— 安全與感染控制 · MEDIUM · MCQ —
下列哪項是護理上的「絕對禁止事件（Never Event）」？
Which of the following is an example of a 'never event' in nursing?
- AAdministering a late medication延遲給藥
- BAsking for assistance with a heavy patient搬動重病人時尋求協助
- CDocumenting a patient’s vital signs late延遲記錄病人生命徵象
- DPerforming surgery on the wrong body part✓ 正解在錯誤的身體部位進行手術
— Explanation · 中文詳解 —
「Never Event」是指嚴重、可預防且不應在醫療機構發生的錯誤。手術部位錯誤（Wrong-site surgery）是典型的 Never Event，代表手術前核對程序完全失效，對病人造成不可逆的嚴重傷害。
A 'never event' refers to serious, preventable medical errors that should never occur in a healthcare setting, such as performing surgery on the wrong body part. Wrong-site surgery indicates a complete failure of preoperative verification protocols and can cause irreversible harm, distinguishing it from administrative delays or common medication errors.
✦ 台美臨床差異
美國 CMS 對 Never Events 有嚴格的懲處與拒付規範；台灣則透過醫療品質指標進行監測。