Marrone Maricla, Macorano Enrica, Lippolis Giuseppe, Caricato Pierluigi, Cazzato Gerardo, Oliva Antonio, De Luca Benedetta Pia
Section of Legal Medicine, Interdisciplinary Department of Medicine, University of Bari "Aldo Moro", 70124 Bari, Italy.
Andrology and Kidney Transplantation Unit, Department of Emergency and Organ Transplantation-Urology, University of Bari, 70124 Bari, Italy.
Healthcare (Basel). 2023 Jan 27;11(3):360. doi: 10.3390/healthcare11030360.
Informed consent is the manifestation of the will that a patient freely expresses toward a medical treatment. The physician is responsible for acquiring informed consent for both medical and nursing procedures. Informed consent represents a juridical-deontological tool that allows therapeutic choices to be shared with the user after having exhaustively explained the risks and benefits of the procedure itself. In fact, the physician has an obligation to provide the patient with clear and comprehensible information about the type of service, the methods of delivery, the benefits, the risks, even unforeseeable ones, and the complications. According to Italian legal guidelines, in cases of presumed health responsibility, the health professional accused of negligence will have to demonstrate that any complication that has arisen, although foreseeable, was not preventable. Through the analysis of a clinical case relating to the procedure of insertion of a bladder catheter performed by a nurse and a review of the literature, the authors explain the importance of the information that must be provided to the patient before carrying out any invasive procedure, even if not performed by the doctor. The authors describe the problem in the Italian context and propose a possible solution.
知情同意是患者对医疗治疗自由表达的意愿体现。医生负责获取医疗和护理程序的知情同意。知情同意是一种法律 - 道义学工具，在详尽解释程序本身的风险和益处后，允许与使用者分享治疗选择。事实上，医生有义务向患者提供关于服务类型、提供方式、益处、风险（甚至不可预见的风险）以及并发症的清晰且可理解的信息。根据意大利法律准则，在推定健康责任的情况下，被指控疏忽的医疗专业人员必须证明所出现的任何并发症，尽管是可预见的，但却是不可预防的。通过分析一名护士进行膀胱导管插入术的临床病例并回顾文献，作者解释了在进行任何侵入性程序之前必须向患者提供信息的重要性，即使该程序并非由医生执行。作者描述了意大利背景下的问题并提出了可能的解决方案。
