指南与最佳实践:关于《杰利-比安科法》的评论
Guidelines and best practices: remarks on the Gelli-Bianco law.
作者信息
Montanari Vergallo G, Zaami S
机构信息
Department of Anatomical, Histological, Medicolegal and Orthopaedic Sciences, Section of Legal Medicine, Sapienza University of Rome, Rome, Italy.
出版信息
Clin Ter. 2018 Mar-Apr;169(2):e82-e85. doi: 10.7417/T.2018.2059.
The paper's authors aim to elaborate on the innovations brought by law n. 24/2017, issued by the Italian Parliament with a close focus on art. 5, which pertains to the drafting of guidelines and the adoption of best practices. The guidelines constitute in fact an element of innovation brought by the above-mentioned law, and compliance with them can shield from possible liability those health care professionals who find themselves embroiled in professional accidents while in the fulfillment of their duties. Besides, there are several critical aspects within the law that need to be highlighted as well. As far as best practices are concerned, the lawmakers who drafted the legislation make no mention as to the standards of evidence needed in order to characterize any given professional behavior as "best practice". The reform appears unlikely to be effective in providing doctors with clear behavioral standards, thus reducing the margin for liability claims against them.
该论文的作者旨在详细阐述意大利议会颁布的第24/2017号法律带来的创新,重点关注与指南起草和最佳实践采用相关的第5条。事实上,这些指南是上述法律带来的创新元素,遵守它们可以使那些在履行职责时卷入职业事故的医疗保健专业人员免受可能的责任追究。此外,该法律中还有几个关键方面也需要强调。就最佳实践而言,起草该立法的立法者未提及将任何特定专业行为界定为“最佳实践”所需的证据标准。这项改革似乎不太可能有效地为医生提供明确的行为标准,从而减少针对他们的责任索赔空间。