我该留下还是离开？医院发生主动枪击事件时医护人员及医疗机构道德义务的生命伦理学分析——文献叙事综述

Should I Stay or Should I Go? A Bioethical Analysis of Healthcare Professionals' and Healthcare Institutions' Moral Obligations During Active Shooter Incidents in Hospitals - A Narrative Review of the Literature.

作者信息

Giwa Al, Milsten Andrew, Vieira Dorice, Ogedegbe Chinwe, Kelly Kristen, Schwab Abraham

机构信息

Al O. Giwa, L.L.B., M.D., M.B.A., M.B.E. (anticipated), F.A.C.E.P., F.A.A.E.M., is an Associate Professor, Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai. Andrew Milsten, M.D., M.S., F.A.C.E.P., is an Associate Professor, Department of Emergency Medicine, University of Massachusetts Medical School, UMass Memorial Medical Center. Dorice L. Vieira, M.L.S., M.A., M.P.H., is an Associate Curator, NYU Health Sciences Library, NYU School of Medicine. Chinwe Ogedegbe, M.D., M.P.H., F.A.C.E.P., is an Associate Professor of Emergency Medicine, Hackensack Meridian School of Medicine at Seton Hall University, Hackensack University Medical Center, Emergency and Trauma Center. Kristen M. Kelly, M.D., is a Resident-in-Training, Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai. Abraham P. Schwab, Ph.D., is a Professor of Philosophy, Purdue University Fort Wayne.

出版信息

J Law Med Ethics. 2020 Jun;48(2):340-351. doi: 10.1177/1073110520935348.

DOI:10.1177/1073110520935348

PMID:32631184

Abstract

Active shooter incidents (ASI) have unfortunately become a common occurrence the world over. There is no country, city, or venue that is safe from these tragedies, and healthcare institutions are no exception. Healthcare facilities have been the targets of active shooters over the last several decades, with increasing incidents occurring over the last decade. People who work in healthcare have a professional and moral obligation to help patients. As concerns about the possibility of such incidents increase, how should healthcare institutions and healthcare professionals understand their responsibilities in preparation for and during ASI?

摘要

不幸的是，主动射击事件在全球已屡见不鲜。没有哪个国家、城市或场所能免受这些悲剧的影响，医疗机构也不例外。在过去几十年里，医疗机构一直是主动射击者的目标，且在过去十年中此类事件不断增加。在医疗行业工作的人员负有帮助患者的专业和道德义务。随着对此类事件可能性的担忧加剧，医疗机构和医疗专业人员应如何理解他们在准备应对主动射击事件及事件发生期间的责任呢？