我院门诊退药管理实践及干预措施探讨

目的:减少门诊退药现象,保障药品质量。方法:分析我院门诊退药原因,通过建立退药流程及退药制度等相关措施实施规范化退药管理,考察实施前后各1年内的退药率以评价其效果;再对措施实施后最近6个月的退药品种进行具体分析,为进一步寻找干预措施减少退药现象提供依据。结果与结论:措施实施前后退药率分别为0.96%(4 417/458 961)、0.64%(3 190/501 060),降低了33.33%,退药金额下降了21.92%;经过对退药品种进行分析,发现诊断用药(造影剂、局部麻醉药品、全身麻醉辅助用药品等)占总退药品种比例最高(25.17%);建议加强医、药、患三方的有效沟通。我院实行的规范化退药管理可在一定程度上减少退药现象,促进药品的合理化管理。

Management and Intervention Measures of Drug Withdrawal in Outpatient Department of Our Hospital

OBJECTIVE：To reduce the drug withdrawal and guarantee the quality of drugs. METHODS：The reasons for drug withdrawal were analyzed in our hospital. The standard management of drug withdrawal was implemented through related measures as establishing the process and system of drug withdrawal. The effects of intervention measure were evaluated through investigating the rates of drug withdrawal in the past one year;the type of drugs was analyzed in 6 months after the implementation of intervention measures,in order to provide reference for further reducing the phenomenon of drug withdrawal by exploring intervention measures. RESULTS CONCLUSIONS：The rates of drug withdrawal were 0.96% before intervention（4 417/458 961）and 0.64%（3 190/501 060）after intervention,decreasing by 33.33%;and the withdrawal amount decreased by 21.92%. By analyzing the type of drugs,drugs for diagnostic aids（contrast medium,local anesthetic drugs,general anesthesia adjuvant drugs,etc.）took up the highest proportion（25.17%）in the total. It is suggested to strengthen the effective communication among physicians,pharmacists and patients. The standard management of drug withdrawal can reduce drug withdrawal and promote rational drug management.