— 安全與感染控制 · EASY · MCQ —
下列哪項行為屬於病人辨識上的不安全實務？
Which of the following is an example of an unsafe practice regarding patient identification?
- AComparing the chart number with the patient's ID band將病歷號碼與病患識別手環進行比對
- BIdentifying the client by asking, "Are you Mr. Smith?"✓ 正解透過詢問「您是史密斯先生嗎？」來辨識客戶
- CAsking the client to state their name and DOB請客戶自行報出姓名和出生日期
- DVerifying the name on the ID band against the MAR將識別手環上的姓名與藥物給藥紀錄（MAR）進行核對
— Explanation · 中文詳解 —
病人辨識是病人安全目標（National Patient Safety Goals）的核心。詢問封閉式問題（如「你是王先生嗎？」）會導致確認偏誤，病人可能因意識不清或聽力障礙而誤點頭回答。正確做法必須是開放式詢問（「請告訴我您的姓名與出生日期」），並將病人回答的資訊與腕帶、醫囑單進行比對，確保藥物或治療給予正確的個案。
Identifying a client by asking a leading question, such as "Are you Mr. Smith?", is unsafe because it can lead to confirmation bias and errors, especially if the client is confused or has hearing impairments. Safe identification requires using two unique identifiers, such as asking the client to state their full name and date of birth, and verifying this information against the wristband and medication administration record.