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.
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.
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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