Hirshfeld E
American Medical Association, Chicago.
Jt Comm J Qual Improv. 1993 Aug;19(8):322-9. doi: 10.1016/s1070-3241(16)30016-5.
Guidelines that are standards of care could limit the creative initiatives to find ways of caring for patients which do not conform to traditional medical practice but result in good outcomes. Physicians would likely feel hemmed in by guidelines that constitute an express legal standard of care and would be afraid to deviate from them except under the auspices of carefully controlled research protocols.
作为护理标准的指南可能会限制创新举措,这些举措旨在寻找不符合传统医疗实践但能产生良好效果的患者护理方式。医生可能会觉得受到构成明确法定护理标准的指南的束缚,并且除非在精心控制的研究方案的支持下,否则不敢偏离这些指南。