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不同的国家如何应对不良事件,同时保护患者的权利
Eva Gil-Hernández1, Irene Carrillo2, Mary-Elizabeth Tumelty3
1Foundation for the Promotion of Health and Biomedical Research of Valencia Region (FISABIO), Sant Joan d'Alacant, Spain.
Medicine, science, and the law
|June 27, 2023
概括
报告和披露患者安全事件的情况在各国之间有很大差异. 大多数国家都有报告系统,但很少有人专注于学习,对医疗保健专业人员的支持有限.
科学领域:
- 医疗保健政策 医疗保健政策
- 患者安全 患者安全
- 法律框架 法律框架
背景情况:
- 患者安全是全球政策的首要任务.
- 从安全事件中吸取教训对于改善患者护理至关重要.
- 报告,披露和在患者安全事件中为医疗保健专业人员 (HCP) 提供支持的现有法律框架需要审查.
研究的目的:
- 探索和分析管理患者安全事件报告,披露和支持各个国家的医疗保健专家的法律框架.
- 确定与患者安全相关的国家政策的差异和共同点.
主要方法:
- 对27个国家进行了一项跨部门在线调查.
- 欧洲研究人员网络第二受害者工作组 (ERNST) 收集了有关国家法律框架和政策的数据,并进行了同行评审.
- 实现了60%的响应率,提供了对调查景观的全面概述.
主要成果:
- 在接受调查的国家中,85.2%的患者安全事件存在报告系统,但只有37%的患者强调系统学习.
- 公开披露往往取决于HCP的倡议 (48.1%的国家).
- 侵权责任是常见的,而无过错赔偿计划则不那么普遍. 参与事件的医疗保健工作者得到的支持很少 (11.1%的国家).
结论:
- 患者安全事件报告和披露实践存在重大国际差异.
- 不同的补偿模式限制了患者获得补救的机会.
- 对于参与患者安全事件的医疗保健专业人员来说,需要加强和全面的支持系统.
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