A Retrospective Study On Elements Of Quality And Safety Of Care When Indicating And Performing Reserved Medical Procedures In The Netherlands

D.Y.A. Van Meersbergen*, D.P. De Bruijn-Geraets, E.M.T. Mulkers, Y.J. Van Eijk-Hustings, H.J.M. Vrijhoef

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

In order to determine elements that guarantee patient safety when performing medical procedures, we analyzed disciplinary rulings against physicians and some nurses. We found that 24.6% of the well-founded complaints were about the stage in which the medical procedure is initiated (indicating) and 22.2% about the actual performance of the procedure. Based on these findings we can conclude that the indication for a medical procedure is as important as the actual performance. Although Dutch law assumes that a professional should be competent in both processes, it is not explicitly required. In order to guarantee patient safety, the importance of this stage should be emphasized in the legal framework and be emphasized in the training of professionals. This is particularly important when drafting legislation on task shifting.
Original languageEnglish
Pages (from-to)51-68
Number of pages18
JournalMedicine and Law
Volume36
Issue number3
Publication statusPublished - 1 Sept 2017

Keywords

  • Disciplinary Rulings
  • Medical Procedures
  • Task Shifting
  • Indication
  • Safety
  • Quality of Care
  • RANDOMIZED CONTROLLED-TRIAL
  • GENERAL-PRACTITIONERS
  • NURSE-PRACTITIONERS
  • OUTCOMES
  • SPECIALIST
  • PROVIDER
  • CLINICS
  • IMPACT

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