Shepherd L L
Robinson, Bradshaw & Hinson, Charlotte, NC 28246.
Am J Med Qual. 1992 Winter;7(4):111-5. doi: 10.1177/0885713x9200700404.
This article explores the duty of health care providers to inform patients of the risk of contracting AIDS through blood transfusions that may be necessitated by surgery or other forms of medical treatment. Although the quantitative risk of receiving HIV-contaminated blood in a transfusion is small, the qualitative risk is of a magnitude requiring complete disclosure if a patient's consent to treatment is to be considered adequately informed. Recent litigation confirms the importance of providing patients with the information needed to adequately assess the risks and benefits of proposed treatments that might involve a transfusion and reveals the need to offer the opportunity, where permissible, for autologous and directed donations. A comprehensive program embodying these concerns improves the quality of patient care and reduces exposure to liability for transfusions with contaminated blood.
本文探讨了医疗保健提供者有责任告知患者，在手术或其他形式的医疗中可能需要输血，而输血存在感染艾滋病的风险。尽管输血时接受受艾滋病毒污染血液的定量风险很小，但定性风险的程度要求，如果要使患者对治疗的同意被视为充分知情，则需完全披露该风险。最近的诉讼证实了向患者提供充分评估可能涉及输血的拟议治疗的风险和益处所需信息的重要性，并揭示了在允许的情况下提供自体和定向献血机会的必要性。体现这些关切的综合计划可提高患者护理质量，并减少因输注受污染血液而承担责任的风险。
