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是时候将内镜并发症管理纳入课程体系了。

Time to Put Managing Endoscopic Complications Into the Curriculum.

作者信息

Feld Kayla A, Feld Andrew D

机构信息

Gastroenterology Group Health Cooperative, Seattle, Washington, USA.

University of Washington, Seattle, Washington, USA.

出版信息

Am J Gastroenterol. 2016 Mar;111(3):353-4. doi: 10.1038/ajg.2016.31.

DOI:10.1038/ajg.2016.31
PMID:27018115
Abstract

Proper management of complications is critical to ensure the best outcome for both the patient and the physician. The physician's response to the error or complication, promptly informing the patient and the family, and expressing empathy at the situation, ensuring transparency and excellent post-complication care, is a critical determinant of the patient's understanding of the complication, perception of the physician, and, often, the decision to sue. Articles outlining best practice approach to various legal and risk management issues may aid physicians to acquire useful skills to help their patients.

摘要

妥善处理并发症对于确保患者和医生都能获得最佳结果至关重要。医生对错误或并发症的应对,及时告知患者及其家属,并对该情况表示同情,确保透明度以及提供优质的并发症后护理,是决定患者对并发症的理解、对医生的看法以及通常是否提起诉讼的关键因素。概述针对各种法律和风险管理问题的最佳实践方法的文章,可能有助于医生获得有用的技能来帮助他们的患者。

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本文引用的文献

1
Social media in the health-care setting: benefits but also a minefield of compliance and other legal issues.医疗环境中的社交媒体:带来益处,但也是合规及其他法律问题的雷区。
Am J Gastroenterol. 2014 Aug;109(8):1128-32. doi: 10.1038/ajg.2014.67. Epub 2014 Jul 1.
2
Avoiding and defending malpractice suits for postcolonoscopy cancer: advice from an expert witness.避免和应对结肠镜检查后癌症的医疗事故诉讼:专家证人的建议。
Clin Gastroenterol Hepatol. 2013 Jul;11(7):768-73. doi: 10.1016/j.cgh.2013.01.027. Epub 2013 Feb 1.
3
Multisociety sedation curriculum for gastrointestinal endoscopy.
胃肠道内镜检查多学会镇静课程
Gastroenterology. 2012 Jul;143(1):e18-41. doi: 10.1053/j.gastro.2012.05.001. Epub 2012 May 22.
4
Physician liability: electronic medical records.医生责任:电子病历
Am J Gastroenterol. 2011 May;106(5):810-4. doi: 10.1038/ajg.2011.95.
5
Most doctors win: what to do if sued for medical malpractice.多数医生会胜诉:若遭遇医疗事故诉讼该怎么办。
Am J Gastroenterol. 2009 Jun;104(6):1346-51. doi: 10.1038/ajg.2009.215.
6
Legal risks of clinical practice guidelines.临床实践指南的法律风险。
Am J Gastroenterol. 2008 Jan;103(1):7-11. doi: 10.1111/j.1572-0241.2007.01399.x.
7
Analysis of 59 ERCP lawsuits; mainly about indications.59例内镜逆行胰胆管造影术(ERCP)诉讼案分析;主要涉及适应症。
Gastrointest Endosc. 2006 Mar;63(3):378-82; quiz 464. doi: 10.1016/j.gie.2005.06.046.
8
Malpractice claims in gastrointestinal endoscopy: analysis of an insurance industry data base.胃肠内镜检查中的医疗事故索赔:保险业数据库分析
Gastrointest Endosc. 1993 Mar-Apr;39(2):132-8. doi: 10.1016/s0016-5107(93)70052-8.
9
Endoscopic training directors: a few legal and ethical considerations.内镜培训主任:一些法律和伦理考量
Gastrointest Endosc Clin N Am. 1995 Apr;5(2):447-55.
10
Informed consent and the gastrointestinal endoscopist.知情同意与消化内镜医师
Gastrointest Endosc. 1985 Jun;31(3):218-21. doi: 10.1016/s0016-5107(85)72051-2.