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目的:分析我院门诊药房退药的主要原因,提出改进措施,促进合理用药。方法:利用Excel软件对退药数据进行处理,应用帕累托图分析退药的主要原因。结果:药物不良反应、不合理用药、患者病情变化、病人原因是造成退药的主要因素,入院或院外治疗、检查项目取消为次要因素,其余为一般因素。结论:针对造成退药现象的主要原因,应采取加强制度建设与处方点评、提高医生的诊治水平和服务意识、提高药师素质等措施。
OBJECTIVE: To analyze the main reasons for withdrawal of drug in outpatient pharmacy in our hospital, propose improvement measures and promote rational drug use. Methods: The data of withdrawal were processed by Excel software. The main reason of withdrawal was analyzed by Pareto chart. Results: Adverse drug reactions, irrational use of drugs, changes in patient's condition, the patient's cause was the main factor of withdrawal, admission or out-of-hospital treatment, examination items canceled as the secondary factor, and the rest were general factors. Conclusion: In response to the main reason for the withdrawal from drug abuse, measures should be taken to strengthen the system construction and prescription review, improve doctor's diagnosis and treatment level and service awareness, and improve the quality of pharmacists.