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'1E B)%3#+ ,3#)%( )%( #(%)*+(+ ,(-+!./)!+(0*

CODUL DE DEONTOLOGIE MEDICAL! di 30 i 2012

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CODUL DE DEONTOLOGIE MEDICAL! din 30 martie 2012al Colegiului Medicilor din România

MO nr. 298 din 7 mai 2012

! CAP. I Principiile fundamentale ale exercit"rii profesiei de medic

ART. 1. Scopul #i rolul profesiei medicale. Întreaga activitate profesional" amedicului este dedicat" exclusiv ap"r"rii vie$ii, s"n"t"$ii #i integrit"$ii fizice#i psihice a fiin$ei umane (valori: a face bine –beneficenta-, a nu face rau,

respect, demnitatea omului, reparatie, etc.)ART. 2 Nediscriminarea (valori: justitie, egalitate, respectul unicitatii si valorii

fiintei umane, respectul demnitatii umane)

ART. 3 Respectul demnit"$ii fiin$ei umane ca valoare fundamental" a corpuluiprofesional (valori: respectul unicitatii si valorii fiintei umane, autonomia)

ART. 4 Primordialitatea interesului #i a binelui fiin$ei umane asupra societ"$iiori #tiin$ei (beneficenta, a nu face rau -non-maleficenta-, respectuldemnitatii umane, valoarea fiintei umane, empatie, datorie, justitie, etc.)

B)%3#+ ,3#)%( !)#( 03#,()2) ,3#)%) /#34($+30)%) +0 ,(-+!+0)

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ART. 5 Obligativitatea normelor profesionale #i a celor de conduit"(justitie, beneficenta)

ART. 6 Independen$a profesional" (valori: beneficenta, incredere,

responsabilitate)ART. 7 Caracterul rela$iei medic-pacient,exclusiv profesional" #i se va

cl"di pe respectul acestuia fa$" de demnitatea uman", pe în$elegere #icompasiune fa$" de suferin$" (valori: a face bine, a nu face rau,responsabilitate, empatie, reparatie,auto-prefectionare, etc.)

ART. 8 Obliga$iadiligen$ei de mijloace; sa se asigura ca decizia estecorect" iar pacientul beneficiaz" de maximum de garan$ii în raportde condi$iileconcrete (valori: datorie, obligatie morala, a face bine, anu face rau, autonomie, independenta profesionala)

ART. 9 Principiul specializ"rii profesionale (valori: responsabilitate, aface bine, a nu face rau, justitie, respectul demnitatii umane)

ART. 10 Respectul fa$" de confra$i ab$inându-se s"-i denigreze ori s" aduc" critici cu privire la activitatea profesional" a acestor (valori:responsabilitate, justitie, autonomie, a face bine, a nu face rau,,respectul demnitatii umane, etc.)

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!"#$% $'(%$()%)*#$%&' &()'&)*'*+ ),-+'.-' /' '0$-' ( /(&$*)+ &' -(,2&)-*$& &()'&)*'*)) )34$,',0 -' +5)/*'0+ &' ),-+4$* +,-. +./,011 213+./,01014 5 6,1.61/./1 -'.+ /+ 2'- ), '-+&'/) *)34 .+/)3*)*+

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  );: :76 55 :;> 8> 68C6 C7:C:C: =6 98C698:7?9< A: <:;: 8C:;I: ?:76 : C76H@>C8: > G>6 :<D@C:C: :D9> :

@7<:C 9 ?@7: A@;I: =6 ?^><>9C67:D>61 ) G98C >; 76<>8>6 DC 5a A@;> 8> 8.: =68?@7?:C G9:7C6 H>;6 >; C9C

:?68C C><D 76K6;>;= ?^>:7 A: 8?9:A: 8> :K:;= <:76 I7>N: =6 D79C6L: 8: 6G>?>6;C:F =:7 68C6 C7>8C: ?: :

