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安全與感染控制 · EASY · MCQ

護理師準備給藥,下列哪項措施對確保病人安全最重要?

A nurse is preparing to administer medication to a client. Which action is the most important to ensure patient safety?

  • AVerify the dose with another nurse
    與另一位護理師核對劑量
  • BCheck the medication against the MAR
    將藥物與給藥紀錄單(MAR)比對
  • CScan the client's barcode identification bracelet✓ 正解
    掃描病人的條碼識別手環
  • DAsk the client for their name and birth date
    詢問病人的姓名和出生日期
Explanation · 中文詳解

電子條碼給藥驗證(BCMA)是目前臨床公認防止給藥錯誤最有效的技術機制。雖然詢問病人姓名是基礎,但條碼掃描能直接連結電子醫囑系統(EMR)自動比對藥物、劑量與路徑,有效排除人為識別疏失。B 與 D 均屬給藥安全步驟,但科技輔助的驗證系統錯誤率最低。

Barcode medication administration (BCMA) is currently the clinically recognized most effective technologic mechanism for preventing medication errors. Although asking the client's name is basic, barcode scanning directly links to the electronic medical record (EMR) and automatically verifies medication, dose, and route, effectively eliminating human identification errors. Options B and D are both steps in medication safety, but the technology-assisted verification system has the lowest error rate.

✦ 台美臨床差異

美國醫院全面導入條碼給藥系統;台灣部分醫院仍依賴護理師人工核對,正逐年推動資訊化改善。

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