— 降低風險 · EASY · MCQ —
護理師準備給藥，下列哪種方式最能確保病人的身分辨識安全性？
A nurse is preparing to administer medication to a client. Which of the following represents the safest method to identify the client?
- ACompare the wristband with the medication administration record將腕帶與給藥記錄比對
- BVerify the name with a family member at the bedside向床邊的家屬確認姓名
- CCheck the room number and the bed sign檢查房號與床位標示
- DAsk the client to state their full name and birth date✓ 正解請個案陳述其全名與出生日期
— Explanation · 中文詳解 —
根據病人安全目標（NPSG），給藥前必須確認兩個識別標誌。要求病人主動告知姓名與出生日期是確保辨識一致性的標準做法。房號與床位隨時可能變動，不可作為辨識依據，腕帶若有遺失或脫落風險，故主動詢問為黃金標準。
The safest method to identify a client before administering medication is to ask the client to state their full name and birth date, utilizing two patient-specific identifiers. Relying on room numbers, bed signs, or family members is unsafe due to potential changes in location or confusion. Although wristbands are used, verifying identity by direct patient interaction is the gold standard to prevent medication errors and ensure patient safety.
✦ 台美臨床差異
台美皆強烈要求使用兩個辨識碼。台灣醫院評鑑中，若無法開口之病人則會由護理師核對床頭卡與腕帶。