C76H@>C 8: 76;@;C6 A: D>8>?: 8:1

!   );:A>L6A6 76?6;C6 >;8: :7:C: 76K6;>76: <:8>K: : H9A>> ?@ <6C:8C:L6 D@A<9;:76 =>86<>;:C61 +;=>G676;C

=6 C7:C:<6;C@A :I768>K ?6 86 D9:C6 :DA>?:F 8:;86A6 G6C>C6> =6 K>;=6?:76 8@;C <>;><61

!   +;C7@?:C 68C6 @; <>;97 6<:;?>D:C 8> D6;C7@ ?: C9C C><D@A : ?76:C 9 :A>:;C: C67:D6@C>?: >; K6=676:

>;8:;:C98>7>> 8:A6 > 86 8D@;6 );6> ?:76 68C6 8>C@:C>: 8> ?: C76H@>6 8: ?9;C>;@6 C7:C:<6;C@AD6 <:>

=6D:7C61

!   -6 =:C: :8C: >;8: );: 76G@L: ?9;C>;@:76: C7:C:<6;C@A@> 8> 68C6 <:> :A68 68C6 G9:7C6 8@D:7:C: D6 <6=>?>

8> D6 G:<>A>: 8: 8D@;:;= ?: =6N: >.:@ G98C A@:C6 H7:C@A 8> D>8>?: 8> ?: ?6 :AC?6K: K97 8:.> <:> >: 8> ?: :8C: >>

:N@;I6 8> 8.: 8:C@7:C =6 ' :;> =6 ?:;= C9C@A 68C6 >;C978 D6 =981 /:7>;C>> >;8>8C: >; ?9;C>;@:76:

C7:C:<6;C@A@> ;6D@C:;= 8: :??6DC6 ?: >8> K97 D>67=6 ?9D>A@A >@H>C G:7: : G:?6 C9C ?6 86 D9:C6 D6;C7@K>:C: A@> D:;: A: ?:D:C1

!   ) G98C ?67@C 8G:C@A @;@> D8>^9A9I 8> :A @;@> D8>^>:C7@ :N@;I:;[email protected] A: ?9;?A@L>: ?: );: 68C6 =68>

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D79H:H>A ;@ >;C6A6I6 <9:7C6: >;C7@?:CK97H68C6 C9C C><D@A =68D76 D>8>?: 8: 8> ;@ =68D76 D98>H>A>C:C6:

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!   /6789;:A@A 68C6 76C>?6;C >; : ><D@;6 C7:C:<6;C@A ?@ G97C: 8C>>;= 8@G67>;C: =>; C76?@C : ?9D>A@A@>1!6 8: G:?: <6=>?@A ?@7:;C]

!   :1 $: =6: ?@78 89A>?>C:7>> G6C>C6> ><D9C7>K: K9>;C6> G:<>A>6>

!   H1 $: =6: ?@78 89A>?>C:7>> G:<>A>6> 8> 8: C7:C6L6 ><D9C7>K: K9>;C6> ?9D>A@A@>

!   ?1 $: >;?67?6 8: ?9;K>;I: D:7>;C>> =6 L:=:7;>?>: C7:C:<6;C@A@> 8> :D9> 8: =6: ?@78 ><D76@;: 89A>?>C:7>>

G6C>C6> G:7: >;8: : >;?6C: :8>8C6;C: <6=>?:A: :=768:C: 8@G67>;C6>F =@767>> 8> 8@D97C@A D8>^9A9I>? ?:C76 G6C>:

H9A;:K:1

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#($/(!*"% 4)*) -( 4++0*) ",)0)1 #($/(!*"% 4)*) -(

-(,0+*)*() ",)0)1 #($/(!*"% 4)*) -( /)!+(0*!   #68D6?C@A G:C: =6 D:?>6;C =6?@7I6 =>; 768D6?C@A G:C: =6 G>>;C: @<:;: 8> =>; 768D6?C@A G:C: =6

