Hinkle B J
J Fam Pract. 1981 Jan;12(1):109-15.
Informed consent, regardless of patient recall, is required in increasing detail. The family physician must obtain consent from every patient for every procedure except for a few clearly defined areas: "Emergency," "Waiver," "Therapeutic Privilege," "Immaterial Risks," and "Generally Known Risks." Because courts have adopted the "reasonable patient" standard of disclosure, suits can be won without expert testimony. The elements of informed consent require explaining the nature of the procedure, the consequences that will probably occur, the material risks that may occur, alternatives available, and problems in recuperation. Consent, like any contract, is a meeting of the minds and the physician has an obligation to himself to document that agreement.
无论患者能否回忆起,都需要更详细地获取知情同意。除了少数明确界定的领域:“紧急情况”、“弃权”、“治疗特权”、“非重大风险”和“一般已知风险”外,家庭医生必须就每一项操作获得每位患者的同意。由于法院采用了“合理患者”的披露标准,因此无需专家证词就能胜诉。知情同意的要素包括解释操作的性质、可能发生的后果、可能出现的重大风险、可用的替代方案以及康复过程中的问题。同意,就像任何合同一样,是双方的合意,医生有责任记录下该协议。