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[妇产科风险管理。与妇产科手术相关的法医问题]

[Risk management in gynecology and obstetrics. Forensic questions in connection with operative gynecology and obstetrics].

作者信息

Scharf A, Steinborn A, Geka F, Sohn C

机构信息

Universitäts-Frauenklinik Frankfurt, Frankfurt/Main.

出版信息

Bull Soc Sci Med Grand Duche Luxemb. 1999(3):41-51.

Abstract

Due to the avalanche-like increase of malpractice suits, it has become mandatory for doctors in hospitals and private practices to acquire a profound knowledge relating to modern management and to become familiar with the legal aspects of medical procedures. The article at hand reviews the standards of medical documentation and risk information within the scope of operative gynaecology and obstetrics and provides guidelines for a structured behaviour once an incident has occurred. The typical sources of complications are presented and strategies to avoid them are outlined: professional clinical management including the definition of competences for all therapists working together in a hospital. By observing these principles a professional medical level even in administrative respect is provided and thus enables an atmosphere of mutual confidence among doctors and patients.

摘要

由于医疗事故诉讼呈雪崩式增长,医院和私人诊所的医生必须掌握与现代管理相关的深厚知识,并熟悉医疗程序的法律方面。本文回顾了妇产科手术范围内的医疗文件记录和风险信息标准,并为事件发生后采取结构化行为提供了指导方针。文中介绍了并发症的典型来源,并概述了避免这些并发症的策略:专业的临床管理,包括明确医院中所有协同工作的治疗师的职责。通过遵循这些原则,即使在管理方面也能达到专业的医疗水平,从而营造医生和患者之间相互信任的氛围。

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