门诊西药房退药情况分析与改进措施探讨-中国药事.pdf

中国药事 2019年8月 第33卷 第8期 959 门诊西药房退药情况分析与改进措施探讨 李杨 （陆军特色医学中心，重庆 400042） 摘要 目的：了解我院门诊西药房退药情况，探索降低门诊退药率的管理措施，促进患者安全合理用 药。方法：对我院门诊西药房 2017 年 8 月 -2018 年 8 月的所有处方进行收集和统计，对所有退药处 方的退药情况以及退药原因经 Excel 软件进行退药数据处理，进行帕累托图分析，按分类项目统计频 数，计算累计频率，制作退药原因统计分类表并绘制帕累托图，同时分析退药原因的主要、次要、一 般因素。 结果：总量有 1324760 份处方，其中有 1500 份为退药处方，占比为 1.13‰ ；退药的原因根据 积累频率分三类因素，第一类为主要因素，即 A 类，一般其累积频率在 30%~80% 之间；第二类为次要 因素，即 B 类，一般其累积频率在 80%~90% 之间；第三类为一般因素，即 C 类，一般其累积频率在 90%~100% 之间。对药物退换的原因进行分析，发现退药最多的原因是医务人员录入错误的药物信息， 共为 292 次，占所有退换药物原因的 19.47% ；结论：应该建立健全药物处方的各种管理制度，制定相应 的措施，严格监督和控制主要药物退换的科室以及药物退换的品种，最大程度上降低药物退换率。 关键词： 门诊；退药；原因分析；措施 R95 R969 A 1002-7777(2019)08-0959-06 中图分类号： ； 文献标识码： 文章编号： doi:10.16153/j.1002-7777.2019.08.018 Analysis of the Reasons for the Drug Returns in Outpatient Pharmacy and the Improvement Measures Li Yang (Military Medical Center, Chongqing 400042, China) Abstract Objective: To analyze the situation of the drug returns in the outpatient pharmacy in our hospital and to explore the management measures to reduce the rate of the drug returns so as to ensure safe and rational drug use of patients. Methods: All prescriptions in the outpatient pharmacy from August 2017 to August 2018 were collected and analyzed. The data of the drug returns and the reasons for the drug returns were processed by Excel software and the Pareto chart analysis was carried out. The cumulative frequency was calculated according to the statistical frequency of classification items. The statistical classification table of the drug returns was made and the Pareto chart was drawn. At the same time, the main, minor and general factors for the drug returns were analyzed. Results: A total of 1324,760 prescriptions were collected, of which 1,500 were the drug returns prescriptions, accounting for 1.13‰ . The reasons for the drug returns were divided into three k