McDonough J P, McMullen P, Philipsen N
CRNA. 1995 May;6(2):64-9.
Generally, health care providers have viewed safety in terms of prevention of patient accidents. However, with the growth of patient consumerism and stress on quality improvement, the concept of "safety" has been expanded. This article examines the legal concept of informed consent and offers practical suggestions on increasing both patient and provider safety and improving quality of care. For reasons dictated by statute, case law, and professional ethics, informed consent should be part of the practice of every CRNA. With proper informed consent, misinformation, dissatisfaction, and subsequent legal action can be diminished. Information should be offered to the patient and family and reinforced with written educational materials and instructions. These procedures should be documented in the medical record to provide verification that the patient was informed of the risks and benefits and agreed to the procedure contemplated. Failure to do so could expose the CRNA to legal actions under legal theories that include not only negligence, but battery, and contract as well.
一般来说，医疗保健提供者一直从预防患者事故的角度看待安全问题。然而，随着患者消费主义的兴起以及对质量改进的重视，“安全”的概念已经得到扩展。本文探讨了知情同意的法律概念，并就提高患者和提供者的安全以及改善护理质量提供了切实可行的建议。由于法规、判例法和职业道德的要求，知情同意应成为每位CRNA（麻醉护士）执业的一部分。通过适当的知情同意，可以减少错误信息、不满情绪以及随后的法律诉讼。应向患者及其家属提供信息，并通过书面教育材料和说明加以强化。这些程序应记录在病历中，以证明患者已被告知风险和益处，并同意所考虑的手术。否则，CRNA可能会因包括疏忽、殴打和合同在内的法律理论而面临法律诉讼。
