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皮肤科医疗事故——第一部分:降低诉讼风险

Medical Malpractice in Dermatology-Part I: Reducing the Risks of a Lawsuit.

作者信息

Shah Vidhi V, Kapp Marshall B, Wolverton Stephen E

机构信息

University of Missouri-Kansas City School of Medicine, 2411 Holmes St., Kansas City, MO, 64108, USA.

Center for Innovative Collaboration in Medicine and Law, Florida State University College of Medicine and College of Law, 1115W. Call Street, Tallahassee, FL, 32306-4300, USA.

出版信息

Am J Clin Dermatol. 2016 Dec;17(6):593-600. doi: 10.1007/s40257-016-0223-3.

Abstract

Malpractice risk is a common source of concern for the practicing physician. Dermatologists experience fewer lawsuits than most other specialists in medicine, but the risk is not negligible. All physicians should familiarize themselves with areas of potential risk and avoid medico-legal pitfalls. We present Part I of a two-part series addressing medico-legal questions common to most practitioners that cause a great deal of anxiety. Part I will focus upon risk management and prevention of future malpractice lawsuits, and Part II deals with suggestions and guidance once a lawsuit occurs. Herein, we discuss the primary sources of malpractice lawsuits delivered against healthcare practitioners including issues with informed consent, patient noncompliance, medical negligence, and inappropriate documentation, including use of electronic medical records. The overall goal is to effectively avoid these common sources of litigation. The risk management strategies discussed in this paper are relevant to the everyday practitioner and may offer physicians some degree of protection from potential liability.

摘要

医疗事故风险是执业医师普遍关注的问题。皮肤科医生面临的诉讼比大多数其他医学专科医生少,但风险并非可以忽略不计。所有医生都应该熟悉潜在风险领域,避免陷入医疗法律陷阱。我们推出一个两部分系列的第一部分,探讨大多数从业者常见的、会引发大量焦虑的医疗法律问题。第一部分将重点关注风险管理和预防未来的医疗事故诉讼,第二部分则涉及诉讼发生后的建议和指导。在此,我们讨论针对医疗从业者的医疗事故诉讼的主要来源,包括知情同意问题、患者不依从、医疗过失以及不恰当的记录,包括电子病历的使用。总体目标是有效避免这些常见的诉讼来源。本文讨论的风险管理策略与日常从业者相关,可能会为医生提供一定程度的潜在责任保护。

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