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苏格兰一家医院儿科病房发生感染控制事件时的坦诚与沟通责任:我们如何做得更好?

Duty of candour and communication during an infection control incident in a paediatric ward of a Scottish hospital: how can we do better?

机构信息

Microbiology, Queen Elizabeth University Hospital Campus, Glasgow, UK

Parent and family representative on Communication & Engagement Sub-Group, Family representative on Oversight Board convened in furtherance of Escalation to Stage 4 by Scottish Government, Coventry University, Glasgow, UK.

出版信息

J Med Ethics. 2022 Mar;48(3):160-164. doi: 10.1136/medethics-2020-106862. Epub 2021 Feb 16.

DOI:10.1136/medethics-2020-106862
PMID:33593873
Abstract

Duty of candour legislation was introduced in Scotland in 2018. However, literature and experience of duty of candour when applied to infection control incidents/outbreaks is scarce. We describe clinician and parental perspectives with regard to duty of candour and communication during a significant infection control incident in a haemato-oncology ward of a children's hospital. Based on the learning from this incident, we make recommendations for duty of candour and communication to patients and families during future infection control incidents. These include the need to consider a crisis management approach, the importance of not underestimating psychological harm in incidents of a prolonged duration and embedding the existing legislation pertaining to the rights of the child.

摘要

2018 年,苏格兰引入了坦诚责任立法。然而,关于将坦诚责任应用于感染控制事件/爆发的文献和经验却很少。我们描述了在儿童医院血液肿瘤科病房发生重大感染控制事件时,临床医生和家长对坦诚责任和沟通的看法。根据这一事件的经验教训,我们就未来感染控制事件中对患者和家属的坦诚责任和沟通提出了建议。其中包括需要考虑危机管理方法,在持续时间较长的事件中不能低估心理伤害的重要性,并嵌入与儿童权利有关的现有立法。

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