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目的分析我院中心药房的退药情况,总结有效、科学的管理措施。方法法回顾性分析我院在2013年12月~2014年12月以来2813份退药单,分析退药频次以及退药原因,提出科学、合理的整改方案。结果经过本次研究分析,中心药房退药的主要原因是由于修改医嘱,占到29.9%,其次是由于患者出院(26.7%)、医嘱错误(18.1%)、重复开药(9.3%)、患者转科(6.1%)、药房库存量缺乏(4%)、用药剂量有误(2.5%)、患者拒绝用药(1.5%)、手术停药(1.3%),其他原因也占到了0.6%。结论应加强中心药房管理力度,建立严格、规范的退药制度,进一步优化医院计算机系统,确保合理用药。
Objective To analyze the withdrawal status of pharmacy in our center and summarize the effective and scientific management measures. Methods A retrospective analysis of our hospital in December 2013 ~ December 2014 since 2813 orders for withdrawal, analysis of the frequency of withdrawal and the reasons for withdrawal, put forward a scientific and reasonable rectification program. Results After the study, the main reasons for withdrawal from the center pharmacies were 29.9% due to changes in doctor’s orders, followed by patients discharged (26.7%), doctor’s orders (18.1%) and repeated prescribing (9.3%) patients (6.1%), lack of inventory in pharmacies (4%), incorrect dosage (2.5%), patients refusing medication (1.5%) and surgical withdrawal (1.3%). Other causes accounted for 0.6%. Conclusion The management of central pharmacies should be strengthened, a strict and standardized withdrawal system should be established, the hospital computer system should be further optimized to ensure rational drug use.