Gibbs J M
Br J Anaesth. 1987 Jul;59(7):865-9. doi: 10.1093/bja/59.7.865.
In recent years, there has been an increase in medico-legal and disciplinary actions against doctors, some involving anaesthetists. While this has occurred at a time of increasing questioning of doctors' decisions, in New Zealand there has been the added dimension of a major change in the law related to personal injury. Under the provisions of the Accident Compensation Act there are no grounds for a civil action against a doctor in respect of a medical misadventure. The only provision for recompense is through the Accident Compensation Corporation. With the removal of the punitive aspect of civil actions against doctors, there has been an increase in complaints through other channels. The anaesthetist is particularly vulnerable because of the immediacy with which an adverse event is likely to cause obvious harm to a patient. This can only be countered by high standards of practice, together with careful record keeping.
近年来,针对医生的医疗法律和纪律处分有所增加,其中一些涉及麻醉师。虽然这一情况发生在对医生决策的质疑日益增多之际,但在新西兰,与人身伤害相关的法律发生了重大变化,这又增加了新的因素。根据《事故赔偿法》的规定,就医疗事故而言,没有理由对医生提起民事诉讼。唯一的赔偿途径是通过事故赔偿公司。随着针对医生的民事诉讼中惩罚性因素的消除,通过其他渠道提出的投诉有所增加。麻醉师尤其容易受到影响,因为不良事件很可能立即对患者造成明显伤害。这只能通过高标准的执业行为以及仔细的记录保存来应对。