Frich L, Andersen A V, Josefsen R, Sagabråten S O
Tidsskr Nor Laegeforen. 1997 Dec 10;117(30):4365-70.
Inevitably, doctors make mistakes in the normal course of providing care. Making a mistake often causes distress for the doctor involved, but it can also be an important source of knowledge and self-reflection. This article discusses central aspects with respect to mistakes and medical malpractice. The doctor's relationship to ethics and legislation is discussed, and an overview of the administrative action taken by the Norwegian health authorities is presented. The organisations and offices a physician may come into contact with when involved in a patient's complaint are briefly presented. "Meldesentralen" was formed in 1993 by the Norwegian Directorate of Health for the purpose of collecting reports on accidents in medical practice. We argue that the accidents reported to "Meldesentralen" do not reflect the true situation on this issue. We introduce a model for a systematic approach towards a colleague who has made a mistake or who is suspected of having made one.
不可避免地,医生在正常的诊疗过程中会犯错。犯错往往会给涉事医生带来困扰,但它也可能是知识和自我反思的重要来源。本文讨论了与错误和医疗事故相关的核心方面。探讨了医生与伦理和法律的关系,并概述了挪威卫生当局采取的行政行动。简要介绍了医生在处理患者投诉时可能会接触到的组织和机构。“报告中心”由挪威卫生局于1993年设立,目的是收集医疗实践中事故的报告。我们认为,向“报告中心”报告的事故并不能反映该问题的真实情况。我们引入了一个系统的方法模型,用于对待犯错或被怀疑犯错的同事。