— 降低風險 · EASY · MCQ —
護理師準備給藥，下列何者為給藥前確認病人身分最可靠的方式？
A nurse is preparing to administer a medication to a client. Which of the following is the most reliable method for identifying the client before administration?
- AScan the client's identification band✓ 正解掃描病人的識別手環
- BCompare the name on the chart with the bed sign比對病歷上的姓名與床頭標示牌
- CCheck the client's room number檢查病人的房號
- DAsk the client to state their name請病人自報姓名
— Explanation · 中文詳解 —
醫療機構標準病人辨識程序要求使用至少兩種識別方式。掃描身分識別帶（Wristband）結合條碼系統，是目前臨床實證中降低給藥錯誤最有效的方法。單純詢問姓名對意識不清或認知障礙者不可靠，而房號或床頭卡易因更換床位而造成錯誤，故不應作為識別依據。
Scanning the client's identification band using a barcode system is the gold standard for client identification as it provides electronic verification and minimizes human error. Relying on verbal identification alone can be unsafe if the client is confused or hearing impaired, while room numbers and bed signs are prone to changes and mistakes.
✦ 台美臨床差異
美國全面推行條碼給藥（BCMA），台灣目前多數醫院亦已普及，但護理師仍需遵守雙重查對原則。