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介入放射学与血管内治疗中医生的责任

Physicians' liability in interventional radiology and endovascular therapy.

作者信息

Mavroforou Anna, Giannoukas Athanasios, Mavrophoros Dimitrios, Michalodimitrakis Emmanuel

机构信息

Department of Forensic Sciences, University of Crete Medical School, Heraklion, Crete, Greece.

出版信息

Eur J Radiol. 2003 Jun;46(3):240-3. doi: 10.1016/s0720-048x(02)00192-4.

Abstract

INTRODUCTION/OBJECTIVE: Modern practice in Radiology has rapidly changed over the last decades incorporating invasive techniques. Additionally, litigation in medical practice has arisen as an important issue. This article aims to highlight issues related to malpractice in interventional radiology and endovascular therapy in order to point out the importance of the written informed consent.

METHODS AND MATERIAL

Search of relevant literature from the Pubmed.

RESULTS

The role of radiologist has been greatly transformed over the last decades. He is not only entitled to participate in the diagnosis but also he undertakes therapeutic procedures, either alone or as a member of a team. Thus the radiologist is now more exposed to actions that maximize litigation risk. Adequate communication and a written consent form seem to be mandatory before any invasive radiological procedure. Patient should know in detail the benefits and the risks of the scheduled procedure and whether the proposed therapy is a new form of treatment or part of a randomized trial.

DISCUSSIONS AND CONCLUSION

Interventional radiologist or physician is exposed to high litigation risk. This certainly requires an urgent adaptation of his practice and attitude to the new reality. Written patient's informed consent remains an integral part of the communication between physicians and patients, and importantly is offering professional protection along these lines.

摘要

引言/目的:在过去几十年里,放射学的现代实践迅速发展,纳入了侵入性技术。此外,医疗实践中的诉讼已成为一个重要问题。本文旨在强调介入放射学和血管内治疗中与医疗事故相关的问题,以指出书面知情同意书的重要性。

方法与材料

从PubMed搜索相关文献。

结果

在过去几十年里,放射科医生的角色发生了巨大转变。他不仅有权参与诊断,还单独或作为团队成员进行治疗程序。因此,放射科医生现在更容易面临使诉讼风险最大化的行为。在任何侵入性放射学程序之前,充分的沟通和书面同意书似乎是必不可少的。患者应该详细了解预定程序的益处和风险,以及所提议的治疗是一种新的治疗形式还是随机试验的一部分。

讨论与结论

介入放射科医生或内科医生面临高诉讼风险。这无疑需要他的实践和态度迅速适应新的现实。患者的书面知情同意仍然是医生与患者之间沟通的一个组成部分,重要的是,它在这方面提供了专业保护。

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