Pickering A M
St. Paul Fire and Marine Insurance Co., MN.
J Healthc Risk Manag. 1995 Winter;15(1):16-9. doi: 10.1002/jhrm.5600150104.
Proper management of the videotaping of medical procedures begins with identifying the purpose of the video; determining whether it is educational, diagnostic-related, or for "public relations" purposes; and obtaining a clearly defined consent that addresses an understanding of all risks and expectations involved. Although an exception to the policy may become necessary in some instances, addressing the key issues in policies and procedures before taping is the key to minimizing risks. Videotapes are useful as a teaching tool, but they also can easily become a part of the discovery process in a malpractice suit. Given the current nature of discovery in most states, many courts would require disclosure of the videotape. Although this may be disturbing to many health care providers, it should also be considered that the videotape could contain a valid record that the procedure was performed correctly, clearing the physician or facility involved of charges of negligence. With video cameras in such common use today, a positive, proactive position on the benefits involved in videotaping should be taken to minimize the potential negative ramifications that could occur.
医疗程序录像的妥善管理始于明确录像目的;确定其是用于教育、诊断相关还是“公共关系”目的;并获得一份明确界定的同意书,其中涉及对所有相关风险和期望的理解。尽管在某些情况下可能需要对政策进行例外处理,但在录像前处理政策和程序中的关键问题是将风险降至最低的关键。录像带作为教学工具很有用,但它们也很容易成为医疗事故诉讼中证据开示程序的一部分。鉴于大多数州目前的证据开示性质,许多法院会要求披露录像带。尽管这可能令许多医疗服务提供者不安,但也应考虑到录像带可能包含该程序正确执行的有效记录,从而免除相关医生或机构的过失指控。鉴于如今摄像机如此普遍使用,应就录像的益处采取积极主动的立场,以尽量减少可能出现的潜在负面影响。