=6<;>C:C6: 9<@A@> RK6L> ?@78@A 5S

o   #68D6?C:76: @;>?>C:C>> G>>;C6> @<:;6F : K:A97>> 8> @<:;>C:C>> 8:A6 86 ><DA6C68? =>;C7.9 =@HA:D678D6?C>K: : <97:A>C:C>> RK:A97> :A6 H>;6A@>S 8> : A6I:A>C:C>> R=76DC@7> :A6 9<@A@>S

o   #68D6?C@A =76DC@7>A97 9<@A@> RD:?>6;C@A@>S

o   -76DC@7> G@;=:<6;C:A6 RK>:C: 8> A>H67C:C6:S

o   -76DC@7> ?9;8C>C@C>9;:A6J =76DC@A A: >;G97<:76F =76DC@A A: >;C><>C:C6F =76DC@A A: >;I7>N>76

<6=>?:A:F 6C?1

!   #68D6?C@A G:C: =6 D:?>6;CJ <9=6A =6 >;C6A6I676

o   /:?>6;C@A 68C6 9 G>>;C: @<:;: '% %$0-'$ =6 >;I7>N>76 <6=>?:A:F '% 25&$.'%)*1

o   )76 C9:C6 =76DC@7>A6 @;@> ?6C:C6:; =:7 :76 8> 9 ;6K9>6 <6=>?:A: ?:76 D7>97>C>L6:L: 6[67?>C>@A

9HA>I:C>>A97 =6 ?976A:C>K>C:C6 :A6 ?6A97A:AC> >; 86;8@A D79C6N:7>> K>6C>> 8> : >;A:C@7:7>> 8C:7>> =6

D67>?9A R=:?: 6[>8C:SJ 6[1 @;@> 9< H9A;:KF @;6> I7:K>=6 > 86 K: =: 7:;=@A >;:>;C6F 6C?1o   /:?>6;C@A G>>;= >; 8@G67>;C: 68C6 9 D6789:;: K@A;67:H>A: R97>?6 D:?>6;C 68C6 9 D6789:;:

K@A;67:H>A: =>; D678D6?C>K: 8@G67>;C6> 8> : 8C:7>> =6 H9:A:S1 37>?6 D6789:;: D9:C6 G>

K@A;67:H>A: A: @; <9<6;C =:C 8> D9:C6 76=6K6;> K@A;67:H>A: RK:78C:F 6?9;9<>?F H9:A: G>L>?:F

H9:A: D8>^>?:F I7:K>=>C:C6F 6C?1S1 37>?6 D6789:;: K@A;67:H>A: C76H@>6 D79C6N:C: D6;C7@ : ;@ G>

6[DA9:C:C:1 )?97=:76: :?C@A@> <6=>?:A >;8: 68C6 6I:A:F ;6=>8?7><>;:C97>6 R:?C <6=>?:A N@8CF

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!   5, %-$"*,1 <",* $4 -%*,+"$"1-' Y* -%:*$"-@- $- *#1* 0 4:.*,1-$W":4:."$-&-'

!   O#1* ",?0:8-1 -#4%:- ,-14:""2 #$0%4&4"2 =*,*?"$""&0:2 :"#$4:"&0:2*<0&41"*" %0#10%*:-10:""' )*+"$4& $4:-,1 #1"* #- 0%*:*@*2 *#1*

$08%*1*,12 -:* 8"R&0-$*'!   Q-$"*,14& -#$4&1- 8*+"$4& $-:* "" <0:=*#1* +*#%:* !"#"$%&'&"'

",1*:<*,1"*" #" -%0" #%4,* $- :*?4@- -$14& 8*+"$-&'

!   6* *#1* =",*2 80:-&2 #- ?-$- 8*+"$4&P

D' Y- "" -$$*%1* #*8,-:*- *N1*:,-:"" &- $*:*:* #" #- "& &-#* #- %&*$*;%0#"="&<- 84:"C =*,*?"$*,1- -$14&4" 8*+"$-& *#1* ,*$&-:- +-: #*8-,"?*#1- :*#%*$1 %*,1:4 +:*%14& &- &"=*:1-1*2 -410+*1*:8",-:*2-410,08"*>

F' Y- "" :*?4@* *N1*:,-:*-#" "8%01:"<- <0",1*"#- "& 0%*:*@*$0,#"+*:-,+ $- %-$"*,14&,4 #* -?&- ", +*%&",-1-1*- $-%-$"1-1""

#-&* %#"W"$* ;,4 -:* -410,08"*> +-$- -&*.* #- 80-:-G' Y- ?"* :*1",41 ", #%"1-&2 ,"$" *N1*:,-12 ,"$" 0%*:-12 &- ,*<0"*

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= => A = G > A G => >

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!   /:;: ?:;= <6=>?@A 86 I:;=68C6 ?6 8: G:?:F D:?>6;C@A G:?6 8C9D ?:7=>9.768D>7:C97\ 68C6

768@8?>C:C 8> 7:<:;6 ?9<:C98 >; :?6: L>1 +; L>@: @7<:C9:76 76D6C: :A =9>A6: 8C9D ?:7=>9.

