中国药物警戒 ›› 2012, Vol. 9 ›› Issue (10): 635-636.

• 综述 • 上一篇    下一篇

住院药房退药现象的分析与对策

张晓红   

  1. 河南省濮阳市妇幼保健院,河南 濮阳 457000
  • 收稿日期:2012-03-29 出版日期:2012-10-10 发布日期:2015-08-07
  • 作者简介:张晓红,女,副主任药师,临床药学。

Analysis and Countermeasures for Drug Withdrawal Phenomenon at Inpatient Pharmacy

ZHANG Xiao-hong   

  1. Puyang Maternal and Child Healthcare Hospital of Henan Province, Henan Puyang 457000, China
  • Received:2012-03-29 Online:2012-10-10 Published:2015-08-07

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摘要： 目的减少医患冲突,保证临床用药安全。方法调取我院2010、2011年全部住院患者退药处方2 114张,调查退药原因、各科室退药处方金额及计算退药比率。结果退药比例最高的为儿科和重症监护室（小儿）;因医生改变用药方案退药比最高达41.67%,依次为：不良反应（25.35%）、护士录入错误（22.28%）和药房原因（4.02%）等。结论强化医院药事管理,退药实行首问负责制,以良好的态度、专业的服务面对患者。

关键词: 退药现象, 分析, 对策

Abstract: Objective To reduce the conflicts between doctors and patients,and ensure clinical medication safety. Methods Take out all drug withdrawal prescriptions(2114) for the inpatients in our hospital from 2010 to 2011, analyze drug withdrawal reasons, amount of money and corresponding radio. Results The drug withdrawal rates were the highest for pediatric department and ICU(pediatric). The drug withdrawal ratio resulted from changing medication regimens by physicians was up to 41.67%, the next respectively was adverse reactions(25.35%), nurse entry errors(22.28%) and pharmacy reason(4.02% ). Conclusion It's necessary to strengthen the management of hospital pharmacy, implement the first asking duty system for drug withdrawal, provide professional service to the patients in combination with good attitude.

Key words: phenomenon of drug withdrawal, analysis, countermeasure