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医院带头反思,是避免悲剧重演的开始

2017-09-08 14:34:27   澎湃

原标题:医院带头深刻反思,是避免产妇坠楼悲剧重演的开始

作者:吴帅

医方带头反思和改进工作流程,带动更多民众跟进反思,形成一股强大的合力,才能从今天、从此时此刻开始,让更多的类似悲剧不再有机会发生。

榆林坠楼产妇家属称其“下跪”实系疼到下蹲,卫计局介入调查

榆林产妇坠楼事件又有新进展。院方首度曝光监控视频,不过画面上虽有产妇下跪的镜头,但涉事双方依然各执一词。9月6日,院方再次发表声明,称产妇曾下跪,多次“与家属沟通(剖宫产)被拒绝”。随后,家属方告诉媒体,监控画面中并未记录声音,“下跪”画面系产妇因疼痛难忍下蹲,并称产妇数次要求剖宫产,其丈夫都答应了。目前榆林市卫计局已介入调查此事。

尽管真相依旧扑朔迷离,但很多反思的声音已经开始出现。

有技术层面的反思,产妇理应享受到无痛分娩的照顾,但有统计显示,目前全中国只有1%的产妇享受过。

有法理层面的反思,采取什么治疗凭什么不能孕妇做主?即使有授权文书,但只要当事人愿意,这个授权文书是随时可以废除的。通过这个事件上,“家属不签字,医院不手术”的恶规则不能再延续下去。

有安全角度的反思,在安全防范上,医院本可以交出一份更完善的答卷。一个活人,在白天的众目睽睽之下,完成极端的自我伤害应该需要不短的时间,说明医方的安全工作需要进一步提高。

一个在中西方国家都执业数十年的资深医生,从制度文化层面发表自己的见解。他表示,很难理解和接受这类天方夜谭式的医疗事故。医院、家属都有严重问题,但平心而论,医院应承担更大的责任。

而纵观整个事件,即便真相未明,一个问题始终无法回避:怎么避免产妇坠楼悲剧重演?

最好的医疗,永远以让病人得到最安全和最人性的照顾为第一要务。但要实现这个目标,需要医患的共同努力。只有专业的医方加上专业的病方各司其职且良好配合,才能让这种结果。

或许,病人有病人的责任和问题,医方也有自己的苦衷。但是一个基本的社会常识需要重申和捍卫,即权力越大责任越大。反思和改变,首先需要从医方开始。

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