医療倫理と安全の基礎知識—医師のモヤモヤ・患者のモヤモヤ

Basic Knowledge of the Medical Ethic and Security : Frustrations Affecting the Doctor and the Patient

はじめに

　私は東北大学病院でリハビリテーション（以下，リハ）部長の業務のほかに，医療相談室（現在のご意見窓口室）室長，サービス・質向上委員会委員長，「診療録の書き方・接遇」初任者教育担当などを長く兼務してきた．医療関係者と患者・家族との間のトラブルを多く目にしたことで，これらを未然に防止し，速やかに解決するために，様々な対応を行ってきた．本稿ではこれらの経験を通じて得た医療倫理と安全の基礎について解説する．

Abstract : The number of the patients requiring rehabilitation has been rapidly increasing. Rehabilitation patients and their families face various troubles and problems in their illness, their functional state, their convalescence, and a wide range of domains including their at-home life and care burden. And rehabilitation staffs must deal with these problems appropriately and take pride in their efforts and strive to provide continuing reliable care. However, most hospitals and rehabilitation centers only have one or at most a few physiatrists. Thus, most physiatrists and co-medical rehabilitation staff have few advisers and are frustrated by the many kinds of problems faced in providing medical service and management. In this lecture, I discuss how to build safety measures, how to write medical records to prevent future troubles, the proper on-site manner, and the 15 traits of a disliked physiatrist. I hope that this lecture can blow away the frustration from the rehabilitation scene and be helpful not only for patients and their families, but also for physiatrists and co-medical rehabilitation staff.