职业道德唐喆.pptVIP

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职业道德唐喆.ppt

某位育龄期的女病人因下腹包块去医院就诊。医生检查时,诊断她患了子宫肌瘤。进修医生按子宫肌瘤撰写了病历。由于有些医生存在“先入为主”的职业习惯,主治医生没有再做进一步检查,就按子宫肌瘤安排了手术。术中也没有按有关规定先行穿刺检查,就直接将子宫切除。但打开子宫一看,不但不见肌瘤,还看见了一个孕育良好的胎儿. American College of Surgeons Statements on Principles Code of Professional Conduct Provide the highest quality surgical care. Abide by the values of honesty, confidentiality, and altruism. Participate in lifelong learning. Maintain competence throughout our surgical careers. Participate in self-regulation by setting, maintaining, and enforcing practice standards. Improve care by evaluating its processes and outcomes. American College of Surgeons Statements on Principles Code of Professional Conduct Inform the public about subjects within our expertise. Advocate strategies to improve individual and public health by communicating with government, health care organizations, and industry. Work with society to establish just, effective, and efficient distribution of health care resources. Provide necessary surgical care without regard to gender, race, disability, religion, social status, or ability to pay. Participate in educational programs addressing professionalism. A practice of complete candor and honesty with the patient, Genuine concern, Open lines of communication involving the patient in decisions regarding his or her care, Informed consent, Confidentiality regarding the patient’s care Trust? Consent to Treatment Consent is permission, granted by the patient to the surgeon, to make a diagnostic or therapeutic intervention on the patient’s behalf; For consent to be valid, it must be informed; To be valid, it must also be voluntary; A baseline best-practice ethical standard. 未确诊岂能手术成都一医院被判赔近10万 2004年5月9日,杭某因腰痛、右臀部胀痛到被告医院就医,该院认为患者可能是原发性肝癌或肝血管瘤等。在未确诊的情况下,建议患者进行伽马刀手术,对杭某共施行了11次伽马刀手术,当年6月15日,杭某因后背部疼痛再次到四川大学华西医院住院治疗,经检查确诊为肝血管瘤,之后华西医院对其施行肝血管瘤栓塞术治疗并逐渐好转。   一审法院认为,根据华西医院的诊断结果并实施手术后即治愈证明,被告医院作出的肝癌诊断是错误的,且还证实了对肝血管瘤有较伽马刀治疗更为安全并对身体伤害性较小的措施。被告医院在未能确诊的情况下即选择对身体伤害性较大的治疗方式,存在过错,不能以患者家属同意作为免责的抗辩理由,故判决被告赔偿各种费用共计为

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