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患者安全的伦理与法律问题:一则临床病例报告

Ethical and legal aspects of patient's safety: a clinical case report.

作者信息

Kadivar Maliheh, Manookian Arpi, Asghari Fariba, Niknafs Nikoo, Okazi Arash, Zarvani Asal

机构信息

Professor, Division of Neonatology, Department of Pediatrics, Children's Medical Center, Tehran University of Medical Sciences, Tehran, Iran.

Assistant Professor, School of Nursing & Midwifery, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

J Med Ethics Hist Med. 2017 Dec 30;10:15. eCollection 2017.

Abstract

Since patient safety is multidimensional and grounded in ethical and legal imperatives, both ethical and legal challenges should be taken into account. In this regard, a falling incident case of a 12-day-old newborn was raised in the monthly ethics round in the Children's Medical Center of Tehran University of Medical Sciences, Iran, and the ethical and legal dimensions of patient safety were discussed by experts in various fields. This report presents different aspects of patient safety in terms of root cause analysis (RCA) and risk management, the role of human resources, the role of professionalism, the necessity of informing the parents (disclosure of medical errors), and forensic medicine with focus on ethical aspects.

摘要

由于患者安全是多维度的,且基于伦理和法律要求,因此应兼顾伦理和法律挑战。在这方面,伊朗德黑兰医科大学儿童医学中心的月度伦理研讨会上提出了一起12日龄新生儿跌倒事件案例,各领域专家对患者安全的伦理和法律层面进行了讨论。本报告从根本原因分析(RCA)和风险管理、人力资源的作用、专业精神的作用、告知家长的必要性(医疗差错披露)以及侧重于伦理方面的法医学等方面介绍了患者安全的不同层面。

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