称、类别、数量、金额、退药原因等数据进行统计。结果：2013～2015年某院西院区门诊药房的退药处方数、退药药品金额、退药品种数均呈上升趋势；三年中，医院信息系统中最常见的退药原因分别为其他原因、医嘱停止和患者要求；退药金额与药品单价和退药数量呈正相关。结论：医院信息系统中退药原因选项的单一性，是造成以“其他原因”为退药原因比例逐年增加的主要因素。通过逐步完善医院信息系统、建立干预措施和强化药师专业素质等方法可以有效降低医院门诊药房的退药现象。

Objective： To summarize the drug repercussion data in outpatient pharmacy and analyze the reasons to provide suggestions for the improvement. Methods： The information was collected from the hospital information system （HIS） during January 1, 2013 and December 31, 2015, including drug name, category, quantity, amount, reasons for drug repercussion and the other statistical data. Results： During the three years, the number of prescription drugs, amount of money and varieties of drug repercussion were increased. The most common reasons for drug repercussion were the other reasons, withdrawn by doctors and the request of patients. The sum of drug repercussion was positively correlated with the drug price and the amount of drug repercussion. Conclusion： The option simplicity for drug repercussion in HIS is the main reason for drug repercussion by ＂the other reasons＂. The occurrence of drug repercussion should be intervened by such methods as gradually improving the HIS, establishing intervention measures, enhancing the professional quality of pharmacists and so on.