VA National Center for Ethics in Health Care, US Department of Veterans Affairs, Washington, DC, USA.
New York University School of Medicine, 423 East 23rd St (10P6), New York, NY, 10010, USA.
HEC Forum. 2020 Sep;32(3):253-267. doi: 10.1007/s10730-020-09398-5.
When patients are admitted to the hospital, they are generally expected to remain in or within close proximity to their assigned rooms in order to promote their safety and appropriate medical care. Although there are circumstances when patients may safely leave their hospital room or floor, guidance within the medical literature for the management of patient movement within the hospital are lacking. Excessive restrictions on patient movement may be seen as overly paternalistic, while lax requirements may interfere with high quality care, patient safety and efficient hospital practice. As a result, guidance in the form of institutional policy is warranted. Such policy development should take into consideration the potential clinical, legal, and ethical concerns in balancing the competing values of patients' preferences and respect for autonomy, while ensuring high quality, safe, and efficacious medical care. This paper will provide a framework for hospitals to create institution-specific patient movement policies that are fair, systematic, and transparent.
当患者住院时，通常期望他们留在指定的病房内或附近，以确保他们的安全和得到适当的医疗护理。尽管在某些情况下患者可以安全离开病房或楼层，但医学文献中缺乏有关患者在医院内移动管理的指导。过度限制患者的行动可能被视为过度家长式作风，而宽松的要求可能会干扰高质量的护理、患者安全和高效的医院实践。因此，有必要制定机构政策作为指导。这种政策的制定应该考虑到潜在的临床、法律和伦理问题，在平衡患者的偏好和尊重自主权的竞争价值观的同时，确保高质量、安全和有效的医疗护理。本文将为医院提供一个框架，以制定公平、系统和透明的机构特定的患者移动政策。
