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医疗过失的关键要素——责任。

The Key Elements of Medical Negligence-Duty.

机构信息

Gregg W. Luther PLLC, Oklahoma City, Oklahoma, USA.

出版信息

Neurosurgery. 2021 May 13;88(6):1051-1055. doi: 10.1093/neuros/nyab077.

Abstract

American tort law (a.k.a. negligence) is designed to be flexible and elastic to adapt to changes in time and public policy. It provides a structure of elements and factors to be applied to each case's specific facts on a case-by-case basis. The purpose of this structure is to achieve as much uniformity as possible in the application of tort law. One side effect is that this structure makes predicting the outcome difficult because of so many variables. In addition, there is no national tort law. Instead, each state has developed its own law in the area of torts, which has resulted in differing exceptions and requirements based on where the medical care was given. The purpose of this article is to explain the first element of a negligence case-"duty to use care"-and its accompanying factors/variables. The first element that must be established in a medical negligence case is a duty to use care. In short, this means the physician must use a certain level of care in providing medical services. The physician typically owes her or his patient the duty to exercise care. However, there are special situations in which a physician may not owe a duty of care and thus cannot be held liable for medical negligence. This article is designed to provide an overview of the most common situations and summarizes the processes to determine whether a duty is owed.

摘要

美国侵权法(又称过失)旨在灵活且有弹性,以适应时间和公共政策的变化。它提供了一个要素和因素的结构,以便在逐案基础上适用于每个案件的具体事实。该结构的目的是在侵权法的适用中实现尽可能多的一致性。其副作用之一是,由于存在如此多的变量,这种结构使得预测结果变得困难。此外,没有全国性的侵权法。相反,每个州都在侵权领域制定了自己的法律,这导致了根据医疗服务提供地点的不同而产生了不同的例外和要求。本文的目的是解释过失案件的第一个要素——“注意义务”及其伴随的因素/变量。在医疗过失案件中,必须确立的第一个要素是注意义务。简而言之,这意味着医生在提供医疗服务时必须使用一定水平的护理。医生通常对其患者负有注意义务。但是,在某些特殊情况下,医生可能不承担注意义务,因此不能对医疗过失承担责任。本文旨在概述最常见的情况,并总结确定是否存在责任的过程。

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