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安全與感染控制 · EASY · MCQ

護理師準備對一位高齡病人給藥,下列哪項安全介入措施對於防止給藥錯誤最有效?

A nurse is preparing to administer medication to an older adult client. Which safety intervention is most effective for preventing medication errors?

  • AVerify the medication against the physician's order
    根據醫師指示核對藥物
  • BAsk the client's name and check their wristband
    詢問病人的名字並檢查其腕帶
  • CCompare the client's wristband with the Medication Administration Record (MAR)✓ 正解
    將病人的腕帶與給藥紀錄(MAR)進行比較
  • DAsk the client to state their name and date of birth
    請病人說出他們的名字和出生日期
Explanation · 中文詳解

病人辨識是給藥安全的核心。僅詢問病人名字可能因意識混亂或聽力問題導致錯誤,對照腕帶與 MAR 是最強的對照標準。腕帶上的資訊是臨床唯一合法的靜態辨識依據,必須在給藥當下進行配對,確保藥物正確供給對的人。

Patient identification is the foundation of safe medication administration. Asking only for the patient's name may produce errors when the patient is confused or has hearing problems; comparing the wristband with the medication administration record (MAR) is the strongest standard for verification. The information on the wristband is the only legally accepted static identifier in clinical practice and must be matched at the time of administration to ensure that the medication is given to the correct patient.

✦ 台美臨床差異

美國全面導入條碼給藥(BCMA)系統;台灣醫學中心多已實施條碼辨識,但部分地區醫院仍以人工核對為主。

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