對病人安全通報法制之檢討與展望【本期企劃】 試閱
Review and Prospect on Patient-Safety Reporting Legislation in Taiwan
病人安全通報與根本原因分析之目的,在於改善或設計醫療系統或組織流程,避免隱性失誤因無妨免或攔截機制而導致終局傷害,其性質與目的均與究責法制不同,然後者顯然會影響前者誠實通報分析之意願,是以現行《生產事故救濟條例》為鼓勵誠實通報分析,遂立法採匿名方式並將通報分析資料排除作為訴訟上證據,此未於實體法上完全規避究責之作法,尚不至於剝奪原告或控方之訴訟權,應可贊同。惟《生產事故救濟條例》規範上尚欠妥適處,盼於未來條例修法或醫糾法立法時能導正,於此之前,主管機關於訂定條例之作業辦法時,應於最大限度內予以匡正。
Patient safety has been an worldwide important issue in these 20 years, and has made great influence on the attitude how we look about medical error, which urged the physicians begin to notice the incidence of adverse events and negligence in patients and try to build a safer health system by reporting the medical adverse events and going through root cause analysis. This article makes a brief overview on the patient safety policy and legislation in U.S.A, United Kingdom, and Japan, with special emphases on whether or not the patient safety report work is privileged from disclosure in civil or criminal court proceedings. Also elaborated is the provision regarding the patient safety reporting framework designed in our Childbirth Accident Emergency Relief Act which was promulgated on 30th Dec. 2016. This Act stipulates an anonymous reporting procedure and privileges the reporting work from disclosure in civil or criminal court proceedings, which will certainly help in encouraging physicians to report the medical adverse events honestly. Meanwhile, some amendment to the Act also is discussed in this article.
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