医学伦理查房在构建和谐医患关系中的实践与思考  

Practice and Thinking of Medical Ethics Ward Rounds in Constructing a Harmonious Doctor-patient Relationship

作　　者：王晶[1] 董杰昌 程金莲[1] WANG Jing;DONG Jiechang;CHENG Jinlian(Ethics Committee,Beijing Hospital of Traditional Chinese Medicine Affiliated to Capital Medical University,Beijing 100010,China)

机构地区：[1]首都医科大学附属北京中医医院伦理委员会,北京100010

出　　处：《中国医学伦理学》2023年第9期1041-1045,共5页Chinese Medical Ethics

基　　金：北京市医院管理中心2021年北京市属医院科研培育计划项目“中医医联体模式下临床研究HRPP体系建设及效果评估”(PG2021019);首都医科大学2023年教育教学改革研究课题(一般课题)“中医临床方法学与流行病学混合式教学模式课程建设”(2023JYY323);2021年度北京中医药大学教育科学研究课题“中医药临床专业学生科研伦理素养提升研究”(XJY21108)。

摘　　要：医学伦理查房是真正体现对患者的人性尊重和人文关怀的行为,有利于医学科学判断和决策与医学伦理判断和决策的统一,医德和医术融合为一体。医学伦理查房关注医患双方,通过查看病历及医疗相关文件、访谈医护人员、访谈患者、观察医患交流、观察病区环境及设施等方式,医学伦理查房小组对医院临床科室进行全面的伦理查房,评估临床科室在患者知情同意、隐私保护、临床新技术应用、医疗质量、病房环境及设施、医护人员敬业守职等方面的实际情况。医护人员对患者权益的尊重,既是对患者基本人格的尊重,也是生命伦理的外在体现。医学伦理查房结合戴明环循环法,可以了解诊疗中的痛点、难点,以及在患者就医过程中的体验度,医患双方共同努力,共建和谐的医患关系。Medical ethics ward rounds truly embody the behavior of respecting human nature and providing humanistic care for patients,which is conducive to the unity of medical scientific judgment and decision-making with medical ethical judgment and decision-making,and the integration of medical ethics and medical skills.Medical ethics ward rounds focus on both doctors and patients.Through reviewing medical records and medical-related documents,interviewing medical staff as well as patients,observing doctor-patient communication,the ward environment and facilities,etc.,the medical ethics ward round team conducted comprehensive ethical ward rounds on the clinical departments of the hospital,and evaluated the actual situation of them in terms of patients informed consent,privacy protection,application of new clinical technologies,medical quality,ward environment and facilities,professional dedication of medical staff,and so on.The respect of medical staff for the rights and interests of patients is not only the respect for the basic personality of patients,but also the external embodiment of bioethics.Medical ethics ward rounds combined with the PDCA cycle can understand the pain points and difficulties in diagnosis and treatment,as well as the experience of patients in the process of medical treatment,and construct a harmonious doctor-patient relationship through the joint efforts of both doctors and patients.

关 键 词：医学伦理查房 医患关系 戴明环循环法 伦理审查 

分 类 号：R-052[医药卫生]