西药房退药情况的分析及报告

Analysis and report of drug withdrawal in west pharmacy

目的:分析西药房退药情况,并对其退药原因、类别等进行探讨,提出针对性的改进与管理措施。方法:收集2015年1-12月我院各科室调配处方中的退药处方,统计其数量、涉及药物的类别、退药的原因等。结果:各科室调配的207 586张处方中,退药602张,退药率0.29%,其中,涉及的药物类别以抗生素为主,共计300张,显著高于其他药物类别;药物不良反应是造成退药的主要原因,涉及处方255张,显著高于其他因素,差异有统计学意义(P<0.05)。结论:要针对造成西药房退药的原因不同,给予积极的处理,从制度、管理、医生的专业水平提升、患者的用药宣教等多个方面降低退药率。

Objective:To analyze the situation of drug withdrawal in West pharmacy,and discuss the reasons and types of drugwithdrawal,and put forward the improvement and management measures.Methods:The withdrawal prescriptions in theprescriptions of different departments in our hospital from January to December 2015 were selected.We had counted the numberof it,the category of drugs,the reasons for drug withdrawal,and so on.Results:In 207 586 prescriptions of each department,withdrawal of 602 prescriptions,the drug withdrawal rate was 0.29% ,among which,antibiotics were mainly related to the drugcategory,a total of 300,significantly higher than other drug classes.Adverse drug reactions were the main reasons for thewithdrawal of drugs,and 255 of the prescriptions were involved,significantly higher than other factors,and the differences werestatistically significant(P<0.05).Conclusion:In view of the reasons for drug withdrawal from west pharmacy,positive treatmentshould be given,from the system,management,doctor's professional level promotion,patient's medication education and so on manyaspects to reduce the withdrawal rate.