— 藥理與非經腸給藥 · MEDIUM · SATA —
護理師準備給藥，下列哪些病人需優先考量以避免給藥錯誤？（選所有適合的）
A nurse is preparing to administer several medications. Which of the following clients should the nurse prioritize to prevent medication administration errors? (Select all that apply.)
- AA client with a new prescription for a high-alert medication✓ 正解新開立高警示藥物處方的病人
- BA client who has a known allergy to a medication class✓ 正解已知對某類藥物過敏的病人
- CA client receiving IV vancomycin for the first time首次接受 IV vancomycin 輸注的病人
- DA client who is confused and unable to state their name✓ 正解意識混亂且無法報出姓名的病人
- EA client who has taken their daily oral vitamin supplement已服用每日口服維生素補充品的病人
— Explanation · 中文詳解 —
給藥安全核心在於高風險病人與高警示藥物。A 是高警示藥物需雙重確認，B 有過敏史需防範過敏反應，D 病人混亂需加強身分確認防止錯給。C 需監測但非給藥錯誤預防的最優先順序。E 為常規劑量，風險相對較低。
Prioritizing clients for medication error prevention involves focusing on those receiving high-alert medications, having known allergies, or being unable to verify their identity due to confusion. These factors significantly increase the risk of adverse events, requiring double-checks and strict adherence to safety protocols.
✦ 台美臨床差異
美國醫院廣泛實施條碼給藥系統(BCMA)，台灣醫學中心亦逐步導入，但執行強度與流程依各院規定有別。