Joseph Epstein Centre for Emergency Medicine Research, Western Health, Melbourne, Victoria, Australia.
Department of Medicine, Melbourne Medical School - Western Precinct, The University of Melbourne, Melbourne, Victoria, Australia.
Emerg Med Australas. 2020 Aug;32(4):703-705. doi: 10.1111/1742-6723.13548. Epub 2020 Jun 3.
COVID-19 has massively changed the health landscape around the world. Wide-ranging changes to healthcare delivery have occurred, especially in hospitals and EDs. Health services have made local decisions about care pathways, in some cases deviating from what would, until recently, have been considered widely accepted care. These changes bring with them new medicolegal risk for clinicians. In Australia, civil liability Acts provide protection for professionals when the criterion of having undertaken 'competent' practice that would be 'widely accepted' 'in the circumstances' is met. There is doubt how courts, and the medical experts who advise them, will evaluate clinical care provided during the pandemic when health services have developed local care pathways and there is no nationally accepted standard.
新冠疫情极大地改变了全球的医疗格局。医疗服务的提供发生了广泛的变化，尤其是在医院和急诊部门。卫生服务部门已经就护理途径做出了地方性决策，在某些情况下，这些决策偏离了最近才被认为是广泛接受的护理标准。这些变化给临床医生带来了新的医事法律风险。在澳大利亚，当符合“在当时情况下，具备被广泛接受的合格实践”这一标准时，民事责任法案为专业人员提供了保护。当卫生服务部门制定了地方性的护理途径，而没有全国性认可的标准时，人们对法院以及为其提供咨询的医学专家将如何评估大流行期间提供的临床护理存在疑问。
