— 安全與感染控制 · HARD · SATA —
病人預計進行手術，下列哪些措施是用於確認正確部位與術式的必要行為？（選所有適合的）
A client is scheduled for a surgical procedure. Which actions are required to verify the correct site and procedure? (Select all that apply.)
- APerforming a 'time-out' immediately before starting the procedure✓ 正解在開始程序前立即執行『暫停核查』（time-out）
- BMarking the surgical site with the surgeon's initials✓ 正解以外科醫師的姓名縮寫標記手術部位
- CVerifying the patient's identity using the hospital room number使用醫院病房號碼驗證病人身份
- DReviewing the consent form against the surgical schedule✓ 正解將同意書與手術排程進行核對
- EHaving the client identify the site if possible✓ 正解若可行，請客戶自行確認部位
— Explanation · 中文詳解 —
這是依據聯合委員會（The Joint Commission）的「通用規範」預防手術錯誤。Time-out、部位標記、確認知情同意書與手術排程一致、病患參與核對，都是確保手術安全的核心步驟。房號不能作為病患識別標記，因為病人可能更換床位。
These actions are based on The Joint Commission's Universal Protocol for the prevention of surgical errors. The time-out, site marking, verifying that the consent form matches the surgical schedule, and patient participation in verification are all core steps in ensuring surgical safety. A room number cannot be used as a patient identifier because patients may be moved between beds.
✦ 台美臨床差異
台灣目前亦推行類似的「手術安全核對表（Surgical Safety Checklist）」，內容與美國高度同步。