— 照護管理 · HARD · SATA —
護理師應將下列哪些狀況通報風險管理部門？（選所有適合的）
Which of the following situations should the nurse report to the risk management department? (Select all that apply.)
- AA client falls while being assisted to the bathroom✓ 正解病患在協助前往廁所途中跌倒。
- BA medication is given to the wrong client but no injury occurs✓ 正解藥物誤給其他病患，但未造成傷害。
- CA nurse identifies a missing dose of a controlled substance✓ 正解護理師發現管制藥物劑量遺失。
- DA visitor complains about the parking fees訪客抱怨停車費。
- EA faulty infusion pump is found causing rapid fluid administration✓ 正解發現故障的輸液幫浦導致液體給藥過快。
— Explanation · 中文詳解 —
風險管理（Risk Management）的目的是透過通報異常事件（Incident Report），分析系統性錯誤並進行改進，而非懲罰。A（跌倒）、B（給藥錯誤）、C（藥物遺失）、E（儀器故障）皆屬於醫療異常事件，直接威脅病人安全或涉及藥事法規，必須正式通報。D（抱怨停車費）屬於客戶服務滿意度範疇，不涉及病人臨床照護安全，應由客服或行政部門處理，非風險管理委員會職責。
Falls, medication errors, controlled substance discrepancies, and equipment malfunctions are critical incidents that threaten patient safety or involve legal/regulatory issues. These events require formal reporting to risk management for systemic analysis, unlike administrative complaints such as parking fees.