[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-111-1-fundamental-nursing-063":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"lastmod":63},"基本護理學與護理行政","fundamental-nursing","基本護理學(包括護理原理、護理技術)與護理行政",{"id":8,"webId":9,"year":10,"session":11,"subject":4,"number":12,"stem":13,"options":14,"answer":19,"answerNote":20,"images":21,"explanation":22,"explanationDeep":23,"topics":24,"freq":27},"nurse-111-1-基本護理學與護理行政-063","nurse-111-1-fundamental-nursing-063",111,1,63,"病人發生非預期死亡或非自然病程中永久性功能喪失，屬於下列何種異常事件？",{"A":15,"B":16,"C":17,"D":18},"警訊事件（sentinel event）","意外事件（accident）","跡近錯失（near miss）","醫療不良事件（medical adverse event）","A",null,[],"本題考點在於病人安全異常事件的分類定義。依病人安全通報標準,「警訊事件(sentinel event)」指非預期的死亡或非自然病程中造成的永久性重大功能喪失(或重大傷害),須立即調查根本原因,定義正好對應題幹,故選 A。B 意外事件泛指非預期發生的事件,層級與嚴重度描述不夠精確;C 跡近錯失(near miss)指錯誤在到達病人前即被攔截、未造成傷害,與已發生死亡或永久失能相反;D 醫療不良事件泛指因醫療照護而非疾病本身導致的傷害,範圍較廣但未特指達到死亡或永久性功能喪失的最嚴重層級。因此符合「非預期死亡或永久功能喪失」定義者為警訊事件。","病人安全事件嚴重度光譜(由輕到重):跡近錯失(未達病人)→無傷害事件→輕微不良事件→嚴重不良事件→警訊事件(死亡或永久重大失能)。警訊事件因後果最嚴重,須啟動根本原因分析(RCA)並限期改善。記憶口訣:「警訊=最嚴重、要 RCA」「near miss=攔截成功、沒到病人」。此題把定義寫得很標準,關鍵字「非預期死亡、永久性功能喪失」直接鎖定 A。延伸連結 TPR(台灣病人安全通報系統)、RCA 與 FMEA 的差別。",[25,28,30,32],{"term":26,"count":27},"跡近錯失",2,{"term":29,"count":27},"根本原因分析 RCA",{"term":31,"count":11},"警訊事件定義",{"term":33,"count":11},"醫療不良事件",[35,39,43,48,53,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-111-1-fundamental-nursing-064","針扎屬於下列何種職業危害？",64,{"webId":40,"stem":41,"number":42,"year":10,"session":27},"nurse-111-2-fundamental-nursing-080","護理長在年度預算中編列電動床維修費用，屬於下列何種預算？",80,{"webId":44,"stem":45,"number":46,"year":47,"session":27},"nurse-112-2-fundamental-nursing-014","下列何者是獨立性護理活動？",14,112,{"webId":49,"stem":50,"number":51,"year":52,"session":27},"nurse-113-2-fundamental-nursing-032","有關死亡之後遺體的屍斑、屍冷和屍僵的變化，下列敘述何者正確？",32,113,{"webId":54,"stem":55,"number":56,"year":57,"session":58},"nurse-114-3-fundamental-nursing-036","為提升護理人員鼻胃管灌食照護完整性，經病房會議討論決定組成小組，進行護理改善專案。此屬於何種管理理論？",36,114,3,{"webId":60,"stem":61,"number":42,"year":62,"session":11},"nurse-106-1-fundamental-nursing-080","病人抱怨的次數是屬於平衡計分卡（BSC）中之那一種構面？",106,"2026-09-04",1788510734021]