— 安全與感染控制 · EASY · MCQ —
護理師準備給藥，下列哪項對於確保病人安全最為重要？
A nurse is preparing to administer medications to a client. Which action is the most important to ensure client safety?
- AVerify the client's identity using two identifiers✓ 正解使用兩項辨識資料驗證病人身分
- BEnsure the medication is administered at the correct time確保藥物在正確時間給藥
- CAssess the client's allergy history before administration給藥前評估病人過敏史
- DCheck the medication label against the MAR three times三次核對藥物標籤與護理記錄單（MAR）
— Explanation · 中文詳解 —
根據病人安全目標（National Patient Safety Goals），確認病人身分（Two Identifiers）是給藥安全的第一道防線。雖然其他選項（過敏史、MAR核對）亦重要，但若給錯對象，所有後續檢查皆無效。給藥前務必詢問姓名與出生日期，並與病房腕帶核對。
Verifying the client's identity using two distinct identifiers is the most critical step to ensure medication safety and prevent administration errors. While checking allergies and labels is important, identifying the correct patient is the foundational safeguard that makes all subsequent medication checks valid.
✦ 台美臨床差異
台美皆嚴格執行兩項辨識，但美國醫院常結合條碼掃描（BCMA）自動化驗證。