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安全與感染控制 · EASY · MCQ

護理師執行給藥前,下列哪項動作對於預防給藥錯誤最為重要?

A nurse is preparing to administer a medication to a client. Which action is the most important in preventing medication errors?

  • AChecking the medication label against the MAR three times
    三次查對藥物標籤與用藥單
  • BVerifying two client identifiers✓ 正解
    核對兩項病人辨識資料
  • CAsking the client to state their name
    請病人自報姓名
  • DReviewing the client's allergies in the chart
    檢視病歷中的過敏史
Explanation · 中文詳解

給藥安全是護理實務的核心,預防給藥錯誤最關鍵的原則是確認病人的身分。根據聯合委員會(The Joint Commission)的國家病人安全目標(NPSG),在執行任何醫療處置前,必須使用至少兩種辨識標記(Patient Identifiers),以確保是對的人。常見的辨識方式為姓名與出生日期,並需核對腕帶與給藥紀錄(MAR)。

Medication safety is a cornerstone of nursing practice, and the most critical principle for preventing medication errors is confirming the patient's identity. According to The Joint Commission's National Patient Safety Goals (NPSG), at least two patient identifiers must be used prior to any clinical procedure to ensure the right patient. Commonly used identifiers include the patient's name and date of birth, which must be cross-checked against the wristband and the Medication Administration Record (MAR).

✦ 台美臨床差異

台灣醫院常使用姓名與病歷號,美國則強制要求姓名與出生日期(DOB)。此外,美國現今全面推行 BCMA,護理師必須掃描病人腕帶條碼,此步驟即等同於確認兩項辨識碼。

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