— 照護管理 · HARD · MCQ —
護理師準備給藥，防止用藥錯誤的最高優先考量為何？
A nurse is preparing to administer medication to a client. Which action is the highest priority when preventing medication errors?
- AEnsuring the medication is prepared in a quiet area確保在安靜區域準備藥物
- BAsking the client if they have any allergies詢問客戶是否有任何過敏
- CVerifying the client's identity using two patient identifiers✓ 正解使用兩項病人識別資訊驗證客戶身分
- DChecking the medication label against the MAR three times三次檢查藥物標籤與 MAR 是否相符
— Explanation · 中文詳解 —
病人辨識（Patient Identification）是給藥安全的第一道防線，也是預防錯誤最關鍵的步驟。儘管三查七對很重要，若辨識對象錯誤，所有程序均失去意義。兩項識別（姓名、生日/病歷號）符合國際病人安全目標（IPSG）標準。
Client identification is the first line of defense in medication safety and the most critical step to prevent errors. Even if other checks like allergy assessment or label verification are performed, administering medication to the wrong patient renders all other precautions meaningless. Using two patient identifiers aligns with international patient safety goals.
✦ 台美臨床差異
台美皆強烈要求兩段式身分核對（條碼掃描+口頭確認）。