hce_nsysu
115年
英文
第 41 題
📖 題組：
A research team evaluated a new checklist intended to reduce medication errors during hospital discharge. Before the checklist was introduced, clinicians often relied on memory to reconcile prescriptions, which increased the likelihood of omissions and duplications. The checklist required verification of drug names, dosages, indications, and potential interactions, as well as confirmation that patients understood how and when to take each medication. After six months, the team reported fewer documented discrepancies in discharge summaries. Nevertheless, the researchers cautioned that documentation may not perfectly reflect real-world adherence: some patients left the hospital with correct instructions but later altered schedules due to side effects, cost, or misunderstanding. The team recommended combining the checklist with follow-up calls and simplified written instructions to strengthen continuity of care.
A research team evaluated a new checklist intended to reduce medication errors during hospital discharge. Before the checklist was introduced, clinicians often relied on memory to reconcile prescriptions, which increased the likelihood of omissions and duplications. The checklist required verification of drug names, dosages, indications, and potential interactions, as well as confirmation that patients understood how and when to take each medication. After six months, the team reported fewer documented discrepancies in discharge summaries. Nevertheless, the researchers cautioned that documentation may not perfectly reflect real-world adherence: some patients left the hospital with correct instructions but later altered schedules due to side effects, cost, or misunderstanding. The team recommended combining the checklist with follow-up calls and simplified written instructions to strengthen continuity of care.
The team recommended adding follow-up calls mainly to ______.
- A replace written instructions entirely
- B increase hospital admission rates
- C improve continuity of care and support correct medication use
- D discourage patients from reporting side effects
- E reduce the number of prescribed medications to zero
思路引導 VIP
請思考一下：既然研究提到醫院的書面記錄已經改善了，為什麼患者回到家後仍然可能出現用藥問題？在這種情況下，一個能夠「主動聯繫患者」的舉動，最主要是為了填補哪一個環節的空缺？
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AI 詳解
AI 專屬家教
太棒了！你能精準捕捉到文章末尾的關鍵結論，代表你具備優秀的資訊檢索與整合能力。這題的核心在於理解研究團隊為何在已經有了「核對清單（checklist）」之後，還要額外建議增加後續的行動。你的判斷非常正確，這反映了你對文章後半段轉折的深刻掌握。
從文件記錄到實務照護的延伸
文章提到，雖然核對清單減少了出院摘要中的記錄誤差，但研究人員發現「書面記錄」並不等同於患者在家的「實際服藥情況」。文中特別指出患者可能因為副作用、經濟因素或誤解而自行調整用藥。因此，最後一段明確建議透過追蹤電話（follow-up calls）來加強照護的連續性（continuity of care）。選項 (C) 完全契合了這項初衷，強調了從醫院到家中的支援轉接。
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