门诊药房退药情况分析及改进措施

Analysis and Improvement of Drug Repercussion in an Outpatient Pharmacy

目的了解门诊药房退药情况,分析退药原因,提出改进建议。方法收集2015年1月1日—2017年12月31日海军总医院门诊药房的退药信息,进行分析。结果药物不良反应、取消检查、更改治疗方案等客观原因是造成退药的最主要原因,占40%以上。退药隐患相对较大是注射剂退药,主要包括造影剂、麻醉剂、抗生素和中药注射剂等。结论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 data on drug repercussion in an outpatient pharmacy and analyze the causes in order to offer suggestions regarding improvement.Methods Data on drug repercussion within the period of January 1,2015 to December 31,2017 was collected and analyzed.Results The main causes of drug repercussion included adversed drug reactions,cancellation of medical checkups and revision of therapies,accounting for more than 40%.The risk of drug repercussion was higher with injections,including contrast-medium,anesthetics,antibiotics and TCM injections.Conclusion The rate of drug repercussion should be reduced by gradually improving the system of information,taking intervention measures and enhancing the expertise of pharmacists.