Molven O
Diakonhjemmets høgskolesenter, Oslo.
Tidsskr Nor Laegeforen. 1991 Oct 20;111(25):3090-2.
Doctors have no general obligation to report injuries to patients to the hospital administration, and hospitals have no obligation to establish committees to evaluate the cases reported. Most hospitals, however, have defined their own internal rules for reporting cases, and have established committees. The number of cases reported are few, but the reporting practice differs from hospital to hospital. Not all committees do evaluate the cases, and most patients do not receive the results of the evaluation. In order to realize important goals of health policy, such as better quality assurance and better information to patients, most hospitals have much left to do. One way to initiate a better practice may be to establish a uniform system throughout and a legal obligation to report and evaluate injuries.
医生没有向医院管理层报告患者受伤情况的一般义务,医院也没有义务设立委员会来评估所报告的病例。然而,大多数医院都制定了自己内部的病例报告规则,并设立了委员会。报告的病例数量很少,但各医院的报告做法有所不同。并非所有委员会都会评估病例,而且大多数患者也不会收到评估结果。为了实现卫生政策的重要目标,如更好的质量保证和向患者提供更好的信息,大多数医院还有很多工作要做。启动更好做法的一种方式可能是建立一个全面统一的系统以及报告和评估伤害情况的法律义务。