病人安全為物理治療執業的重要環節，然少有文獻針對此主題進行完整之探討。臺灣醫院協會於2009年接受衛生署委託，制訂醫院安全作業指引，該協會轉而委請國內物理治療專家學者和臨床治療師成立工作小組，擬訂醫院內物理治療病人安全作業參考指引。本指引以個案處理模式為主要架構，融合國際健康功能與身心障礙分類系統之觀念，加入實證執業之精神，並以國內外文獻和國家現行政策做為依據，共分為前言；病房物理治療；肌肉骨骼系統物理治療；神經系統暨老人科物理治療；兒童物理治療；呼吸循環系統物理治療；物理因子與儀器治療等七大主題。經開會討論；推廣試辦；搜集建議與回饋後，修訂完成以供醫界參考。盼能藉由配合年度安全目標的推動；異常事件的自主通報系統等策略，提醒臨床治療師注意病人安全與品質之相關議題，建立更安全的物理治療系統。然因受限於人力；物力與時間之不足，此安全作業參考指引仍須繼續整合各方意見及最新資料以臻理想。

Patient safety is the key component of physical therapy practice. Few articles have been published on this issue comprehensively. 1n order to ensure patient safety in physical therapy departments in hospital setting, a joint task force on patient safety guidelines was commissioned by Taiwan Hospital Association which in charged one of the safety projects of the Department of Health (ROC) in 2009. The framework of the guidelines was based on the patient/client management model proposed by the American Physical Therapy Association. The guidelines followed the 1nternational Classification of Functioning, Disability, and Health and national health policies. The best available evidence was adopted according to evidence-based practice. The guidelines contain seven chapters, which are general introduction, acute care physical therapy, musculoskeletal physical therapy, neurological and geriatric physical therapy, pediatric physical therapy, pulmonary and cardiovascular physical therapy, and physical agents and modalities. The document has been reviewed, used in monitoring trials, and revised in order to make sure the applicability and practicability before final approval. We hope that the patient safety guidelines will work along with the national annual patient safety goals and voluntary reporting system to create a safety culture and establish a safer physical therapy service system. It is understandable that the guidelines could not cover the whole scope of physical therapy practice in the present version due to limiting resources. Modifications and suggestions are needed in the near future to optimize the content.