Bolcato Vittorio, Tronconi Livio Pietro, Odone Anna, Blandi Lorenzo
Department of Public Health, Experimental and Forensic Sciences, Legal Medicine Unit, University of Pavia, via C. Forlanini 12, Pavia, Italy.
Legal Medicine Unit, I.R.C.C.S. Foundation Istituto Neurologico Nazionale C. Mondino, Pavia, Italy.
Int J Risk Saf Med. 2023;34(2):129-134. doi: 10.3233/JRS-220062.
In the context of the Sars-Cov-2 pandemic, according to the various periods of emergency and the rate of infections, hospitalized subjects also contracted the infection within the ward, sometimes with the development of disease (COVID-19) and sometimes with permanent damage. The authors wondered if Sars-Cov-2 infection should be considered on a par with other infections acquired in the healthcare setting. The non-diversified diffusion between the health and non-health sectors, the ubiquity of the virus and the high contagiousness, together with the factual inability to prevent it by the health structures, despite the adoption of entry control, practices of isolation of positive subjects, and staff surveillance, lead to consider COVID-19 in a different way, in order to otherwise burden health structures in the face of unmanageable risks, clearly also dependent on exogenous and uncontrollable factors. The guarantee of care safety must, in the pandemic, be able to compare with the real capacity for intervention according to the asset of the current health service, requesting State intervention with alternative instruments, such as una tantum compensation, for COVID-19 damage reparation occurred in the health sector.
在新冠疫情背景下，根据不同的紧急时期和感染率，住院患者也会在病房内感染新冠病毒，有时会发病（新冠肺炎），有时会造成永久性损伤。作者们想知道，新冠病毒感染是否应被视为与在医疗环境中获得的其他感染同等看待。健康部门与非健康部门之间无差异的传播、病毒的无处不在和高传染性，再加上尽管采取了入口管控、对阳性患者进行隔离措施以及对工作人员进行监测，但卫生机构实际上仍无法预防该病毒，这些因素导致人们以不同方式看待新冠肺炎，否则面对无法控制的风险会给卫生机构带来负担，显然这些风险也取决于外部和不可控因素。在疫情期间，护理安全保障必须能够根据当前卫生服务的资源与实际干预能力相匹配，要求国家通过一次性补偿等替代手段进行干预，以弥补卫生部门发生的新冠病毒感染损害。
