Should the urgent operation hospital take the place of and sign?

Should the urgent operation hospital take the place of and sign?
Should the urgent operation hospital take the place of and sign?
The staff reporter is in charge of brilliantly being brilliant recently, Ministry of Public Health issued new " case history writes the basic norm ", " norm " points out clearly, in a situation that patient relatives can't sign in time, hospital can " Act first and report afterwards " ,Sign in order to rescue a patient for the operation. But to this new rule, both doctor and common people all each have worry. Please pay close attention to - -What Ministry of Public Health issues recently is new " the case history writes the basic norm " to carry out from March 1. Besides stipulating the content related to writing in case history, " norm " is pointed out clearly: "Approved by patient in writing the medical activity that can be carried on to needing, should be signed the letter of consent in the know by patient. When the patient does not possess totally civil capacity, should be signed by its legal representative; When the patient is unable to sign due to illness, the personnel who should be authorized by it sign; In order to rescue a patient, in a situation that the legal representative or licensee can't sign in time, can be signed by the person in charge of medical organization or person in charge authorizing it. " To this kind of special circumstances, in " norm " although in a nutshell, a stone evokes a thousand layers of waves. The sound thinks, this is a kind of human-oriented " act first and report afterwards " ,Worth praising highly; But someone is afraid the new regulation may be abused by the specific bad doctor, think " norm " must also be to some " fuzzy areas " It is thinning and defining to carry on. Doctor, common people each have an anonymous brain department's doctor of Beijing God Temple Hospital of worry who says, this regulation said that is beneficial to patient from operation, really nobody appears in the past to sign the example that a doctor did not dare to have an operation. But this regulation is not favorable for doctor, because doctors will worry doing the good thing and presenting the accident instead, demanded to bear responsibility by patient relatives. Many people have very prudent attitude to " norm ". Miss Lin engaged in the educational trade says, though the country issues this norm is to reflect humanistic spirit, but on the concrete method, ordinary common people have much worry. "Under guarding the therapeutic situation, will the hospital sign surgery directly? Will the doctor abuse the right and make profit? All of us need the clear statement in these, that is to define the necessity of performing the operation. " The Dafeng City second Deputy Director of the People's Hospital gynaecology and obstetrics Zhu HaiQin in Jiangsu Province says: "This norm is more to stand on patient's position considering, have reflected the principle of the life first, if do well, it is the thing of letting common people praise. But there is a factor disadvantageous to doctor, the operation risk done under the critical situation of the life is relatively high, some ordinary people do not find out about operation situation, if the patient presents the accident in the skill because of one's own health, relatives may blame the doctor instead. Know the good thing to turn into the bad thing in this way, it is disadvantageous to school. " Mr. Wei working in one public relation company worries such a regulation will make patient and relative have no right of being in know further, "if the accident appears in the operation, doctors with bad morality may shirk responsibility, shift health to get patient, get on the intersection of responsibility and issue of doctor, but patient unable to investigate doctor's responsibility relative have. " Take the place of and sign standard and condition and read the new rule in detail, the doctor still can't be clear in what situations the hospital needs " taking the place of and signing " Carry on the operation to the patient. Does the above-mentioned God Temple Hospital, doctor think what situation is the emergency on earth? How long in if you can't reach relative, regard as nobody signature? How does the doctor define patient's situation to belong to critically? If " relatives refuse to sign " Can be regarded as this kind of situation? These " fuzzy areas " Also need to be further thinning and defining. A lot of people think this norm will lead to the fact the doctor has too big power, thus will cause the excessively medical behavior to produce. Chinese the intersection of hospital and the intersection of association and medical the intersection of legal system and professional the intersection of committee and the intersection of managing and Vice Chairman, law, hygiene of China, learn managing director Zheng XueQian, say, a fixed one of this " norm " is " The person in charge of medical organization or person in charge authorizing it signs " ,It is not the doctor individual signs, the hospital undertakes legal person's responsibility, then the medical organization must treat conscientiously, after the person in charge will organize experts to hold a consultation or judge through the doctors of higher authorities of the training before signing, thus determine patient need perform the operation and go on, handle specially. Whether need to take the place of and signing and making urgent operation, Zheng Xue Qian thinks that there are 4 standards at least. The patient is in critical state; The measure that the doctor plans to take is to patient's healing solution worth rescuing; It is the relatively only, not replacable method; The situation has urgency, not waits for relatives' time. "In what case, what kind of measure is needed taking, all have its sector standard, must possess the corresponding index, could carry on corresponding operation, patient and relative needn't be too anxious. " Meanwhile, she thinks too, the behavior of excessive medical treatment is apt to take place when general disease go to a doctor, for example carry on unnecessary CT and check or open some imported medicine, but when rescuing promptly, there is no behavior of too much excessive medical treatment. Because in more critical cases, in order to guarantee patient's life security, a lot of measures have to do. Zheng Xue Qian says: "It does not mean patient and relative lose the right of being in know that the hospital takes the place of and signs. If the patient family members have doubt to the measure course that the doctor takes, can demand to copy or seal the case history up for safekeeping, can still apply to appraise afterwards. If the medical fault appears in rescue to use medicines, cutting the position by mistake,etc. by mistake, lead to the fact the patient presents medical treatment to damage the situation that the consequence belongs to doctor's responsibility, the doctor should bear responsibility according to the legal provision. " " from the viewpoint of hospital and doctor, it is the responsibility to heal the wounded, rescue the dying to appeal for introducing the third party and in charge of supervising, ' the hospital takes the place of and signs ' this norm offers them a right, make their choice right while rescuing have guarantee on legal aspects. " One unwilling the intersection of hospital and person in charge to disclose identity affirm, says frankly again while in norm, "the issue of the new rule, pressure and risk of the hospital will increase naturally. Therefore hospitalization cost and medical risk brought become a question, as to this, the guarantee that should also issue the supplementary measure in time. " Zhu HaiQin points out: "Today more tense in the relationship between doctors and patients, propose introducing third party's supervisory system, stand on the just position witnessing the fact, prove that can only take and take the place of and sign the way to carry on operation at that time, or record the whole operation course with the image, leave the evidence for the dispute of doctors and patients causing it. " Zheng XueQian agrees on this, she introduces: "Some foreign hospitals have already begun to implement the operation and talk and record, has kept the talk between doctor, patient and relative through the way of recording video. The relationship between doctors and patients is tense at present, under the situation of distrusting each other, I maintain that leave recording truly, the conditional place can well do it in this way. " However, every case introduces the third party to supervise It is not very realistic to manage, in the interview, express no matter it is ordinary common people or medical personnel, this norm should want to really realize its value, need all doctors to have high sense of responsibility to the patient. "The improvement of the relationship between doctors and patients, that depend on is not merely medical ethics, need resultant of forces of the whole society even more, it is a course of comprehensive administration. " Zheng XueQian expresses in the interview.


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