護理師在進行藥物核對（Medication Reconciliation）時，最重要動作為何？
A nurse is performing a medication reconciliation. Which action is most important?
- ADocument the last dose administered記錄最後一次給藥時間
- BReview the client's allergy history檢視病人的過敏史
- CAsk the client about herbal supplements詢問病人關於草藥補充品的使用情況
- DCompare current medications with the admission order✓ 正解將目前用藥與入院醫囑進行比對
藥物核對（Medication Reconciliation）旨在確保病人從入院、轉科到出院的用藥連續性，預防藥物錯誤（Medication Errors）。其核心步驟是將病人「目前使用的藥物」與「新開立的醫囑」進行系統性比對，以確保無重複用藥、遺漏或危險的藥物交互作用。這是美國醫療機構評鑑委員會（The Joint Commission, TJC）病人安全目標的核心項目。
Medication reconciliation is intended to ensure continuity of medication use during admission, transfer, and discharge, thereby preventing medication errors. Its core step is the systematic comparison of the patient's current medications against newly prescribed orders to identify duplications, omissions, and potentially dangerous drug interactions. This is a core component of The Joint Commission (TJC) National Patient Safety Goals.
美國醫療系統高度依賴電子病歷（EMR）自動化進行藥物核對，護理師需在每個轉接點（Transition of care）執行此動作；台灣臨床雖有藥物過敏與用藥紀錄，但針對「Medication Reconciliation」的系統性流程在各醫院落實程度不一。