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目的分析门诊药房退药的原因,并针对退药原因探讨相关应对措施,以减少门诊药房退药现象的发生。方法回顾性分析该院门诊药房2013年1-12月期间219610张门诊处方中527张退药处方,分析其科室来源、退药原因,进而探讨其应对措施。自2014年1月起实施门诊药房退药应对措施,对比该措施实施前后我院门诊药房退药发生率,以检验该应对措施的效果。结果 (1)退药处方科室构成比:527张退药处方中,内科253张(48.0%),儿科160张(30.4%),外科58张(11.0%),妇产科47张(8.9%),其他9张(1.7%)。(2)退药原因:527张退药处方中,因药物不良反应退药者318张(60.4%)。医师原因退药处方张173张(32.7%)。患者自身原因退药处方张27张(5.2%)。药师原因导致退药处方9张(1.7%)。(3)应对措施实施效果:经过上述措施的实施,门诊药房退药率从2013年的0.24%显著降低到目前的0.18%(P<0.01)。结论门诊药房退药在医疗机构中较为普遍,为了保障患者的用药安全,提高药物疗效,仍应采取相关措施减少退药事件的发生。
Objective To analyze the reason of withdrawal from outpatient pharmacy, and to explore the countermeasures for the reason of withdrawal, so as to reduce the occurrence of withdrawal from outpatient pharmacy. Methods A retrospective analysis of 527 prescriptions for retreat in 219610 outpatient prescriptions during the period from January to December in 2013 in this hospital from January 2013 to December 2013 was conducted to analyze the source of the department and the reasons for the withdrawal and explore the countermeasures. Since January 2014, the implementation of outpatient pharmacy withdrawal response measures, compared with the implementation of measures before and after the outpatient clinic drug withdrawal rate, to test the effectiveness of the response. Results Among the 527 retreat prescriptions, 253 (48.0%) were internal medicine, 160 (30.4%) were pediatrics, 58 (11.0%) were surgical and 47 were obstetrics and gynecology (8.9% ), Nine others (1.7%). (2) Reasons for withdrawal: Among 527 retreat prescriptions, 318 (60.4%) retreated due to adverse drug reactions. Reasons for doctor’s prescription 173 sheets (32.7%). Patient self-reason prescription retreated 27 sheets (5.2%). Pharmacist cause retreated prescriptions 9 (1.7%). (3) Effectiveness of response measures: After the implementation of the above measures, the withdrawal rate of outpatient pharmacies was significantly reduced from 0.24% in 2013 to the current 0.18% (P <0.01). Conclusion Outpatient pharmacy withdrawal is more common in medical institutions. In order to ensure the safety of patients and improve the curative effect of drugs, measures should be taken to reduce the incidence of withdrawal.