چالش‌های اخلاقی و حقوقی یک جراح در بیان خطای پزشکی

نویسندگان

1 پژوهشگر مرکز تحقیقات اخلاق و حقوق پزشکی دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران

2 استادیار اخلاق پزشکی، گروه اخلاق پزشکی، دانشکده پزشکی، دانشگاه علوم پزشکی کردستان، سنندج، ایران. (نویسنده مسؤول)

3 استادیار جراحی سرطان، گروه جراحی، دانشکده پزشکی، بیمارستان کوثر، دانشگاه علوم پزشکی کردستان، سنندج، ایران

4 دستیار گروه جراحی، دانشکده پزشکی، دانشگاه علوم پزشکی کردستان، سنندج، ایران

5 پزشک و متخصص اخلاق پزشکی، مدرس و پژوهشگر مرکز تحقیقات اخلاق و حقوق پزشکی دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران

doi
10.22037/mhj.v11i40.29279
چکیده

Background and Aim: Ethics has a special Position in surgery. Patients' safety highlights this position as a top priority in WHO-defined Health service provider systems. Therefore, the first step in a medical error is to return the patient to the treatment process and not miss the opportunity to therapy. Reporting medical errors and being accountable to them, In addition to being a sign of commitment, responsibility and trustworthiness of physicians and medical organizations, it also provides patient rights. In the present study, we analyze the ethical and legal aspects of the knowledge of professors, residents and students about medical errors that occurred in the surgical department. Materials and Methods: This research is based on a case series descriptive method and citing authentic library documents and resources. Findings: Reporting medical errors improves the performance of treatment staff. According to the analysis, in response to 5 questions from the statistical community in question, all professors disclosed medical errors in cases that did not cause a serious complication for the patient. But in cases where the complication is serious and traceable, more than two-thirds of professors have stated that they have not reported it or that it is difficult for them to make a decision. Conclusion: A patient has the right to know about medical error disclosure and any intervention and therapeutic process must be performed with his or her consent on the basis of the principle of preserving the Physical integrity. As a committed individual, the physician has the duty to inform the patient if an error occurs during treatment for the patient. Error disclosure increases patient confidence in the physician and health system and reduces the likelihood of a lawsuit being filed against the hospital or physician and results in respect for the patient's citizenship rights.   Please cite this article as: Moayeri H, Faridi Saghezloo Y, Biroudian S, Ghanbari A, Delpasand K. The Ethical and Legal Challenges of a Surgeon in Expressing Medical Error. Med Hist J 2019; 11(40): 7-18.