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安全與感染控制 · MEDIUM · MCQ

護理師如何防止因溝通導致的醫療疏失?

What should the nurse do to prevent medical errors related to communication?

  • AUse SBAR communication✓ 正解
    使用 SBAR 溝通模式
  • BUse verbal orders for all medication changes
    對所有藥物變更使用口頭醫囑
  • CShare patient info on social media
    在社群媒體上分享病人資訊
  • DDocument only at the end of the shift
    僅在輪班結束時記錄
Explanation · 中文詳解

SBAR(Situation, Background, Assessment, Recommendation)是一種結構化溝通工具,能有效降低因資訊遺漏或誤解導致的醫療失誤。B 錯誤:口頭醫囑易出錯,僅在急救情境下才使用並需複誦;D 錯誤:即時記錄(Chart as you go)能減少遺忘;C 錯誤:嚴禁洩漏隱私。

SBAR (Situation, Background, Assessment, Recommendation) is a structured communication tool that effectively reduces medical errors caused by missing or misunderstood information. Option B is wrong because verbal orders are error-prone and should be reserved for emergencies and read back; option D is wrong because charting only at the end of the shift increases the risk of forgetting—chart as you go; option C is wrong because disclosing privacy is strictly forbidden.

✦ 台美臨床差異

美國非常強調 SBAR 溝通,台灣近年醫療評鑑亦納入 SBAR 指引,並大力推廣作為團隊合作工具。

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