— 照護管理 · HARD · MCQ —
下列哪項敘述正確描述了醫院「安全文化」（Culture of Safety）的目的？
Which of the following describes the purpose of a 'Culture of Safety' in a hospital?
- ATo encourage honest reporting of errors without fear of punishment✓ 正解鼓勵誠實通報錯誤，而不必擔心受到懲罰
- BTo avoid any changes in hospital policies避免對醫院政策進行任何變更
- CTo keep all incident reports internal and confidential將所有事故報告保密並僅限內部流通
- DTo shift blame to the individual responsible for errors將錯誤責任歸咎於個人
— Explanation · 中文詳解 —
安全文化（Culture of Safety）的核心在於透明化，目標是鼓勵員工主動通報錯誤與虛驚事件，而不需擔心受到懲罰。這種「無責文化」（Just Culture）能揭露系統漏洞，從而進行流程改善。隱瞞、咎責個人或拒絕改變，都是與此文化背道而馳的做法。
A Culture of Safety emphasizes transparency and encourages staff to report errors and near-misses without fear of punishment. This 'Just Culture' surfaces system vulnerabilities so processes can be improved. Hiding errors, blaming individuals, or refusing to change policies all contradict this culture.
✦ 台美臨床差異
美國醫學界已成功轉向安全文化；台灣醫院亦正努力將「非懲罰性通報」落實在臨床現場，提升品質。