— 安全與感染控制 · EASY · MCQ —
護理師準備給藥，下列哪項行動對於預防給藥錯誤最為關鍵？
A nurse is preparing to administer a medication to a client. Which action is the most critical to prevent medication errors?
- AConfirming the client's identity using two identifiers✓ 正解使用兩種識別資訊確認病人身分
- BReviewing the physician's order in the chart檢視病歷中的醫師醫囑
- CChecking the medication label against the MAR three times將藥物標籤與用藥紀錄表（MAR）核對三次
- DAsking the client if they have any allergies詢問病人是否有任何過敏史
— Explanation · 中文詳解 —
病人辨識是病人安全的第一道防線。根據 TJC 指引，執行任何治療或給藥前，必須使用至少兩種識別方式（如姓名與出生日期），且不得使用房號。雖然核對醫囑與藥物標籤也很重要，但若對象錯誤，所有程序均失去意義。
Client identification is the first line of defense for patient safety. According to TJC (The Joint Commission) guidelines, at least two forms of identification (such as name and date of birth) must be used before any treatment or medication administration, and the room number must not be used. Although reviewing the order and the medication label is also important, if the wrong client is identified, all procedures become meaningless.
✦ 台美臨床差異
台灣多使用手圈核對身分，美國則全面推行條碼給藥系統（BCMA）以降低人工核對失誤。