Vrabl Miran
Lijec Vjesn. 2009 Jul-Aug;131(7-8):226-9.
Different terms are used for adverse events which occur during the treatment with permanent consequences for a patient, in order to avoid calling a procedure not in concord with the algorithm a medical error. From the viewpoint of a patient suffering lasting consequences or even dying because of malpractice, it is totally irrelevant what these procedures are called. Until death occurs, lasting consequences may be alleviated through indemnity insurance related to civil liability of physicians for malpractice. Prompt admission that medical error has occurred, candid discussion with the patient and his family and indemnity payment are essential for maintenance of trust in the relation patient-physician. Special attention should be paid to informed consent. Only when the details of a particular treatment or surgical procedure have been explained to a patient, timely and in adequate extent, can the patient freely and independently decide upon its acceptance. Physician is the one who should prove that the procedure has been properly performed.
对于在治疗过程中出现的、给患者带来永久性后果的不良事件,人们使用了不同的术语,以避免将不符合操作流程的程序称为医疗差错。从因医疗事故而遭受长期后果甚至死亡的患者的角度来看,这些程序叫什么完全无关紧要。在死亡发生之前,通过与医生医疗事故民事责任相关的赔偿保险,可减轻长期后果。迅速承认发生了医疗差错、与患者及其家属坦诚讨论以及支付赔偿金,对于维持医患关系中的信任至关重要。应特别注意知情同意。只有在及时、充分地向患者解释了特定治疗或手术程序的细节后,患者才能自由、独立地决定是否接受。医生有责任证明该程序已正确执行。