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门诊心理治疗督导中的责任与风险管理

Liability and risk management in outpatient psychotherapy supervision.

作者信息

Recupero Patricia R, Rainey Samara E

机构信息

The Warren Alpert Medical School of Brown University, Butler Hospital, 345 Blackstone Boulevard, Providence, RI 02906, USA.

出版信息

J Am Acad Psychiatry Law. 2007;35(2):188-95.

Abstract

Supervision of outpatient psychiatry residents plays the dual role of protecting the public by monitoring care and improving the educational experience of residents. The responsibility of supervisors may leave them vulnerable to liability under several legal theories. They may be vicariously liable for residents' negligence or may be directly liable for their own negligence in supervision or administration. Plaintiffs may bring claims alleging both vicarious and direct liability. There are particular risks with respect to residents' misconduct and liability to third parties, such as victims of a dangerous patient. Many of these legal issues are unsettled and may not apply to all situations. The authors discuss various risk-management techniques supervisors can use to mitigate risk.

摘要

门诊精神科住院医师的监督发挥着双重作用,即通过监测护理来保护公众,并改善住院医师的教育体验。监督者的责任可能使他们在几种法律理论下容易承担责任。他们可能对住院医师的疏忽承担间接责任,或者可能对自己在监督或管理方面的疏忽直接负责。原告可能会提出同时指控间接责任和直接责任的索赔。在住院医师的不当行为以及对第三方(如危险患者的受害者)的责任方面存在特殊风险。许多这些法律问题尚未解决,可能并不适用于所有情况。作者讨论了监督者可以用来降低风险的各种风险管理技巧。

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