Furukawa Toshiharu
Department of Surgery, Keio University School of Medicine.
Nihon Geka Gakkai Zasshi. 2003 Jan;104(1):9-12.
The Japan Surgical Society has developed guidelines for the reporting of patient deaths and grave injury incidentally occurring in their clinical courses, following its declaration in March 2001 in reference to practitioners' duty to notify the police under Article 21 of the Medical Act. These guidelines can be summarized into three points. First, they are ethical guidelines for practitioners and are not concerned with the legal duty required under the Medical Act. Second, they require reporting of patient deaths even if the cause is still not confirmed as medical malpractice, and reporting of grave injury due to apparent medical malpractice, not mention deaths due to apparent medical malpractice. Third, it is emphasized that the guidelines be applicable for the time being until some generalized system is established, which is specialized to accept reports about patient deaths and grave injury incidentally occurring in their clinical course from every hospital nationwide and to collect data concerning small incidents and risks in medical practice. The Japan Surgical Society strongly requests that such a general system start to function as soon as possible. In advance, the current guidelines should be amended repeatedly in reference to problems occurring in actual cases.
日本外科学会参照《医疗法》第21条规定的从业者向警方通报的义务，于2001年3月发表声明后，制定了关于报告临床过程中偶然发生的患者死亡和重伤事件的指南。这些指南可归纳为三点。第一，它们是针对从业者的道德指南，与《医疗法》规定的法律义务无关。第二，即使死亡原因尚未确认为医疗事故，也要求报告患者死亡情况；对于明显的医疗事故导致的重伤要进行报告，但不提及明显医疗事故导致的死亡。第三，强调在建立某种通用系统之前，这些指南暂时适用，该通用系统专门用于接收全国各医院关于临床过程中偶然发生的患者死亡和重伤事件的报告，并收集有关医疗实践中的小事件和风险的数据。日本外科学会强烈要求这样的通用系统尽快开始运作。在此之前，应参照实际案例中出现的问题，反复修订现行指南。
