Mandatory reporting of impaired medical practitioners: protecting patients, supporting practitioners
Mandatory reporting of impaired medical practitioners: protecting patients, supporting practitioners
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DOI：
10.1111/imj.12613
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发表时间：
2014-12-01
影响因子：
2.1
通讯作者：
Clarke, C.
中科院分区：
文献类型：
--
作者：
Bismark, M. M.;Morris, J. M.;Clarke, C.
采取行动保护病人免受同事伤害是一项长期存在的道德和专业义务。2010年，这一责任被写入法律，在澳大利亚各地引入了新的强制性报告制度。虽然仍有若干问题有待解决，但强制报告不仅有可能加强患者安全的首要地位，而且有可能就该专业如何应对对从业者健康和福祉的关切展开内部对话。在实施该计划四年后，主要挑战包括确保适当界定和明确理解报告门槛，改善从业人员获得循证卫生规划的机会，以及加强上游保护，以从根本上预防和尽量减少损害。
Taking action to protect patients from impaired colleagues is a long-standing ethical and professional obligation. In 2010, this responsibility was codified in law with the introduction, across Australia, of a new mandatory reporting regimen. While several concerns remain to be addressed, mandatory reporting has the potential not only to reinforce the primacy of patient safety, but also to open internal dialogue about the profession's response to concerns about practitioner health and well-being. Four years after the introduction of the scheme, key challenges include ensuring the reporting threshold is appropriately defined and clearly understood, improving access to evidence-based health programmes for practitioners, and strengthening upstream protections to prevent and minimise impairment at its roots.