不同国家如何应对不良事件,同时保护患者的权利。

IF 1.5 4区 医学 Q1 LAW
Medicine, Science and the Law Pub Date : 2024-04-01 Epub Date: 2023-06-27 DOI:10.1177/00258024231182369
Eva Gil-Hernández, Irene Carrillo, Mary-Elizabeth Tumelty, Einav Srulovici, Kris Vanhaecht, Katharine Ann Wallis, Priscila Giraldo, María Pilar Astier-Peña, Massimiliano Panella, Sofia Guerra-Paiva, Sandra Buttigieg, Deborah Seys, Reinhard Strametz, Asier Urruela Mora, José Joaquín Mira
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引用次数: 0

摘要

患者安全是国际政策议程上的优先事项。从安全事故中吸取教训是实现提高患者安全这一重要目标的核心组成部分。本研究探讨了各国促进报告、披露和支持涉及安全事故的医疗保健专业人员(HCPs)的法律框架。我们开展了一项横向在线调查,以确定国家层面的法律框架概况以及相关政策。ERNST(欧洲第二受害者研究者网络)从各国收集的同行评审数据对信息进行了验证。收集并分析了 27 个国家的信息,回复率为 60%。在接受调查的国家中,85.2%(23 个国家)建立了患者安全事故报告系统,但只有少数国家(37%,10 个国家)将重点放在系统学习上。在大约一半的国家(48.1%,13 个国家),公开披露取决于高级保健人员的主动性。侵权责任制度在大多数国家都很普遍。无过失赔偿计划和其他补救形式则不太常见。对涉及患者安全事件的 HCP 的支持极为有限,仅有 11.1%(3 个国家)的参与国报告所有医疗机构都提供了支持。尽管患者安全运动在全球范围内取得了进展,但研究结果表明,在患者安全事件的报告和披露方法上存在很大差异。此外,赔偿模式的不同也限制了患者获得补救的机会。最后,研究结果凸显了为涉及安全事故的医护人员提供全面支持的必要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
How different countries respond to adverse events whilst patients' rights are protected.

Patient safety is high on the policy agenda internationally. Learning from safety incidents is a core component in achieving the important goal of increasing patient safety. This study explores the legal frameworks in the countries to promote reporting, disclosure, and supporting healthcare professionals (HCPs) involved in safety incidents. A cross-sectional online survey was conducted to ascertain an overview of the legal frameworks at national level, as well as relevant policies. ERNST (The European Researchers' Network Working on Second Victims) group peer-reviewed data collected from countries was performed to validate information. Information from 27 countries was collected and analyzed, giving a response rate of 60%. A reporting system for patient safety incidents was in place in 85.2% (N = 23) of countries surveyed, though few (37%, N = 10) were focused on systems-learning. In about half of the countries (48.1%, N = 13) open disclosure depends on the initiative of HCPs. The tort liability system was common in most countries. No-fault compensation schemes and alternative forms of redress were less common. Support for HCPs involved in patient safety incidents was extremely limited, with just 11.1% (N = 3) of participating countries reporting that supports were available in all healthcare institutions. Despite progress in the patient safety movement worldwide, the findings suggest that there are considerable differences in the approach to the reporting and disclosure of patient safety incidents. Additionally, models of compensation vary limiting patients' access to redress. Finally, the results highlight the need for comprehensive support for HCPs involved in safety incidents.

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来源期刊
Medicine, Science and the Law
Medicine, Science and the Law 医学-医学:法
CiteScore
2.90
自引率
6.70%
发文量
53
审稿时长
>12 weeks
期刊介绍: Medicine, Science and the Law is the official journal of the British Academy for Forensic Sciences (BAFS). It is a peer reviewed journal dedicated to advancing the knowledge of forensic science and medicine. The journal aims to inform its readers from a broad perspective and demonstrate the interrelated nature and scope of the forensic disciplines. Through a variety of authoritative research articles submitted from across the globe, it covers a range of topical medico-legal issues. The journal keeps its readers informed of developments and trends through reporting, discussing and debating current issues of importance in forensic practice.
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