— 安全與感染控制 · MEDIUM · MCQ —
護理師準備進行侵入性處置,需確認執行部位。為確保病人安全,應優先採取哪項措施?
A nurse is preparing a client for a procedure and needs to verify the site. Which step should the nurse prioritize to ensure patient safety?
- AParticipate in a time-out with the surgical team✓ 正解與手術團隊共同執行暫停程序
- BVerify the site using the medical chart only僅依據病歷確認部位
- CRely on the physician's verbal confirmation依賴醫師的口頭確認
- DAsk the family member to identify the site請家屬成員確認部位
— Explanation · 中文詳解 —
根據病安目標(Patient Safety Goals),執行侵入性處置前必須進行「暫停」(Time-out)程序。此程序要求參與手術或處置之全體人員,共同確認病人身分、手術部位與術式,能有效防範錯誤部位執行之嚴重醫療疏失。
Participating in a time-out with the surgical team is the priority step to ensure patient safety before an invasive procedure. This standardized pause allows all team members to collectively verify the correct patient identity, surgical site, and procedure, effectively preventing wrong-site surgery and other serious medical errors.
✦ 台美臨床差異
美國醫院全面強制執行 Time-out 制度;台灣亦導入醫策會病人安全目標,推廣術前部位標記及暫停程序。