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目的:分析在药房退药过程中存在的风险因素,以及针对这些风险的处理方案。方法:医院在2015年6~12月门诊药房总共退药处方982例,根据掌握的数据详细信息,调查退药的具体原因,对出现的问题、风险进行调查整理,从而于2016年1~6月进行实施。结果:通过对2016年1~6月的退药事件进行分析,并与2015年6~12月退药事件进行比较,归纳总结其退药的具体原因。其原因主要有:服用或注射药物有药物过敏反应、药物价格相对较高、该药物不在报销药物行列当中、患者家中已有此类药物、主治医师开错药等五大类。结论:部分退药是可以避免的,但是还有大部分是没有办法避免的,为了避免发生退药风险,就要制定规范的退药制度,才能够更好的在退药过程中保障双方权益。
OBJECTIVE: To analyze the risk factors that exist during drug withdrawal and the treatment options for these risks. Methods: A total of 982 prescribing prescriptions were withdrawn from outpatient pharmacies in the hospital from June to December in 2015. Based on the detailed data, the hospital investigated the specific causes of the drug withdrawal and investigated the problems and risks that occurred. Therefore, in 2016 1 ~ 6 Month to implement. Results: By analyzing the withdrawal from January to June in 2016 and comparing with the withdrawal from June to December in 2015, we summarized the specific reasons for the withdrawal. The main reasons are: taking or injecting drugs have drug allergies, drug prices are relatively high, the drug is not reimbursed among the ranks of drugs, the patient’s home already have such drugs, the attending physician to open the wrong medicine and other five categories. Conclusion: Part of the withdrawal can be avoided, but most of them can not be avoided. In order to avoid the risk of withdrawal, a standardized withdrawal system must be established in order to better protect the rights and interests of both parties during the withdrawal process .