— 照護管理 · MEDIUM · MCQ —
護理長正在評估一件給藥錯誤報告，哪項行動是護理長的首要考量？
A nurse manager is assessing a report of medication error. Which action is the priority for the manager?
- AEnsuring client safety and assessing the client's current status✓ 正解確保客戶安全並評估客戶的目前狀況
- BUpdating the unit's medication administration policy更新單位的給藥政策
- CReporting the staff nurse to the Board of Nursing向護理委員會報告該護理師
- DReviewing the incident report for disciplinary action審查事故報告以作為紀律處分的依據
— Explanation · 中文詳解 —
處理醫療糾紛或錯誤時，護理管理的最高指導原則為病人安全（Patient Safety）。第一時間必須評估病人是否因錯誤受到傷害，並提供必要之緊急處置，而非急著懲處護理師或修改政策。這符合品質改進中的無責文化與系統性安全原則。
In handling medical errors or incidents, the highest guiding principle of nursing management is patient safety. The first priority is to assess whether the client has been harmed by the error and to provide any necessary emergency interventions, rather than rushing to discipline the nurse or revise policies. This aligns with quality-improvement principles emphasizing a blameless culture and systemic safety analysis.
✦ 台美臨床差異
美國強調「無懲罰文化」以鼓勵通報；台灣臨床環境仍受資深學長姐制影響，護理師較擔心後續賠償與主管責備。