目的了解我院住院西药房退药原因并采取有效防范措施,促进医院合理用药,提高药房管理水平。方法收集我院2011年8月住院部西楼药房退药处方580张,以《医疗机构药事管理规定》为依据,从退药科室、退药原因、退药品种数角度进行统计分析并提出建议。结果退药处方最多的科室为小儿内科,共124张,占21.4%,其次为神经内三科,共107张,占18.4%;退药金额最多的是放疗科,共26 769.564元,占28.9%;退药原因中的关键因素是医师原因。结论医院应加强管理,制订严格的退药制度,引入奖惩制度,从医师、药师、患者三方面入手,加强其沟通,严格退药手续,防止因退药造成的医疗差错,同时应强化医生合理用药意识,提高合理用药水平,完善医德教育,从而有效控制退药。 Objective To understand the reasons for withdrawal from hospitalized western pharmacy in our hospital and take effective precautionary measures to promote reasonable medication in hospitals and improve the management level of pharmacy. Methods A total of 580 prescriptions for retreat in pharmacies in West Building of Inpatient Department of our hospital in August 2011 were collected. Based on the Regulations on the Administration of Pharmacists in Medical Institutions, statistical analysis was conducted from the points of retreat department, reason of retreat and withdrawal of drug varieties make a suggestion. Results The most prescriptions for withdrawal were pediatric medicine, with a total of 124, accounting for 21.4%, followed by three neurological subjects, a total of 107, accounting for 18.4%; the largest amount of withdrawal is radiotherapy, a total of 26769.564 yuan, accounting for 28.9 %; The key factor in the cause of withdrawal is the physician’s reason. Conclusion The hospital should strengthen management, establish a strict withdrawal system, introduce rewards and punishments system, start from three aspects: physicians, pharmacists and patients, strengthen their communication and strict drug withdrawal procedures to prevent the medical errors caused by the withdrawal of drugs, and at the same time strengthen the reasonableness of doctors Medication awareness, improve the rational use of medicine, improve medical ethics education, so as to effectively control the withdrawal.