Moniz D M
Rosenow, Johnson, Graffe, Keay, Pomeroy & Moniz, Seattle.
Nurse Pract. 1992 Sep;17(9):58-60. doi: 10.1097/00006205-199209000-00015.
Nurse practitioners have historically developed protocols and standards of practice to guide and improve the quality of their patient care. Written protocols and standards of practice can, however, create a potential malpractice problem. Lawyers who bring malpractice cases on behalf of patients will use the protocols and standards to measure the practitioner's care. The practice standards are often too high to be reasonably met by practitioners at all times and in all settings. As a result, the practitioner's care may breach those standards. Nurse practitioners should develop protocols that are based on a minimum safe level and not the maximum level aimed at ideal care. Standards and protocols should be updated and realistic. Once developed, protocols and standards must be followed precisely to limit potential liability.
从历史上看，执业护士制定了诊疗规范和执业标准，以指导和提高患者护理质量。然而，书面的诊疗规范和执业标准可能会引发潜在的医疗事故问题。代表患者提起医疗事故诉讼的律师会利用这些规范和标准来衡量从业者的护理情况。这些执业标准往往过高，从业者在任何时候、任何情况下都难以完全达到。因此，从业者的护理可能会违反这些标准。执业护士应制定基于最低安全水平而非旨在理想护理的最高水平的诊疗规范。标准和规范应与时俱进且切实可行。一旦制定，必须严格遵循诊疗规范和标准，以限制潜在的责任。
