Monico Edward P, Schwartz Ian
Yale University, New Haven, CT, USA.
J Healthc Risk Manag. 2009;29(2):6-9, 13, 15. doi: 10.1002/jhrm.20009.
Patients leaving the emergency department (ED) against medical advice (AMA) represent 0.1% to 2.7% of all ED patients. These patients create significant angst for emergency physicians because these patients frequently have serious underlying medical pathology and tend to represent a higher-than-average source of medical-legal liability than other ED patients. This article attempts to mitigate these risks by reviewing what we know about AMA encounters from the ED and providing documentation guidelines for the encounter.
违背医嘱自行离开急诊科（ED）的患者占所有ED患者的0.1%至2.7%。这些患者给急诊医生带来了极大的焦虑，因为这些患者往往存在严重的潜在医学病理问题，而且相较于其他ED患者，他们往往是医疗法律责任风险高于平均水平的来源。本文试图通过回顾我们对ED中违背医嘱情况的了解，并提供此类情况的记录指南，来降低这些风险。
