论文部分内容阅读
目的调查分析医院门诊患者退药情况,分析原因并提出相应措施,以减少退药,促进临床合理用药。方法收集医院2013年5月-2014年6月门诊药房退药单共312例,对退药原因、退药种类、退药科室等情况进行汇总分析。结果门诊药房退药的主要原因是药物不良反应112例(35.9%),其后依次为耐药性70例(22.4%)、不合理用药63例(20.2%)、开药多或者重复32例(10.3%)、拒绝用药25例(8.0%)、其他原因10例(3.2%)。门诊药房退药品种中主要是抗菌药物注射剂131例(42.0%),其后依次为中药注射液64例(20.5%)、循环系统药物45例(14.4%)、急救药物32例(10.3%)、呼吸系统药物20例(6.4%)、其他药品20例(6.4%)。门诊药房退药科室中主要是普内科103例(33.0%),其后依次为小儿科84例(26.9%)、消化内科64例(20.5%)、门诊外科25例(8.0%)、皮肤科16例(5.1%)、其他科室20例(6.5%)。结论门诊退药现象不可避免,但为避免或减轻门诊退药,需要做好加强业务人员的专业素质、完善退药制度,促进医患沟通、做好门诊药学服务工作,促进合理用药。
Objective To investigate and analyze the withdrawal status of outpatients in hospitals, analyze the reasons and put forward corresponding measures to reduce the withdrawal of drugs and promote clinical rational use of drugs. Methods A total of 312 outpatients in the outpatient pharmacy were collected from May 2013 to June 2014 in the hospital. The reasons for the withdrawal, the type of drug withdrawal and the withdrawal department were collected and analyzed. Results Outpatient pharmacy was the main reason for the withdrawal of adverse drug reactions in 112 cases (35.9%), followed by resistance in 70 cases (22.4%), unreasonable medication in 63 cases (20.2%), prescribing medication or repeated 32 cases (10.3%), 25 cases refused medication (8.0%), and 10 cases (3.2%) for other reasons. Among them, 131 (42.0%) were antibacterial injection, followed by 64 cases (20.5%) of traditional Chinese medicine injection, 45 cases (14.4%) of circulatory system drugs and 32 cases (10.3% , Respiratory system drugs in 20 cases (6.4%) and other drugs in 20 cases (6.4%). In outpatient pharmacy, 103 cases (33.0%) were in general medicine department, followed by 84 cases (26.9%) in pediatrics, 64 cases (20.5%) in gastroenterology department, 25 cases (8.0%) in outpatient department and dermatology department 16 cases (5.1%), other departments in 20 cases (6.5%). Conclusion The outpatient withdrawal phenomenon is inevitable. However, in order to avoid or reduce the outpatient drug withdrawal, we need to strengthen the professional quality of the staff, improve the withdrawal system, promote the communication between doctors and patients, do outpatient pharmacy services and promote the rational use of drugs.