对内镜手术进行知情同意:欧洲胃肠内镜学会 (ESGE) 立场声明
Simon M Everett1, Konstantinos Triantafyllou2, Cesare Hassan3,4
1Department of Gastroenterology, Leeds Teaching Hospitals NHS Trust, Leeds, UK.
Endoscopy
|August 9, 2023
概括
在所有内镜手术中,知情同意至关重要,确保患者的自主权,并尽量减少风险. 指导方针强调明确沟通好处,危害和替代方案,根据患者的个人需求和情况调整信息.
科学领域:
- 胃肠病学 胃肠病学
- 医学伦理 医学伦理
- 患者安全 患者安全
背景情况:
- 内镜手术是侵入性的,并带有固有的风险.
- 患者的自主权和自决权需要参与决策.
- 缺乏标准化的知情同意指南可能会导致护理和诉讼风险的变化.
研究的目的:
- 建立消化肠道内镜中知情同意的最佳实践.
- 为内镜医生提供关于患者同意的最低标准.
- 通过标准化同意程序来解决护理方面的差异,并减少诉讼风险.
主要方法:
- 关于知情同意的最佳实践的一系列声明的开发.
- 强调患者能力评估和在能力不足时与护理人员的接触.
- 要求系统和透明地披露不干预的好处,危害,替代方案和后果.
主要成果:
- 有能力的患者必须为所有胃肠内镜手术提供知情同意.
- 对于缺乏能力的患者,应与亲密的人士达成共识,并记录最佳利益决策.
- 同意讨论必须根据具体的程序和患者的风险因素进行调整,在私人,不忙的环境中进行.
结论:
- 遵守这些声明代表了在内镜中获得知情同意的最低标准.
- 医疗从业者必须了解并遵守有关知情同意的国家法律.
- 清晰,全面和以患者为中心的知情同意对于道德和安全的内镜实践至关重要.
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