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目的探讨门诊药房退药及调换药原因及状况,为提高用药安全,规范医疗服务提供科学依据。方法采用回顾性研究,选取2014年1—12月本所门诊药房退药及调换药单据85张,根据单位制定的退药及调换药制度,进行汇总分析。结果门诊药房退药及调换药处方总计85张,平均退药及调换药率为0.19%(85/44 640),原因以药物不良反应退药及调换药最多,占30.59%(26/85);医师因素:处方用药不当、重复开药、剂型选择不当、费用过高、配药量过大等占25.88%(22/85);患者因素:医保问题、疗效不满、拒绝用药占36.47%(31/85);药剂科因素:质量包装、药品调配差错占7.06%(6/85)。结论退药及调换药物现象直接关系到药品管理及患者的用药安全,减少退药及调换药现象是医疗机构面临的重要问题。
Objective To explore the reason and condition of drug withdrawal and drug replacement in outpatient pharmacy and provide scientific basis for improving drug safety and standardizing medical service. Methods A retrospective study was conducted. From January to December 2014, 85 drug withdrawal and replacement medicine bills were purchased from outpatient clinics in our country. According to the system of drug withdrawal and replacement medicine formulated by the unit, a meta-analysis was conducted. Results A total of 85 prescriptions for withdrawal and replacement of drug in outpatient pharmacy were received. The average rate of drug withdrawal and replacement was 0.19% (85/44 640). The reason was that the drug withdrawal and replacement drug accounted for 30.59% (26/85) ; Physician factors: prescription improper medication, repeated prescribing, improper dosage forms, excessive cost, overdosing accounted for 25.88% (22/85); Patient factors: medical insurance problems, dissatisfaction, refusal medication accounted for 36.47% / 85); Pharmacy factors: quality packaging, pharmaceutical allocation error accounted for 7.06% (6/85). Conclusions The withdrawal of drug and the exchange of drugs are directly related to the administration of drugs and the safety of patients’ medication. Reducing the phenomenon of drug withdrawal and exchanging drugs is an important issue for medical institutions.