Typification of medical lawsuit cases and analysis from the perspective of medical care management

作者从四个角度考虑了这个问题。1)17选择了最高法院的判决，并采用了一种概括性的图表格式。除其他外，这种模式化澄清了医务人员对病人早期“观察”的错误往往会导致误判和虐待。此外，病人的认真要求往往导致病人赢得官司。2)考虑了患者的认真请求是否也适用于共同医务人员，并就哪些医疗专业应受到影响发表了重大意见。因此，进行了一次问卷调查，调查结果包括共同医务人员在知情同意方面的唯一责任可能是问责制。3)考虑了将区域医疗管理纳入知情同意范围的必要性。研究了非营利组织“Tasukeai（互助）名古屋”在日本名古屋地区的发展情况。在区域医疗服务中，最重要的是建立一个组织来提供最适合该地区的护理。4)重新考虑了医院的医疗护理，以更好地确定确保患者安全的方法。最后，作者认为，加强电子病历系统和更大的信息交流，以促进区域医疗合作，总之，上述讨论的本质可以描述为：安全，可靠和满意的医疗服务，应确保安全，可靠和满意的生活。虽然这一理想似乎是法律的制度的使命，但也涉及伦理，因为病人的真诚要求涉及伦理价值。接下来要考虑的问题是，医疗专业人员如何分享病人对医疗和生活满意度的渴望，并澄清两者之间的区别。

The authors considered the subject from 4 perspectives. 1)17 Supreme Court verdicts were selected and a synoptic schematization format was applied. This schematization clarified, among other things, that errors in the early "observation" of a patient by medics tends to result in misjudgment and mistreatment. Furthermore, an earnest request by a patient often leads to the patient winning the case. 2)Whether an earnest request from a patient should also apply to co-medical staff was considered, and opinions differed significantly on what medical professions should be affected. A questionnaire was thus conducted, and findings included the possibility that the only responsibility of co-medical staff, with respect to informed consent, can be accountability. 3)The necessity to include regional medical management in the scope of informed consent was considered. How the non-profit organization "Tasukeai (Mutual Help) Nagoya" developed in the Nagoya region of Japan was examined. What was found to matter most in a regional medical service is establishment of an organization to provide nursing care best fitting that region. 4)Medical care in hospitals was reconsidered to better identify ways to secure patient safety. In conclusion, the authors believe that enhancement of electronic medical record systems and greater exchanges of information are required to promote collaboration in regional medical care.In conclusion, the essence of the discussions above can be described as follows : safe, reliable and satisfactory medical service should serve to ensure safety, reliability and satisfaction in life. Although this ideal seems to be the mission of the legal system, ethics is also involved, since earnest requests from patients involve ethical values. The next issue to consider is how medical professionals can share the patient's desire for satisfaction in medical care and in life, and clarifying the distinction between the two.