Department of Diagnostics and Public Health - Forensic Medicine Unit, University of Verona, Italy.
Med Sci Law. 2021 Jan;61(1_suppl):88-91. doi: 10.1177/0025802420979441.
The relationship between physician and patient has undergone profound changes in recent years. Patients increasingly insist on being thoroughly informed with detailed information about treatments and procedures suggested for their best care. This is also due to the growing suspicion towards doctors and the health-care system in general. Therefore, it is no longer possible to hide a medical error. To satisfy the request for honesty and safety of patients and society, it is necessary to enhance the skills and tools that physicians can use when disclosing and explaining an error to the patient. All modern codes of medical conduct acknowledge the importance of strengthening communication between physician and patient, which is the only way to save a relationship under constant threat of rupture and to improve the quality and safety of the treatment. The disclosure and explanation of the error has become not only an ethical duty but also a prudent way of avoiding negligence lawsuits. In this context, in 2013, Germany approved a law known as , which we consider a good compromise between patient expectations and the need for doctors to work without the constant fear of being sued for malpractice. This work seeks to provide an overview of the most important issues pertaining to disclosure of medical error and of practice in other countries, with the aim of offering a contribution to the debate on this subject in Italy.
近年来，医患关系发生了深刻的变化。患者越来越坚持要求全面了解治疗和建议的治疗方案的详细信息，以获得最佳护理。这也是由于对医生和整个医疗保健系统的日益怀疑。因此，再也不能掩盖医疗错误了。为了满足患者和社会对诚实和安全的要求，有必要提高医生在向患者披露和解释错误时可以使用的技能和工具。所有现代的医疗行为准则都承认加强医患沟通的重要性，这是在不断破裂的威胁下挽救关系以及提高治疗质量和安全性的唯一途径。错误的披露和解释不仅是一种道德义务，也是避免疏忽诉讼的谨慎方式。在这种情况下，德国在 2013 年批准了一项名为《医疗事故责任法》的法律，我们认为这是在患者期望和医生避免因医疗事故而不断受到诉讼的需要之间的一个很好的妥协。这项工作旨在提供有关披露医疗错误和其他国家实践的最重要问题的概述，以期为意大利在这一主题上的辩论做出贡献。
