— 照護管理 · MEDIUM · MCQ —
護理長正在評估病房安全協定，下列哪項事故需要護理師撰寫異常事件報告（Incident Report）？
A nurse manager is evaluating the hospital unit's safety protocols. Which incident requires the nurse to complete an incident report?
- AA pharmacy delivery arrives 30 minutes later than expected藥局送貨比預期晚到30分鐘
- BA client complains about the quality of the hospital food病人抱怨醫院餐點品質
- CA client falls while getting out of bed without injury✓ 正解病人下床時跌倒但未受傷
- DA staff nurse calls in sick at the last minute護理師臨時請病假
— Explanation · 中文詳解 —
異常事件報告（Incident/Occurrence Report）用於記錄任何偏離標準護理流程或對病人、員工、訪客造成風險的事件，即便未造成傷害也須記錄。跌倒是病人安全的核心項目，無論有無受傷都必須詳實記錄，以便後續進行風險因子評估（Root Cause Analysis）。其餘選項屬一般行政抱怨或人力調度問題，無需填寫異常報告。
An incident report is required for any event that deviates from standard care or poses a risk to patient safety, including falls regardless of whether injury occurred. This documentation allows for root cause analysis to improve the safety environment. Other options represent administrative or logistical issues that do not require formal incident reporting.
✦ 台美臨床差異
美國醫院非常強調非懲罰性的通報文化（Just Culture）；台灣過去通報文化較為保守，現已積極推動病人安全通報系統。