— 照護管理 · MEDIUM · MCQ —
護理師發現機構的給藥規範有誤，哪項行動最為適當？
A nurse identifies an error in the facility's medication administration protocol. Which action is the most appropriate?
- AReport the issue to the unit manager or quality improvement committee✓ 正解向單位主管或品質改善委員會回報此問題
- BIgnore the error to avoid confrontation忽略錯誤以避免衝突
- CModify the protocol on your own自行修改協議
- DFollow the protocol to protect yourself遵循協議以保護自己
— Explanation · 中文詳解 —
為了保障病人的用藥安全，護理師有義務針對錯誤規範提出改善建議。透過正式的品質改善委員會或單位主管回報，能透過系統性的審查來修訂規範，而非自行修改或無視錯誤。遵循錯誤的規範仍可能導致病人受害，且不符合護理師的專業職責。
To safeguard medication safety, the nurse has a duty to recommend improvements to flawed protocols. Reporting through formal quality-improvement committees or unit managers allows systematic review and revision—self-modification or ignoring errors is unsafe. Following an erroneous protocol still harms patients and breaches professional responsibility.
✦ 台美臨床差異
美國較強調「不責難文化」（Just Culture）來鼓勵回報；台灣單位常有階級壓力，主動回報錯誤常伴隨擔憂懲處。