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儿童医院1160例门诊患儿退药原因分析 被引量:1

Causal Analysis of 1160 Drug Repercussion from Out-patients in Children's Hospital
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摘要 目的:分析我院门诊药房退药原因并提出相应对策。方法:根据我院2008年7月-9月的1160例门诊患儿的退药处方,统计分析退药原因。结果:1160例退药中,家长要求退药的为394例,占退药总数的33.97%;因药品不良反应而要求退药的为203例,占17.50%;因住院治疗而要求退药的为160例,占13.79%;因治疗方案改变而要求退药的为123例,占10.60%;因医生开错药而要求退药的为115例,占9.91%;因家里有药而要求退药的为85例,占7.33%;因依从性差而要求退药的为35例,占3.02%,因其他原因退药的为45例,占3.88%。结论:制定和实施退药干预,协调门诊与住院系统机制,改善医患关系,重视打印纸质处方的必要性,努力提高医疗服务质量。 Objective: To analyze drug repercussion and discuss the countermeasure. Methods: A total of 1,160 out-patient prescriptions involved in drug repercussion from Jul. to Sep. in 2008 in our children's hospital were analyzed statistically in respect of the cause for drug repercussion. Results: Of the 1,160 prescriptions, 394 (33.97%) returned drags on account of parents request, 203 ( 17.50% ) on account of adverse drug reactions, 160 ( 13.79% ) on account of hospitalization after further diagnosis, 123 ( 10.60% ) on account of therapeutic schedule alteration, 115 (9.91%) on account of doctor's wrong advice, 85 (7.33%) on account of the medicine already prepared at home, 35 (3.02%) on account of poor compliance, and 45 (3.88%) on account of other reasons. Conclusions: Systematic intervention of drug repercussion should be formulated and implemented, coordinating out-patient and in-hospital mechanisms, improving the relation between medical staffs and patients, attaching more importance to print prescriptions and reinforcing medical service quality.
出处 《儿科药学杂志》 CAS 2009年第5期43-45,共3页 Journal of Pediatric Pharmacy
关键词 儿童 退药 分析 干预 Children Drug repercussion Analysis Intervention
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