Evaluating the Medical Adverse Event Prevention and Resolution Act from the Perspective of Patient Safety Risk Management
This paper examines whether Chapter 4 of the Medical Adverse Event Prevention and Resolution Act, which was recently submitted to the Executive Yuan for deliberation, can effectively achieve its goal to improve patient safety. Section 2 of this paper first introduces the basic principles of the patient safety movement, followed by Section 3 which illustrates common limitations embodied in previous patient-safety related legislations in Taiwan by reviewing the predecessor of the Act, i.e., the Medical Dispute Resolution Act. Section 4 then explores whether the Act sufficiently addresses these limitations, and propose draft provisions accordingly. These draft provisions, centering around hospitals’ incident management system, envisions a three-layer risk management infrastructure that includes internal root cause analysis, external mandatory reporting, and governmental ad-hoc investigations.