Leal Ema, Brito Maria João, Gouveia Catarina, Varandas Luís, Ferreira Gonçalo Cordeiro
Unidade de Infecciologia, Área de Pediatria Médica, Hospital de Dona Estefânia, Lisboa, Portugal.
Acta Med Port. 2011 Mar-Apr;24(2):375-8. Epub 2011 May 20.
Iatrogeny is a pathologic condition caused in a patient in the different stages of a medical act. In the United States, it is the fourth cause of death but in Portugal, data are not yet available. Though different from medical error, it is still a taboo subject for health care providers. The authors report a case of relational, diagnostic and therapeutic iatrogeny with serious consequences for the patient. Doctors have a fundamental role in reducing morbidity and mortality due to iatrogenic causes; they have the duty to question and reconsider diagnosis and treatments, keeping an alert attitude and self-criticism in order to identify potential iatrogenic interventions or to correct it as soon as possible.
医源性疾病是在医疗行为的不同阶段在患者身上引发的一种病理状况。在美国，它是第四大致死原因，但在葡萄牙，尚无相关数据。尽管它与医疗差错不同，但对医疗服务提供者来说仍是一个禁忌话题。作者报告了一例涉及关系、诊断和治疗方面的医源性疾病案例，对患者造成了严重后果。医生在降低医源性病因导致的发病率和死亡率方面起着根本性作用；他们有责任对诊断和治疗提出质疑并重新审视，保持警惕态度和自我批评精神，以便识别潜在的医源性干预措施或尽快予以纠正。
