在没有责备文化的情况下,适当地责备他人
1Auckland University of Technology, Auckland, New Zealand tyatesnz@gmail.com.
Journal of medical ethics
|November 27, 2025
概括
这项研究探讨了医疗保健中的责怪,建议自我责怪的作用有限,并将可避免的医疗错误归咎于他人,同时拒绝责怪的文化.
科学领域:
- 医学伦理 医学伦理
- 医疗保健政策 医疗保健政策
- 患者安全 患者安全
背景情况:
- 责怪在医疗保健中的作用是一个有争议的问题.
- 2019年的一次交流讨论了医学背景下责怪的适当性.
- 区分责备文化和个人问责制至关重要.
研究的目的:
- 分析医疗保健机构内责怪的概念.
- 评估支持和反对将责怪纳入医疗实践的论点.
- 为了确定是否责怪在处理医疗错误方面有合理的位置.
主要方法:
- 在2019年辩论中提出的伦理论据的哲学分析.
- 检查诸如自我责备,责备文化和承担责任等概念.
- 可以避免的和不可避免的医疗伤害之间的区别.
主要成果:
- 作者同意Tigard认为责怪在医疗保健中占有一席之地,但认为他没有走得足够远.
- 批评者正确地拒绝了普遍的责备文化,并接受了对不可避免的伤害的责备.
- 在医疗错误中责怪自己和他人,即使是无意的错误,也会起到轻微的作用.
结论:
- 医疗保健可以容纳责备的概念,特别是对于可以避免的错误.
- 应该拒绝责备和接受对不可避免的伤害负责的文化.
- 个人对可避免的医疗错误负责,这与系统性责怪文化不同,在道德上是允许的.
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