— 安全與感染控制 · MEDIUM · MCQ —
下列哪種情況屬於必須申報的「病人安全事件」？
Which of the following is an example of an 'incident' that must be reported?
- AA family member is upset about hospital food家屬對醫院餐點感到不滿
- BA nurse forgets to document a nursing note護理師忘記記錄護理紀錄
- CA client receives the wrong dosage of medication✓ 正解個案接受了錯誤劑量的藥物
- DA client refuses to take their medication個案拒絕服用藥物
— Explanation · 中文詳解 —
病人安全事件通報系統（Incident reporting system）旨在透過分析系統性錯誤來提升醫療品質。藥物給藥錯誤（如給錯劑量）對病人安全造成潛在威脅，屬於必須通報的事件。病人拒藥屬於病人自主權的行使，無需通報安全事件；護理紀錄疏漏雖屬行政疏失，但不屬於病人安全事件；家屬抱怨屬服務品質範疇。
An incident/safety event requiring formal reporting through the facility's incident-reporting system is one that involves potential or actual patient harm or a deviation from standards—such as a medication-dose error. Refusal of medication (D) is a patient right; missed documentation (B) is a charting issue addressed by audit; family dissatisfaction with food (A) is a service-recovery complaint.