Ostermeyer Britta, Shoaib Anim N, Deshpande Swapna
Department of Psychiatry and Behavioral Sciences, University of Oklahoma, 920 Stanton L. Young Boulevard, Oklahoma City, OK 73104, USA.
The Honors College, University of Houston, 212 M.D. Anderson Library, Houston, TX 77204, USA.
Psychiatr Clin North Am. 2017 Sep;40(3):541-553. doi: 10.1016/j.psc.2017.05.003. Epub 2017 Jun 15.
Several federal and state laws and regulations, as well as ethical medical principles, govern the emergency clinician's practice of care. Although some common legal-medical and ethical principles are shared with other medical specialties, emergency medicine and emergency psychiatry have unique legal and ethical challenges. This article presents and discusses these challenges, including the physician-patient relationship, malpractice, confidentiality and privilege, duty to report, decision-making capacity and vicarious decision-making, the Emergency Medical Treatment and Labor Act, right to treatment, hospital admissions, involuntary commitment, forced medication administration, and child and elder abuse.
多项联邦和州法律法规以及医学伦理原则规范着急诊临床医生的诊疗行为。虽然一些常见的法律 - 医学和伦理原则与其他医学专科相同，但急诊医学和急诊精神病学面临着独特的法律和伦理挑战。本文介绍并讨论了这些挑战，包括医患关系、医疗事故、保密与特权、报告义务、决策能力与替代决策、《紧急医疗救治与劳动法案》、治疗权、住院、非自愿住院、强制给药以及儿童和老年人虐待问题。
