在后疫情时代,同意和披露COVID的风险
Adeel Abbas Dhahri1, Jelani Lewis-Knights2, Kamran Hamid1
1Department of Vascular Surgery, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
The Medico-legal journal
|January 19, 2026
概括
经知情同意讨论很少记录英国外科设置中的COVID-19风险. 这种监督引发了关于患者安全和流行病后护理透明度的伦理和法律问题.
科学领域:
- 医学伦理 医学伦理
- 公共卫生 公共卫生
- 在外科手术实践中.
背景情况:
- 在英国,知情同意对于伦理和法律医疗实践至关重要.
- 由于COVID-19的转变为流行病阶段,因此需要对持续风险进行明确的沟通.
- 现有的指南要求在外科同意期间进行风险沟通,但其一致的应用尚不清楚.
研究的目的:
- 评估手术同意表格中的COVID-19风险文件.
- 评估在外科同意过程中沟通持续的COVID-19风险的一致性.
- 探索记录的COVID-19风险沟通与患者结果之间的关联.
主要方法:
- 在2024年2个月内,从英国高等医疗中心对147份外科同意表进行前性审查.
- 在同意表格中评估明确的COVID-19风险文档.
- 对术后感染率和30天死亡率的分析.
主要成果:
- COVID-19风险仅在5.4%的审查同意表中被记录在案.
- 不同临床医生等级之间没有观察到文档的显著变化 (p=0.840).
- 在术后COVID-19和30天死亡率 (p=0.020) 之间发现了统计学上显著的关联,其中有3例感染和1例死亡.
结论:
- 在外科同意期间传播COVID-19风险是罕见的,违反道德和法律标准.
- 需要采取制度措施,确保透明,以患者为中心的同意流程.
- 在不断变化的医疗保健环境中,改善与流行病相关风险的文档对于医疗法律合规性和患者安全至关重要.
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