Abstract:
Ethical disclosure of adverse events (AE) presents opportunities and challenges for physicians and has unique ramifications for anesthesiologists. AE disclosure is supported by patients, regulatory organizations, and physicians. Disclosure is part of a physician\'s ethical duty toward patients, supports fully informed patient decision making, and is a critical component of root cause analysis. Barriers to AE disclosure include disruption of the doctor-patient relationship, fear of litigation, and inadequate training. Apology laws intended to support disclosure and mitigate concern for adverse legal consequences have not fulfilled that initial promise. Training and institutional communication programs support physicians in providing competent, ethical AE disclosure.
摘要:
不良事件(AE)的伦理披露给医生带来了机遇和挑战,并对麻醉医师产生了独特的影响。AE披露得到了患者的支持,监管组织,和医生。披露是医生对患者的道德义务的一部分,支持充分知情的患者决策,是根本原因分析的关键组成部分。AE披露的障碍包括医患关系的中断,害怕诉讼,和训练不足。旨在支持披露和减轻对不利法律后果的担忧的道歉法律并未履行最初的承诺。培训和机构沟通计划支持医生提供胜任,道德AE披露。