Singh A D, Paling J
Department of Ophthalmology, School of Medicine, University of Florida, Gainesville, USA.
Surv Ophthalmol. 1997 Jul-Aug;42(1):83-6. doi: 10.1016/s0039-6257(97)84044-1.
It is difficult, if not impossible, for patients to understand the significance of the involved risks when they are asked to sign informed consent prior to a procedure. Although practitioners seek to be diligent in discussing the significant, albeit remote, risks and benefits of accepting a recommended procedure, risks are usually addressed only in vague terms that may seem irrelevant to the patient. We offer a simple method whereby risk of an untoward event occurring during an ophthalmic procedure is compared with risks involved in daily activity. The Paling Perspective Scale allows better communication of risks between the physician and the patient, and reduces the likelihood of subsequent litigation.
在手术前要求患者签署知情同意书时，即便并非完全不可能，患者也很难理解所涉风险的重要性。尽管从业者努力勤勉地讨论接受推荐手术的重大风险及益处，即便这些风险很微小，但通常只是用一些模糊的术语来提及风险，而这些术语对患者来说可能显得无关紧要。我们提供一种简单的方法，通过它可以将眼科手术期间发生不良事件的风险与日常活动中涉及的风险进行比较。“帕林视角量表”能使医生和患者之间更好地沟通风险，并降低后续诉讼的可能性。
