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区域麻醉中的风险管理:医疗职业责任保险的当前趋势

[Risk management in regional anesthesia: current trends in medical professional liability insurance].

作者信息

Kobayashi Makoto

机构信息

Sompo Japan Insurance Inc, Medical Professional Liability Insurance Section, Tokyo 163-0539.

出版信息

Masui. 2011 Nov;60(11):1301-7.

Abstract

This article aims to highlight current trends in medical professional liability insurance. We present two cases of the lawsuit associated with regional anesthesia. Case 1: Cardiac arrest during femoral neck fracture surgery under combined general anesthesia and epidural anesthesia. Case 2: Neurologic complications following cystectomy under combined general anesthesia and epidural anesthesia. To avoid malpractice risks, it is important to fully understand the risks of this clinical role and how to protect yourself from potential lawsuits. Every anesthesiologist should feel obliged to pay attention to legal questions concerning medical subjects, though judgments on the contents and the extent of the informationthat must be given to patients are complex and difficult to understand for anybody not experienced in law.

摘要

本文旨在突出医疗职业责任保险的当前趋势。我们呈现两例与区域麻醉相关的诉讼案例。案例1:在全身麻醉和硬膜外麻醉联合下进行股骨颈骨折手术时发生心脏骤停。案例2:在全身麻醉和硬膜外麻醉联合下进行膀胱切除术后出现神经并发症。为避免医疗事故风险,充分了解该临床角色的风险以及如何保护自己免受潜在诉讼至关重要。每位麻醉医生都应感到有义务关注与医学主题相关的法律问题,尽管对于任何没有法律经验的人来说,关于必须向患者提供的信息内容和范围的判断都很复杂且难以理解。

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