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由住院医师获取的同意书——这算是知情同意吗?

Consent obtained by the junior house officer--is it informed?

作者信息

Huntley J S, Shields D A, Stallworthy N K

机构信息

Norfolk and Norwich Hospital, UK.

出版信息

J R Soc Med. 1998 Oct;91(10):528-30. doi: 10.1177/014107689809101007.

DOI:10.1177/014107689809101007
PMID:10070372
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1296911/
Abstract

Of 30 junior house officers questioned, 21 had obtained patients' consent for colonoscopy. Of these 21, about one-third did not routinely discuss with patients the risks of perforation and haemorrhage. Ideally, consent should be obtained by a person capable of performing the procedure. If it is to be obtained by junior house officers, they need to know exactly what must be disclosed about each procedure. This could easily be done as part of the induction package.

摘要

在接受询问的30名住院医师中,有21人获得了患者的结肠镜检查同意书。在这21人中,约三分之一的人没有定期与患者讨论穿孔和出血的风险。理想情况下,同意书应由能够实施该操作的人员获取。如果由住院医师获取同意书,他们需要确切知道每种操作必须披露哪些信息。这作为入职培训的一部分很容易做到。

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A randomised trial of conventional versus BAUS procedure-specific consent forms for transurethral resection of prostate.一项关于经尿道前列腺切除术采用传统同意书与英国泌尿外科医师协会(BAUS)特定手术同意书的随机试验。
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本文引用的文献

1
Lack of consent and misconduct.
Lancet. 1998 May 23;351(9115):1592. doi: 10.1016/S0140-6736(05)61168-3.
2
Suspension of consultant raises serious issues.顾问的停职引发了严重问题。
BMJ. 1998 May 30;316(7145):1677. doi: 10.1136/bmj.316.7145.1677.
3
Medical ethics and law as a core subject in medical education. A core curriculum offers flexibility in how it is taught-but not that it is taught.医学伦理与法律是医学教育中的一门核心学科。核心课程在教学方式上具有灵活性——但并非在是否开设这门课程上具有灵活性。
BMJ. 1998 May 30;316(7145):1623-4. doi: 10.1136/bmj.316.7145.1623.
4
Multicentre study of surgical complications of colonoscopy.结肠镜检查手术并发症的多中心研究。
Br J Surg. 1996 Jan;83(1):42-4. doi: 10.1002/bjs.1800830112.