Murphy Catherine R, Corbett Cynthia L, Setter Stephen M, Dupler Alice
Pullman Regional Hospital, Pullman, Washington, USA.
ANS Adv Nurs Sci. 2009 Oct-Dec;32(4):338-50. doi: 10.1097/ANS.0b013e3181beafba.
Medication discrepancy is a concept often used in discussions about medication safety but has neither been fully explained nor clearly defined in the literature. This article explores medication discrepancy as it relates to patient safety and population health in the management of medications. Literature review reveals 2 main aspects of discrepancies in medication management; prescribing issues and patient adherence to regimens. Further development of the concept of medication discrepancy can be beneficial to the theorist, researcher, or clinician. Conceptual clarity about the various aspects of medication discrepancy in the context of patient safety has the potential to enhance quality improvement efforts and patient outcomes to improve population health.
用药差异是在关于用药安全的讨论中经常使用的一个概念，但在文献中既没有得到充分解释，也没有明确的定义。本文探讨了用药差异与药物管理中患者安全和人群健康的关系。文献综述揭示了药物管理差异的两个主要方面：处方问题和患者对治疗方案的依从性。进一步发展用药差异的概念可能对理论家、研究人员或临床医生有益。在患者安全背景下，对用药差异各个方面的概念清晰化有可能加强质量改进工作并改善患者结局，从而提升人群健康水平。
