麻醉醫療糾紛之探討【本期企劃】 試閱
A Discussion on Anesthetic Medical Dispute
醫療事故在臺灣以手術醫療糾紛所占比例最高，其中以外科、婦產科及麻醉科為最主要的發生科別。麻醉醫療行為乃五項核心醫療行為之一，應由醫師親自執行。而在各種麻醉醫療工作內容中，由術前麻醉同意書之簽署、麻醉方法之選擇、術後麻醉之恢復及止痛，乃至急救、緊急插管過程，均可能成為醫療糾紛之來源。在麻醉醫療糾紛相關之法律議題中有兩大重要議題：一、麻醉醫師與手術醫療團隊其他成員尤其是手術醫師間過失行為之責任歸屬；二、麻醉護理師執行麻醉醫療行為之適法性。本文將就此二議題闡述，並簡結麻醉醫師的注意義務及麻醉醫療糾紛之預防。
Among medical disputes in Taiwan, operation related medical disputes account for the highest proportion, among which surgery, obstetrics and gynecology, and anesthesiology are the most important occurrences. Anesthesia medical practice is one of the five core medical behaviors and should be performed by a physician. In the various anesthesia medical works, the signing of anesthesia consent, the choice of anesthesia method, the recovery from anesthesia, postoperative analgesia, and even the first aid and emergency intubation process may become the source of medical disputes. There are two important issues in the legal issues related to anesthesia medical disputes. One is the responsibility attribution between the anesthesiologist and the other members of the surgical team, especially the surgeon, and the other is the legality of the anesthesia nurse to perform anesthesia. This article will elaborate on these two topics, and briefly summarize the duty of care of anesthesiologists and the prevention of anesthesia medical disputes.
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