医疗错误的认可:公开披露还没有太晚 - - 一个叙述性审查
Ivan Dieb Miziara1, Carmen Silvia Molleis Galego Miziara2
1Full Professor of Legal Medicine, Bioethics, and Occupational Health, Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, Brazil.
医疗错误会造成严重的伤害和痛苦. 本综述探讨了公开披露的障碍,并为医疗保健提供者提出了十个步骤,以有效地解决医疗错误.
科学领域:
- 医学伦理 医学伦理
- 患者安全 患者安全
- 医疗保健管理的管理
背景情况:
- 医疗错误是医疗保健中可以预防的不良事件.
- 这些错误导致患者,医生和机构的伦理,财务和心理问题.
- 对患者的伤害可能是身体的,导致残疾并侵蚀对医疗保健提供者的信任.
研究的目的:
- 识别阻碍医学错误公开披露的障碍.
- 通过公开披露提出一个结构化的方法来管理医疗错误.
- 强调错误披露的道德和伦理要求.
主要方法:
- 这项研究是对有关医疗错误和披露现有文献的叙事性审查.
- 该评论分析了医学教育和实践中的障碍,这些障碍妨碍了开放的沟通.
- 提出了公开披露的十步框架.
主要成果:
- 开放披露的重大障碍包括教育差距和医生对影响的恐惧.
- 由于担心法律和财务后果,医生经常拒绝披露错误.
- 公开披露被认为是一种至关重要的道德义务.
结论:
- 解决医疗错误需要克服公开披露的系统和个人障碍.
- 实施一个清晰的十步过程可以促进有效的错误管理.
- 促进医疗错误报告的透明度可以提高患者的安全和信任.
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