護理師執行用藥核對（medication reconciliation），為何此程序對病人安全至關重要？
A nurse is performing a medication reconciliation. Why is this process crucial for patient safety?
- ATo update the electronic medical record as quickly as possible盡快更新電子病歷
- BTo verify the insurance coverage for medications驗證藥物的保險給付
- CTo prevent medication errors such as omissions or duplications✓ 正解預防用藥錯誤，如遺漏或重複用藥
- DTo ensure the hospital bill is accurate確保醫院帳單準確無誤
用藥核對（Medication Reconciliation）是病人轉換照護環境（如入院、轉科、出院）時的標準安全程序。其核心目標是建立一份準確、完整的用藥清單，比對病人先前服用的藥物與當前醫囑，以識別不必要的重複用藥、劑量錯誤或藥物遺漏。此程序在病人安全（Patient Safety）中扮演關鍵角色，能有效減少藥物不良反應（ADEs）及醫療疏失。
Medication reconciliation is a standard safety procedure performed when a client transitions across care settings (such as admission, transfer, or discharge). Its core goal is to establish an accurate and complete medication list, comparing the client's previously taken medications with current orders to identify unnecessary duplications, dosage errors, or medication omissions. This procedure plays a critical role in patient safety, effectively reducing adverse drug events (ADEs) and medical errors.
在美國，用藥核對是 Joint Commission（TJC）醫院評鑑的強制性要求，護理師通常需透過電子系統（EMR）與藥師合作完成。台灣臨床亦推廣此作業，但美國更強調藥師與護理師在入院 24 小時內完成此任務的法規責任。