— 安全與感染控制 · HARD · MCQ —
下列何者是護理師預防照護錯誤的主要責任？
Which of the following is a primary nursing responsibility in preventing errors in patient care?
- AUtilizing clinical decision support systems✓ 正解使用臨床決策支援系統
- BWorking faster to ensure tasks are done加快工作速度以確保任務完成
- CIgnoring hospital protocols if a faster way is known若知道更快的方法則忽略醫院協議
- DRelying on memory instead of the MAR依賴記憶而非醫囑執行單（MAR）
— Explanation · 中文詳解 —
預防照護錯誤的核心在於建立系統性的安全機制，而非單純依賴個人警覺。臨床決策支持系統（Clinical Decision Support Systems, CDSS）透過電子化手段，即時提供藥物交互作用警示、臨床指引建議及檢驗異常提醒，能有效降低人為疏失。護理師應將科技視為強化病人安全的屏障，而非增加工作負擔的阻礙。
Utilizing clinical decision support systems (CDSS) is a primary nursing responsibility for preventing errors, as these tools provide real-time data and alerts to reduce human mistakes. Relying on speed, ignoring protocols, or depending on memory increases the risk of adverse events rather than enhancing patient safety.
✦ 台美臨床差異
美國醫院全面推行電子病歷（EHR）與 CDSS，護理師在給藥時必須使用條碼給藥系統（BCMA）掃描病人手圈與藥物，這已是標準程序的一部分，而非僅僅是「參考」。