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安全與感染控制 · EASY · MCQ

下列何者顯示護理師對臨床安全場域的承諾?

Which action shows the nurse's commitment to safety in a clinical setting?

  • ASharing passwords to save time
    分享密碼以節省時間
  • BReporting a near-miss error✓ 正解
    通報未遂錯誤
  • CIgnoring minor spills in the hallway
    忽略走廊上的小面積液體灑落
  • DTaking shortcuts to get tasks done faster
    採取捷徑以加快完成工作
Explanation · 中文詳解

安全文化的核心在於從錯誤中學習,而非懲處個人。回報「未遂錯誤(Near-miss)」能幫助機構識別系統性漏洞,在未造成病人傷害前進行預防性調整。此舉展現了護理師對病人安全的高度責任感,符合美國醫學界推崇的「不責難文化(Just Culture)」。其他選項如無視安全隱患、違反資訊安全規定或貪快,皆屬於高風險行為,會增加醫療疏失的可能性。

The core of a safety culture is learning from mistakes rather than punishing individuals. Reporting near-miss errors helps the institution identify systemic vulnerabilities and make preventive adjustments before patient harm occurs. This action demonstrates the nurse's strong sense of responsibility for patient safety and aligns with the Just Culture model promoted in the U.S. medical community. The other options, such as ignoring safety hazards, violating information security regulations, or taking shortcuts, are all high-risk behaviors that increase the likelihood of medical errors.

✦ 台美臨床差異

在美國臨床環境中,非常強調「Blame-free/Just Culture」。護理師若未回報 near-miss,不僅是個人疏失,更會被視為阻礙組織品質改善的負面行為,教育訓練對此極為重視。

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