— 安全與感染控制 · MEDIUM · MCQ —
護理師協助病人進行侵入性檢查。下列何者最能體現「暫停（Time-Out）」安全程序的核心？
A nurse is preparing a client for a procedure. Which action best demonstrates the implementation of a 'Time-Out' safety protocol?
- AVerifying the client's name and birthdate against the wristband根據手環核對病人的姓名和出生日期
- BEnsuring the client has fasted for 8 hours prior to the procedure確保病人在手術前已禁食8小時
- CChecking that the consent form is signed by the physician檢查同意書是否已由醫師簽署
- DConfirming the procedure and site with the entire team just before starting✓ 正解在開始前與整個團隊確認手術項目和部位
— Explanation · 中文詳解 —
暫停程序（Time-Out）是醫療安全中的關鍵步驟，要求所有醫療團隊成員在手術或侵入性檢查開始前，共同確認正確病人、正確程序、正確部位。此舉能有效防止開錯部位或做錯手術等嚴重醫療疏失，是預防錯誤不可或缺的環節。
The time-out procedure is a critical step in medical safety, requiring all members of the healthcare team to verify together the correct client, correct procedure, and correct site before the start of surgery or an invasive procedure. This effectively prevents serious medical errors such as wrong-site or wrong-procedure surgery and is an indispensable safeguard for preventing errors.
✦ 台美臨床差異
美國醫院對 Time-Out 程序執行非常嚴格，若未進行團隊確認，護理師有權隨時暫停手術流程。