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 drug returning in outpatient department of hospitals in Suqian city, inorder to make improvement measure to ensure the safety of drug use and improve the level of rational drug application. Methods 4 275 pieces of returning drugs prescriptions in outpatient, pharmacy of 10 hospitals in Suqian city from January to July 2011 were collected. The phenomenon of returning drugs and the characteristics were analyzed according to the drugs returning categories, causes, age distribution and department. Results The commonest categories of drugs returning were anti infective drugs and traditional Chinese medicine injections, which had 1 130 pieces and 859 pieces respectively. Among all causes of drug returning, adveree drug reaction was occupied the first, place, which had 1 612 pieces, prescription error was followed, which had 1 091 pieces. Conclusion In order to reduce the occurrence of drug returning, hospitals should establish drug returning system, strengthen the management of drug returning, standardize prescription behavior of physicians, while increase the communication efficiency between patients and doctor, pharmacy department, and clinical departments.
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