医疗伤害无过错赔偿:预防错误的前景
1Brigham and Women's Hospital, 75 Francis St, Boston, MA 02115, USA.
JAMA
|July 13, 2001
概括
一个新的医疗伤害无错赔偿系统,专注于可预防的伤害而不是从业人员的错误,可以与患者安全目标保持一致,并且可能不超过当前的医疗失误成本. 这种方法鼓励机构对医疗保健错误负责.
科学领域:
- 医疗保健政策 医疗保健政策
- 医疗法 医疗法 医疗法
- 患者安全研究的研究.
背景情况:
- 目前的患者安全倡议强调系统改进和对医疗错误的公开报告.
- 现有的医疗错误处理系统往往与这些安全目标相冲突,因为它们专注于个人指责和诉讼.
研究的目的:
- 提出和评估传统医疗疏忽诉讼的替代方案.
- 探索医疗伤害无过错赔偿制度,优先考虑患者安全和问责制.
主要方法:
- 拟议的医疗伤害无过错赔偿模式的描述.
- 分析传统批评在无故障系统中的成本和质量激励措施.
- 实证工作的介绍,建议成本效益和质量促进.
主要成果:
- 一个专注于可避免伤害的无过错模式被提出作为基于过错的诉讼的替代方案.
- 经验证据表明,这种模式的成本不会超过美国目前的不当行为系统费用.
- 将补偿与患者安全目标和机构问责制联系起来,可以提高护理质量.
结论:
- 重新考虑医疗保健危害的法律机制对于解决医疗错误至关重要.
- 对于可预防的医疗伤害而言,无过错系统为诉讼提供了一个有前途的替代方案.
- 实施这样一个系统,专注于机构责任,可以提高患者的安全和护理质量.
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