— 安全與感染控制 · EASY · MCQ —
護理師準備施打肌肉注射。哪項護理作為最能促進安全並預防給藥錯誤？
A nurse is preparing to administer an intramuscular injection. Which nursing action is most effective in promoting safety and preventing medication errors?
- AConfirm the patient's identity using two identifiers✓ 正解使用兩種識別方式確認病人身分
- BCheck the medication label three times during preparation在準備期間三次檢查藥物標籤
- CPerform hand hygiene before touching the medication vial在接觸藥物瓶前執行手部衛生
- DUse the Z-track technique for all injections對所有注射使用 Z 字型推注技術
— Explanation · 中文詳解 —
根據國家病人安全目標（NPSG），確認病人身份是預防給藥錯誤的第一道也是最關鍵的防線。雖然三個核對（B）和洗手（C）也是必須的，但確認正確的對象（Identified client）具有最高權重，避免給錯藥給錯人。
According to the National Patient Safety Goals (NPSG), verifying patient identity is the first and most critical safeguard against medication errors. Although the three checks (B) and hand hygiene (C) are also necessary, identifying the correct client carries the highest weight in preventing the wrong medication from being given to the wrong patient.
✦ 台美臨床差異
台美皆採納 JCI 安全標準，強制要求雙重確認身份，台灣臨床常搭配條碼給藥系統（BCMA）。