# 護理師正導入I-PASS結構化交班工具。一份有效之I-PASS交班應包含哪些要素？請選擇所有適用項目。

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=372862&lang=zh-tw  
> language: zh-TW  
> subject: Management of Care  
> category: MOC

## 題目

護理師正導入I-PASS結構化交班工具。一份有效之I-PASS交班應包含哪些要素？請選擇所有適用項目。

1

疾病嚴重度 — 明示病人為穩定、「需密切觀察」或不穩定，使接班護理師能訂定優先順序。

2

接收者整合 — 接班護理師摘要、提問並於交班結束前確認計畫。

3

行動清單 — 明確訂出責任人與時程之to-do（例：「由RN於0700抽血trough」）。

4

病人摘要 — 簡潔涵蓋診斷、本班重大事件與目前照護計畫之概覽。

5

即使未紀錄於病歷上，亦對接班護理師可能有用之關於病人或家屬之個人意見。

## 解析

I-PASS = Illness severity, Patient summary, Action list, Situation awareness/contingency, Synthesis by receiver。選項5（個人意見）不專業且超出結構化交班範圍 — 交班傳遞臨床事實，而非未經驗證之判斷。最後整合步驟為I-PASS之實證核心：研究顯示接收者主動覆述與整合可減少30%可預防之不良事件。

## 深入解析

I-PASS由Boston Children's開發並於多中心試驗驗證可減少醫療錯誤與不良事件23-30%。最被低估之要素為「Synthesis by Receiver」 — 接收者覆述要點可在傷害病人前捕獲誤解。

## 臨床情境

內外科病房導入**I-PASS**作為結構化交班工具以減少換班時資訊遺漏與不良事件。護理師正準備首份I-PASS交班報告予下一班護理師。

## 重要概念

- **I-PASS** — 字母縮寫：Illness severity、Patient summary、Action list、Situation awareness/contingency、Synthesis by receiver。
- **接收者整合** — 接收者覆述重點、提出澄清問題並於交班結束前確認計畫。
- **Joint Commission交班目標** — 要求交班時採用標準化溝通以避免遺漏之國家病人安全目標。

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