Department of Obstetrics and Gynecology, University of California, Los Angeles, Los Angeles, California; Social Medicine, Center for Bioethics, Obstetrics and Gynecology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina; and the Departments of General Internal Medicine, Neonatology, and Medicine, Bioethics & Humanities, University of Washington, Seattle, Washington.
Obstet Gynecol. 2014 Mar;123(3):656-659. doi: 10.1097/AOG.0000000000000130.
Disclosing harmful medical errors to patients is a prominent component of the patient safety movement. Patients expect it and safety agencies and experts advocate its implementation. Obstetrics presents unique challenges to carrying out disclosure recommendations: childbirth is a life-changing, emotionally charged, and dynamic family event characterized by high expectations and unpredictability, and perinatal care is provided by complex ad hoc teams in a litigious area of medicine. Despite these challenges, transparent communication with parents about unexpected adverse birth outcomes remains critical. We call on clinicians and professional societies to pursue a deeper understanding of the unique challenges of disclosure in obstetrics and prepare themselves to conduct these difficult conversations well.
向患者披露有害的医疗差错是患者安全运动的一个突出组成部分。患者期望如此，安全机构和专家也提倡实施。在实施披露建议方面，产科面临着独特的挑战：分娩是一个改变生活、充满情绪、充满活力的家庭事件，其特点是期望高、不可预测，围产期护理由复杂的特设团队在一个诉讼多发的医学领域提供。尽管存在这些挑战，但与父母就意外不良分娩结果进行透明沟通仍然至关重要。我们呼吁临床医生和专业协会深入了解产科披露的独特挑战，并做好准备，以妥善进行这些困难的对话。
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