Chayet N L, Reardon T M
Am J Law Med. 1981 Fall;7(3):301-20.
This article offers a practical guide to hospital initiated quality assurance. After outlining the hospital's duty of care, the Article discusses both offensive and defensive strategies for dealing with the problem of an impaired or incompetent medical staff member. While the Article advocates informal resolution of the problem, it encourages the hospital and the medical staff to build a defense to liability based on strict adherence to hospital bylaws, rules and regulations governing medical staff organization, privileges and evaluation. The Article's ultimate concern is to avoid an escalated situation involving multiple lawsuits, patient harm, humiliation to the practitioner, and economic loss.
本文提供了一份关于医院发起的质量保证的实用指南。在概述了医院的护理职责后，本文讨论了应对医疗人员受损或不称职问题的进攻性和防御性策略。虽然本文提倡以非正式方式解决问题，但它鼓励医院和医务人员基于严格遵守医院章程、管理医务人员组织、特权和评估的规章制度来构建责任抗辩。本文最终关注的是避免出现涉及多起诉讼、患者伤害、从业者受辱和经济损失的升级情况。
