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目的调查宿迁市医院门诊退药现象产生的原因,提出相应的改进措施,以保障用药安全,提高合理用药水平。方法收集宿迁市10所医院2011年1~7月门诊药房退药处方4 275张,按退药品种、原因、退药患者年龄分布及退药科室,分析退药现象的产生及特点。结果退药处方以抗感染类药物和中药注射剂为主,分别为1 130张和859张;退药原因中排名第1位的是药物不良反应,占1 612张,其次为医师处方错误,占1 091张。结论建议医院建立相应的退药制度,加强退药管理,规范医师处方行为,同时提高医患之间、药剂科与临床科室间的沟通效率,以减少退药现象的发生。
Objective To investigate the causes of withdrawal from hospital in Suqian City and put forward corresponding improvement measures to ensure the safety of medication and improve the rational use of medicine. Methods A total of 4 275 prescriptions for retreat in outpatient pharmacies in 10 hospitals in Suqian City from January 2011 to July 2011 were collected and analyzed according to the types and causes of retreat, age distribution of retreat patients and the department of retreat. Results There were 1 130 anti-infective drugs and 859 anti-infective drugs injections respectively. The top one among the drug withdrawal reasons was adverse drug reactions (1 612), followed by the doctor’s prescription error, accounting for 1 091 pictures. Conclusion It is suggested that the hospital should establish a corresponding withdrawal system, strengthen the administration of withdrawal, standardize the prescription of physicians, and improve the communication efficiency between doctors and patients, pharmacy and clinical departments so as to reduce the occurrence of withdrawal.