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在研究生医学教育中的专业责任问题
Allen Kachalia1, David M Studdert
1Brigham and Women's Hospital, Boston, Mass, USA.
JAMA
|September 2, 2004
概括
研究生医学教育 (GME) 和机构的医生对患者护理质量负有法律责任. 主治医生面临着指导护理和监督居民的责任,随着适当监督的法律标准的不断变化.
科学领域:
- 医疗法 法律 医疗法
- 研究生医学教育研究生医学教育
- 患者安全 患者安全
背景情况:
- 研究生医学教育 (GME) 和机构的医生共同负责患者护理.
- 法律标准没有为GME提供例外,将居民与主治医生相同的护理标准.
研究的目的:
- 分析住院医生,主治医生和GME机构的法律责任和潜在责任.
- 检查医疗教育中监督和患者安全的不断变化的法律环境.
主要方法:
- 在GME.中对医生和机构责任的法律分析.
- 审查不当行为曝光和代理责任原则.
- 检查不断变化的适当监督标准.
主要成果:
- 住院医生需要与主治医生相同的护理标准.
- 临床医生面临着对指导护理,监督和代理疏忽的责任.
- GME机构负责提供护理,员工疏忽和安全系统管理.
结论:
- 在GME监督的法律标准正在向更高的期望发展,这是由于对患者安全的关注增加.
- GME机构和主治医生面临着严重的法律风险,需要强有力的监督和安全的护理系统.
- 工作时间限制和组织因素可能进一步塑造对GME计划的法律期望.
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