— 降低風險 · MEDIUM · SATA —
護理師正在為病人執行藥物核對，下列哪些行動展現了護理師預防給藥錯誤的決心？（選所有適合的）
A nurse is conducting a medication reconciliation for a client. Which actions demonstrate the nurse's commitment to preventing medication errors? (Select all that apply.)
- AComparing the admission medication list with the transfer orders✓ 正解將入院用藥清單與轉診醫囑進行比對
- BClarifying ambiguous handwritten medication orders with the provider✓ 正解向醫師澄清書寫不清的用藥醫囑
- CAsking the client about over-the-counter medication use✓ 正解詢問病人是否使用非處方藥
- DRelying solely on the electronic health record to identify all current drugs僅依賴電子病歷來識別所有目前使用的藥物
- EVerifying the dose against current clinical guidelines for high-alert medications✓ 正解根據高警訊藥物之最新臨床指引核對劑量
— Explanation · 中文詳解 —
藥物核對不僅是比對醫囑，還包括確認病人居家使用情形（如 OTC 藥物）。遇到模糊不清的醫囑，溝通確認遠比盲目遵從安全。對高警訊藥物進行劑量再確認，是確保用藥安全的最後一道防線。D 項過度依賴系統是危險的，應交叉比對資訊。
Medication reconciliation requires comparing admission lists with transfer orders to ensure continuity of care across transitions. Nurses must clarify ambiguous orders and verify high-alert medication doses against guidelines to prevent errors. Additionally, asking about over-the-counter medications is essential because these can interact with prescribed treatments.
✦ 台美臨床差異
美國醫院系統內建強制的 Medication Reconciliation 流程，台灣醫院則多仰賴病史詢問表與醫師審核。