— 照護管理 · HARD · MCQ —
護理師發現一個不安全的照護情境。在通報流程中的最後一步通常為何？
A nurse identifies an unsafe client care situation. What is the final step in the reporting process?
- ADocumentation of the incident事件紀錄
- BFollow-up and quality improvement initiatives✓ 正解追蹤與品質改善措施
- CFiling an incident report填寫不良事件報告
- DVerbal report to the physician向醫師口頭報告
— Explanation · 中文詳解 —
在護理管理中，通報不安全照護情境（如錯誤用藥、跌倒）後，最重要的步驟是「品質改進（Quality Improvement, QI）」。通報的目的不在於懲罰，而在於找出系統性缺陷。透過分析根本原因（Root Cause Analysis），進而引入流程變革，才能從系統層面防止未來再次發生類似事件，這才是病人安全管理的核心目標。
The final step in addressing an unsafe client care situation is engaging in follow-up and quality improvement initiatives. This process ensures that the root causes of errors are identified and systemic changes are implemented to prevent recurrence, thereby enhancing overall patient safety.