我院门诊药房退药原因分析及对策探讨

目的:减少和规范退药,保证患者用药的安全、有效、经济、合理。方法:对我院2009年3月～2009年11月门诊西药房449份退药登记单进行统计,分析退药原因,探讨应对策略。结果:退药原因主要由医师(如医患缺少沟通,计算机操作错误)、患者(如医药知识不足而拒绝用药,入院、转院、死亡)、药房供应短缺、收费错误、其他(如药品不良反应,医保费用问题)等几方面原因引起。结论:退药现象是客观存在的,应完善各项制度,提高医务人员诊疗水平,强化服务意识,加强对患者的用药指导,努力避免退药现象的发生。

Analysis on the Causes of Drug Repercussion and Study on Its Countermeasures in Our Outpatient Pharmacy

OBJECTIVE： To reduce and standardize drug repercussion and to guarantee rational,safe,economic and effective drug use on patients.METHODS： 449 records of drug repercussion in outpatient pharmacy of our hospital from Mar.to Nov.in 2009 were statistically analyzed to explore corresponding countermeasures.RESULTS： Drug repercussion was mainly cause by physicians （inadequate communication and false computer operation）,patients （medication refusal resulting from inadequate knowledge,admission,discharge and death）,drug shortage,wrong charge and other aspects （ADR,medical insurance）.CONCLUSION： It is fact that there is drug repercussion.It requires the improvement of relevant system and skill of medical staff,strengthening of service awareness,enhancement of medication guide to avoid occurrence of drug repercussion.