護理師準備給藥，確認病人身份最優先且正確的步驟為何？
A nurse is preparing to administer medication. What is the priority safety action to identify the client correctly?
- AAsk the roommate to confirm the identity詢問室友以確認身分
- BAsk the client their name詢問病人的姓名
- CCheck the wristband and ask for their date of birth✓ 正解檢查手圈並詢問其出生日期
- DCheck the client's bed tag檢查病人的床頭標籤
病人安全目標（Patient Safety Goals）強制要求在給藥、輸血、執行侵入性處置前，必須使用至少兩種識別方式（Two-identifier rule）。此舉旨在預防因同名同姓或資訊誤認導致的嚴重醫療錯誤。正確做法是核對手圈（Wristband）上的資訊，並要求病人說出姓名與出生日期（Date of Birth），而非僅詢問姓名，因為病人可能會因神志不清或聽力問題而回應錯誤。
The Patient Safety Goals mandate the use of at least two identifiers (the two-identifier rule) prior to medication administration, blood transfusion, or invasive procedures. The aim is to prevent serious medical errors caused by identical or similar names or information mix-ups. The correct practice is to check the information on the wristband and ask the client to state their name and date of birth, rather than asking the name only, because the client may respond incorrectly due to confusion or hearing impairment.
美國醫院對於病人辨識非常嚴格，通常要求核對手圈條碼（Barcode scanning）與口頭詢問並行。台灣臨床雖有核對機制，但美國護理師在給藥時會強制掃描病人手圈條碼，若無法掃描則必須重新列印，不得跳過此步驟。