Seton Heart Institute, and University of Texas at Austin Dell Medical School, 1301 W. 38th Street, Suite 405, Austin, TX, 78705, USA.
TCU and UNTHSC School of Medicine, 3430 Camp Bowie Blvd., Fort Worth, TX, 76107, USA.
HEC Forum. 2020 Dec;32(4):333-343. doi: 10.1007/s10730-019-09392-6.
Recent decades have seen a significant increase in physicians participating in international short-term missions to regions with limited or no access to health care by virtue of natural disaster or lack of resources. Recent publications in the ethics literature have explored the potential of these missions for unintentional harm to the intended beneficiaries. Less has been discussed about how to respond when harm actually occurs. The authors review the ethical issues raised by short-term medical and humanitarian missions and the literature on responding to unintended error to provide guidelines for avoiding harm to the intended beneficiaries of missions and an appropriate response when harm occurs. Two cases demonstrating an analysis and response to unintended harm are presented.
近几十年来，越来越多的医生参与到国际短期医疗任务中，前往那些由于自然灾害或资源匮乏而无法获得医疗保健的地区。最近，伦理学文献中探讨了这些任务可能对预期受益人的无意伤害。关于当伤害实际发生时如何应对，讨论得较少。作者回顾了短期医疗和人道主义任务引发的伦理问题，以及关于应对意外错误的文献，以提供避免任务预期受益人受到伤害的指导方针，以及在伤害发生时的适当应对措施。本文介绍了两个案例，展示了对意外伤害的分析和应对。
