The letter of consent in the know of operation should be brief and concise
The letter of consent in the know of operation should be brief and concise
Guo is second author of China sees recently one one dept. of orthopedics of large hospital formats the letter of consent in the know of operation, it is much more complicated than the past content. Taking one stream of key fractures as examples, " the author understands " in its potential risk of operation 5 and great a 29 subitems add 3 sub subitems, there are 32 contents, special risk of half a line of operations or main factor still vacated in all, if in addition, the condition is introduced and treated proposing, patient's choosing, doctor in the know to state, content of the close and numerous page 3. I can't help saying with feeling doctor's present medical risk takes precautions against how strong consciousness is. The complicated clause can not be understood without mentioning patient and his relative, it is enumerated very much that even author thought to attend to each and every aspect of a matter, the content has no difference of the weight, there is no main less important leaving. Use unavoidable and awkward, regard the intersection of dept. of orthopedics and surgery as at first except common risk (anaesthetize the risk to hand over alone that signs) Outside, there are its special complications to reach each operation specifically, the letter of consent in the know of operation formatted lacks exactly herein or content is few, although a thousand the wise consider will must lose? Secondly where so many content doctors have time one always suffer from the side to explain in detail, communicate conscientiously? Let, suffer from careless and then see, let it sign, suffer from side understand, distrust, it will be thought to be that a doctor shirks responsibility that many, increase and suffer from square psychological burden more easily, once the operation accident or accident happens, run counter to desire. Doctor in the course of making a diagnosis, strengthen medical risk, take precautions against, give no cause for much criticism, including operation in the know to agree and tell the procedure in in the know letter of consent, but the content should not be all-embracing. Stipulate in article 55 of " law of liability for tort ": "Need to implement surgery, checking specially, special treatment, such situations as the medical worker should explain the medical risk, substitute the medical scheme to the patient in time, and obtain its written consent. " I think, while every hospital implements the electronic case history at present, have not required how much the clause content of letter of consent in the know is in unison, every operation department should design the general risk of operation of this department according to the detailed conditions; The special risk should stay in the blank leeway more, it is more indispensable to substitute the medical scheme, the special risk of each operation or complication is filled in specifically. The doctor has only quiet lower hearts, communicate with patient and his relative more, directs against different targets, tell condition and prognosis brief and concisely with the popular language, could be geared to actual circumstances so, one of the measures of skill risk of relieving oneself of making the operation in the know and agreeing book to be melting effectively. (Author's unit: Dept. of orthopedics of institute of traditional Chinese medicine of Ningxia Hui Autonomous Region)
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