評醫療事故預防及處理法草案:以病人安全風險管理為中心(下)【醫法新論】 試閱
Evaluating the Medical Adverse Event Prevention and Resolution Act from the Perspective of Patient Safety Risk Management
本文從病人安全角度切入,探討近日送行政院審議之醫療事故預防及處理法草案第四章,是否能達成保障病人安全之立法目的。第貳節首先簡介病人安全運動之理念;第參節繼而以草案前身之醫事爭議處理法為例,呈現臺灣過往類似立法的侷限;第肆節接續檢視醫處法如何回應上述侷限,並具體提出醫療事故預防及處理法草案第四章建議條文,以異常事件管控為核心,建置機構內根本原因分析、機構外強制通報、政府專案調查小組等風險管理機制。
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.
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