在延迟的内镜后癌症诊断后履行坦诚的职责
Philip Berry1, Sreelakshmi Kotha1
1Department of Gastroenterology, Guy's and St Thomas' Hospitals NHS Trust, London, United Kingdom of Great Britain and Northern Ireland.
Endoscopy international open
|November 19, 2024
概括
内镜审计显示错过的诊断会对患者造成伤害,需要公开责任 (DoC). 应用 DoC 追溯存在挑战,需要对内镜单元制定明确的指导方针.
科学领域:
- 医疗程序 医疗程序
- 患者安全 患者安全
- 医疗保健治理的治理 医疗保健治理
背景情况:
- 内镜手术带有固有的风险,包括由于人类或系统错误而错过的恶性或前恶性病变.
- 术后癌症审计 (PCCRC,PEUGIC) 突出了错误诊断造成的重大伤害,引发了诚信义务 (DoC) 的考虑.
- 当前的医疗保健法规规定,当患者护理过程中发生重大伤害时,医疗部必须对医疗部进行检查.
研究的目的:
- 在内镜审计的背景下,探索执行诚信义务 (DoC) 的独特挑战.
- 识别关于 DOC 应用在回顾性审查,危害评估和审查团队组成方面的未解决问题.
- 为了解决对DOC过程内内镜部门透明度,培训和支持结构的需求.
主要方法:
- 审查与内镜错误和诚信义务有关的现有文献和案例研究.
- 分析将DoC原则应用于回顾性内镜审计的挑战.
- 讨论影响DoC决策的因素,包括机构声誉和诉讼担忧.
主要成果:
- 在将DoC应用于回顾性内镜审计方面存在重大挑战,包括定义危害门和组建审查小组.
- 在内镜审计中对DoC的实施缺乏共识,这给医疗保健提供者和患者带来了不确定性.
- 对负面影响的恐惧和不清楚的患者期望使内镜医生复杂化了DOC过程.
结论:
- 内镜审计对履行诚信义务提出了独特的挑战,需要进一步达成共识和明确指导.
- 部门必须促进透明度,并提供治理培训,以有效地导航DoC流程.
- 在错误诊断后参与DoC的内镜师的支持系统对于道德和有效的实践至关重要.
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