— 照護管理 · MEDIUM · SATA —
下列哪些情況，護理師應回報給主管以作為品質或安全指標？（選所有適合的）
Which of the following situations should the nurse report to the nurse manager as a potential quality or safety concern? (Select all that apply.)
- AA client falls while getting out of bed despite fall precautions✓ 正解病人雖已採取防跌倒措施，但在下床時仍發生跌倒
- BA medication error occurs where the wrong dose was given✓ 正解發生用藥錯誤，給予了錯誤劑量
- CA staff member is observed taking supplies home✓ 正解觀察到員工將醫療用品帶回家
- DA nurse forgets to document a routine vital sign護理師忘記記錄常規生命徵象
- EA client reports dissatisfaction with hospital food病人抱怨對醫院餐飲不滿
— Explanation · 中文詳解 —
品質安全監測（Quality Improvement）的核心在於「事件報告（Incident Report）」。跌倒即使有預防措施仍發生，需檢討預防策略；用藥錯誤與偷竊公物皆嚴重危害安全與法律誠信，需立即通報。
The nurse should report incidents involving falls despite precautions, medication errors, and theft of supplies, as these represent significant safety, quality, or ethical concerns requiring formal investigation. Routine documentation omissions or general service complaints are typically managed through coaching or patient relations rather than incident reporting.
✦ 台美臨床差異
美國醫院採取不責難文化（Just Culture），鼓勵主動回報；台灣醫院亦有通報制度，但傳統觀念下護理師仍擔心因回報而受罰。