— 照護管理 · MEDIUM · MCQ —
護理師應採取哪項行動以預防給藥錯誤？
Which action should the nurse take to prevent a medication error?
- AUse two patient identifiers before administering any medication✓ 正解給藥前使用兩項病人識別資訊
- BAsk a colleague to sign off on the medication without checking it未經查核即請同事簽署藥物
- CAdminister all medications as a group to save time為節省時間將所有藥物一併給藥
- DAccept verbal orders for medication from anyone in the unit接受單位內任何人的藥物口頭醫囑
— Explanation · 中文詳解 —
預防給藥錯誤的核心是確認身分與核對程序。使用「兩項病人辨識」（如姓名與出生日期）是確認病人身分的黃金標準。B 項是偽造記錄且非常危險；C 項會打亂核對程序，增加錯誤風險；D 項口頭醫囑僅限於極緊急情況，且需有嚴格的覆誦確認機制，不可任意接受。
Using two distinct patient identifiers, such as name and date of birth, is the gold standard for verifying client identity and preventing medication errors. Grouping medications, accepting unauthorized verbal orders, or relying on colleagues to verify without checking compromises safety protocols. Strict adherence to identification procedures ensures the right medication is given to the right client.
✦ 台美臨床差異
美國醫院全面推行條碼給藥系統（BCMA），台灣醫院也已普遍導入，兩地對病人辨識規範極為一致。