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医学实践中真正的知情同意是什么,对风险的认知与之有何关系?

What Is Truly Informed Consent in Medical Practice and What Has the Perception of Risk Got to Do with It?

作者信息

Calderwood Catherine Jane, Braut Geir Sverre, Wiig Siri

机构信息

Faculty of Science, University of Strathclyde, Glasgow G1 1XQ, UK.

Stavanger University Hospital, N-4068 Stavanger, Norway.

出版信息

Healthcare (Basel). 2024 Dec 24;13(1):8. doi: 10.3390/healthcare13010008.

Abstract

Making decisions about risk, describing and appropriately explaining risk in medical practice is complex for patients and professionals. In this paper, we investigate how the concept of consent is practiced differently in the UK and Norway and discuss pros and cons of the chosen approaches from a patient safety culture perspective. We argue that consent is a fundamental part of the safety culture and influence on health system functioning and patient and staff safety. Examples from the UK and Norway are used and discussed in terms of how risk perception influences consent processes and practices.

摘要

在医疗实践中,患者和专业人员在做出风险决策、描述并适当地解释风险方面都面临着复杂的情况。在本文中,我们研究了英国和挪威在实践同意概念时的差异,并从患者安全文化的角度讨论了所选方法的优缺点。我们认为,同意是安全文化的基本组成部分,会影响卫生系统的运作以及患者和工作人员的安全。本文运用了英国和挪威的实例,并就风险认知如何影响同意过程和实践进行了讨论。

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本文引用的文献

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Examining the variation in consent in general surgery.检查普通外科手术中的同意书差异。
Ann R Coll Surg Engl. 2024 Feb;106(2):140-149. doi: 10.1308/rcsann.2023.0020. Epub 2023 May 23.
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Patient safety research: an overview of the global evidence.患者安全研究:全球证据概述
Qual Saf Health Care. 2010 Feb;19(1):42-7. doi: 10.1136/qshc.2008.029165.
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Norway: valid (as opposed to informed) consent.挪威:有效(而非知情)同意。
Lancet. 2000 Oct 14;356(9238):1347-8. doi: 10.1016/S0140-6736(00)02828-2.

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