— 安全與感染控制 · MEDIUM · MCQ —
護理師進行藥物整合時，為了預防給藥錯誤，下列哪項行動優先級最高？
A nurse is conducting a medication reconciliation for a client. Which action is the highest priority to prevent medication errors?
- ACompare the current admission order with the patient's home medication list✓ 正解將目前的入院處方與病人的居家用藥清單進行比較
- BAsk the family members if the patient has any allergies詢問家屬病人是否有任何過敏史
- CDocument the medication administration in the electronic chart在電子病歷中記錄給藥情形
- DReview the laboratory values before administering any medication在任何給藥前審閱實驗室數值
— Explanation · 中文詳解 —
藥物整合（Medication Reconciliation）的核心在於比對入院處方與病人居家用藥，以防遺漏、重複或交互作用，這是預防給藥錯誤的第一道防線。過敏史詢問雖然重要，但藥物整合屬於系統性的安全篩檢。
Medication reconciliation is the highest priority safety measure to prevent errors such as omissions, duplications, or interactions. By comparing the current admission orders with the patient’s home medication list, the nurse ensures an accurate and complete medication profile. This systematic verification is more critical for preventing dosing errors than general allergy screening or documentation tasks.
✦ 台美臨床差異
美國醫策會（Joint Commission）對藥物整合有嚴格審核標準；台灣多由藥師介入較多，護理師則負責執行層面。