Allberry C, Fernando I
Chalmers Sexual Health Centre, 2A Chalmers Street, Edinburgh EH3 9ES, UK.
Int J STD AIDS. 2012 Aug;23(8):593-4. doi: 10.1258/ijsa.2012.012018.
We performed an audit at the Edinburgh Chalmers Sexual Health Centre to examine if the use and documentation of chaperones complies with the guidance set out by the General Medical Council (GMC) and other regulatory bodies. The case-notes of patients seen in the non-specialist, morning clinics over a one-week period were studied. Only 20 of the 104 genital examinations undertaken were recorded as chaperoned. Only in five of the unchaperoned examinations was it documented that a chaperone was declined. Thus, a total of 24% patients had documentation regarding the presence of a chaperone or the offer of one. However, these results show that our department is certainly lacking in documentation of this, if not the use of chaperones itself. This falls short of the GMC guidance for good practice: primarily in place not only to protect patients from harm, but also to safeguard clinicians against false accusations of impropriety.
我们在爱丁堡查尔默斯性健康中心进行了一次审查，以检查陪诊人员的使用及记录情况是否符合英国医学总会（GMC）和其他监管机构制定的指南。我们研究了非专科门诊在一周内上午就诊患者的病历。在进行的104例生殖器检查中，只有20例记录有陪诊人员在场。在未安排陪诊人员的检查中，只有5例记录了患者拒绝陪诊人员。因此，共有24%的患者有关于陪诊人员在场或提供陪诊服务的记录。然而，这些结果表明，即便我们科室不是在陪诊人员的实际使用方面，至少在这方面的记录上肯定存在不足。这未达到GMC关于良好做法的指南要求：设置陪诊人员主要不仅是为了保护患者免受伤害，也是为了保护临床医生免受不当行为的不实指控。
