论文部分内容阅读
目的分析我院门诊患者退药原因及干预效果。方法采用回顾性分析方法对2012年1月-2015年12月共28901张退药处方进行分析。结果我院门诊药房退药处方涉及31个临床科室和1 040位临床医师,退药原因共分有7类,即医师药品选择错误、医师药品费别选择错误、药量过多、因检查取消造成治疗中断、药房缺药、不良反应和患者拒绝使用。实施干预措施后门诊患者每月退方量有明显的下降趋势。结论门诊退药情况有客观存在的,也有可以改善和避免的。在医院各个临床科室医师和门诊药房药师的干预下,降低退药发生率是完全可行的。
Objective To analyze the reasons and intervention effects of withdrawal from outpatients in our hospital. Methods A total of 28901 prescriptions for withdrawal from January 2012 to December 2015 were analyzed retrospectively. Results There were 31 clinical departments and 1,040 clinicians in the prescription clinic drug withdrawal prescription. There were 7 reasons for the withdrawal, namely, the doctor chose the wrong drug, the doctor chose the wrong drugs, the dosage was too much, and the check was canceled Resulting in disruption of treatment, lack of pharmacy, adverse reactions and refusal of use by patients. Post-clinic patients have a significant downward trend in monthly withdrawals after implementing the interventions. Conclusion There is an objective existence of outpatient drug withdrawal, and it can be ameliorated and avoided. Under the intervention of all clinical department physicians and outpatient pharmacy pharmacists in the hospital, it is feasible to reduce the incidence of withdrawal.