— 安全與感染控制 · HARD · MCQ —
下列哪項行為最能展現護理師在促進「安全文化」中的角色？
Which of the following actions best illustrates the nurse's role in promoting a culture of safety?
- AFollowing hospital policies without questioning無條件遵循醫院政策
- BCorrecting colleagues' mistakes in private私下糾正同事的錯誤
- CReporting near-miss errors to the management system✓ 正解向管理系統通報近失錯誤
- DPunishing students for making minor mistakes因學生犯下小錯而懲罰他們
— Explanation · 中文詳解 —
安全文化的核心是「非懲罰性」且「主動通報」。報告差點發生（near-miss）的錯誤能協助組織分析系統漏洞，防止未來發生重大意外。B 隱瞞糾正無法系統性改善，A 盲從會扼殺安全提醒，D 處罰只會增加隱瞞錯誤的文化。
The core of a culture of safety is being non-punitive and encouraging proactive reporting. Reporting near-miss errors helps the organization analyze system vulnerabilities and prevent future serious incidents. Option B's private correction does not produce systemic improvement; option A's blind compliance suppresses safety reminders; and option D's punishment only reinforces a culture of concealing errors.
✦ 台美臨床差異
美台目前皆致力於推廣「不責難文化」（Just Culture），雖然台灣因組織結構影響，仍需持續推廣。