以合理可行的最低水平 (ALARP):在技术依赖的环境中,为临床风险管理提供了一种道德模型
Helen Lynne Turnham1, Sarah-Jane Bowen1, Sitara Ramdas1
1Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
Journal of medical ethics
|December 21, 2023
概括
导航复杂的医疗决策技术依赖的孩子涉及到平衡风险. 风险管理框架可以帮助识别在追求更大的利益时,在道德上允许的危害,确保安全是优先考虑的.
科学领域:
- 儿科重症监护 儿科重症监护 儿科重症监护
- 医学伦理 医学伦理
- 风险管理 风险管理
背景情况:
- 需要延长生命的技术的儿童面临着持续的风险.
- 医院护理提供专业的支持,但可能会影响生活质量.
- 家庭排放可以改善生活质量,但会带来严重的医疗风险.
研究的目的:
- 探索为患有生命限制疾病的儿童做出道德决策.
- 为道德上允许的医疗决策提供一个风险管理框架.
- 评估可接受的风险,以追求儿童患者的理想利益.
主要方法:
- 一个家庭的决策过程的案例研究.
- 从非医疗领域调整风险管理模型.
- 风险评估和允许性的伦理分析.
主要成果:
- 确定所有护理选择都可能对重症儿童造成伤害.
- 提出了一个评估风险道德允许性的框架.
- 强调风险可能是可以接受的,如果它们是追求特定商品的"合理可行的最低" (ALARP).
结论:
- 对脆弱儿童的道德决策需要仔细评估风险.
- 结构化风险管理方法可以指导复杂儿科护理场景的选择.
- 优先考虑"特定的理想商品"可以证明某些风险是合理的,如果将其最小化到合理的水平.
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