脊柱外科医生可以做些什么来改善患者护理并避免医疗过失诉讼？
What Can Spine Surgeons Do to Improve Patient Care and Avoid Medical Negligence Suits?
作者信息
Epstein Nancy E
机构信息
Professor of Clinical Neurosurgery, School of Medicine, State University of New York at Stony Brook, New York, United States.
出版信息
Surg Neurol Int. 2020 Mar 6;11:38. doi: 10.25259/SNI_28_2020. eCollection 2020.
BACKGROUND
Why do patients sue following spine surgery? Here we reviewed some of the most frequent reasons for medical negligence suits against surgeons, adjunctive medical personnel, and or institutions/hospitals.
METHODS
Summarizing the multiple reasons for suits against spine surgeons, their colleagues/consultants, and hospitals should help surgeons identify the problems leading to suits, and improve patient care.
RESULTS
Several of the most common reasons for medical negligence suits include: lack of informed consent, ghost surgery, failure to diagnose and treat (e.g. including preoperative, perioperative, and post-surgical complications), performing unnecessarily risky, excessive and/or unnecessary surgery; failure to provide adequate postoperative care; absent or inadequate intraoperative neural physiological monitoring; and spoliation (e.g. fraudulent surgical, office, and/or hospital notes/records).
CONCLUSIONS
There are many reasons why patients sue their spine surgeons. Being aware of the factors that lead to suits, spine surgeons should learn to provide better preoperative, intraoperative, and postoperative care, and, thus, limit perioperative morbidity and mortality.
背景
为什么患者在脊柱手术后会提起诉讼？在此，我们回顾了针对外科医生、辅助医疗人员以及机构/医院提起医疗过失诉讼的一些最常见原因。
方法
总结针对脊柱外科医生、其同事/会诊医生以及医院提起诉讼的多种原因，应有助于外科医生识别导致诉讼的问题，并改善患者护理。
结果
医疗过失诉讼的一些最常见原因包括：缺乏知情同意、冒名手术、未能诊断和治疗（例如包括术前、围手术期和术后并发症）、进行不必要的高风险、过度和/或不必要的手术；未能提供充分的术后护理；术中神经生理监测缺失或不足；以及篡改（例如伪造手术、办公室和/或医院记录）。
结论
患者起诉脊柱外科医生有很多原因。脊柱外科医生意识到导致诉讼的因素后，应学会提供更好的术前、术中和术后护理，从而降低围手术期发病率和死亡率。
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