護理師準備為高齡病人給藥，下列哪項安全行動是預防給藥錯誤的優先事項？
A nurse is preparing to administer medications to an older adult client. Which safety action is the priority to prevent medication errors?
- ACheck the medication against the MAR three times三次核對藥物與藥物給藥紀錄表（MAR）
- BReview the medication side effects with the family與家屬回顧藥物副作用
- CVerify the client's identity using two identifiers✓ 正解使用兩種辨識方式驗證病人身份
- DAsk the client to state their name and birth date請病人自報姓名與出生日期
給藥安全的核心是預防給藥錯誤（Medication Error），這直接影響病人安全。根據「全國病人安全目標（National Patient Safety Goals, NPSG）」，護理師在進行任何侵入性治療或給藥前，必須使用至少兩種辨識方式（Two identifiers）。這能確保藥物確實給予正確的病人，特別是在高齡病人可能因失智、聽力障礙或意識不清而無法正確反應時，更顯重要。僅依賴單一辨識方式或口頭詢問易導致錯誤。
Verifying the client's identity using two distinct identifiers is the gold standard for preventing medication errors and ensuring patient safety. This practice is especially critical for older adults who may have cognitive impairments, hearing deficits, or confusion that could lead to inaccurate self-reporting. Relying solely on asking the client's name or checking the medication label without identity verification is insufficient.
美國臨床極度強調 NPSG，醫院通常要求核對病人的姓名與出生日期（DOB）或醫療編號（MRN），並核對手圈（Wristband），嚴禁僅以病床號辨識。