768D>7:C97 ?:76 68C6 >768@8?>C:H>A1 $6 ?9;8C:C: =6?68@A1

D' 7*@4&1-14& %:0+4# ;Y67 #" +*$*#4&> *#1* ", $0,?0:8"1-1* $4 <-&0:"&* #0$"-&*P O

$0,?0:8 ,"<*&4&4" +* -#1*%1-:* -& #0$"*1-1"" +* &- 8*+"$P K14,$" $-,+ %-$"*,14& -

%&*$-1 +* -$-#- #%4,-,+ $- #* +4$* &- #%"1-& $- ,4 #* #"81* =",*2 ?-8"&"-2 #0$"*1-1*-- -#1*%1-1 $- 8*+"$4& #- 1:-1*@* #-4 #- ,4 1:-1*@*P Q* ?0,+ -+:*#-:*- $-1:* #%"1-&

%:*#4%4,* $0,#"81-8-,1 "8%&"$"1 &- -$14& 8*+"$-&'

F' 7*@4&1-14& %:0+4# ;Y67 #" +*$*#4&> *#1* ", $0,?0:8"1-1* $4 <-&0:"&* -$-+*8"$* $* -4

?0#1 %:*+-1* E, ?-$4&1-1*P E, ?-$' +* 8*+"$",- ",<-1-8 $48 #- 1:-1-8 #-4 $48 #- ,4

1:-1-8P

G' 7*@4&1-14& %:0+4# ;Y67 #" +*$*#4&> *#1* ", $0,?0:8"1-1* $4 <-&0:"&* $0:%4&4"

%:0?*#"0,-&P 60+4:"&* +* *1"$- %:0?*#"0,-&- ;,0:8* -&* 80:-&"1-1"" ;=",*&4"> ",

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#:8D@;8J

D' 7*#%*$14& %*,1:4 +*8,"1-1*- 48-,- #" :*#%*$14& %*,1:4 <"-1-,4 #* +"#0$"-@- ",1:* *&* #"1:*=4"* ",101+*-4,- -=0:+-1* "8%:*4,-;$-&*- 80:-&-> -&1?*& 084& #" <"-1- &4" $-%-1-<-&0-:* ",#1:48*,1-&- ;%:", <-&0-:*- ="0&0."$-> #" %0-1* #*:<" ",1*:*#4&4" 4,*" -&1*%*:#0-,* #" $0,+4$* #%:* *N%&0-1-:* #-4 -=4@'

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

G' 9 %*:#0-,- -410,08- ,4 %0-1* ?" #4%4#- 4,*" 0%*:-1"" ;#-4 1:-1-8*,1> "8%01:"<- <0",1*"#-&*'

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I' !-$- *#1* 1"8% <- #0&"$"1- $0,#4&1 %#"W0&0."$2 $0,#4&1 +", %-:1*- -&10: $0&*."2 $08"#"*8*+"$-&- %*,1:4 - $0,<",.* %-$"*,14& $- ",+"$-1"- #" :*$08-,+-:*- #- -4 ?0#1 $0:*$1* ;$4-&1* $4<",1* ,4 <- -=-,+0,- %-$"*,14& *N1*:,-,+4B& ?-:- #- ",$*:$* #- "& ?-$- #- "#"#$W"8=* 801"<-1 +*$"@"- ",#- ,4 "& <- ?0:1-2 "" <- :*#%*$1- -410,08"- #" +*$"@"->

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'1' ,3-(%( )%( #(%)*+(+ ,(-+!./)!+(0*

Model paternalist: Model informativ: bazat  Model interpretativ

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 Model paternalist:

bazat pe atitudineapaternalista a medicului(de inspira$ie european")

f

pe autonomia pacientuluiin relatie cu medicul (de

inspira$ie american")

p

bazat pe autonomiapacientului in relatie cu

medicul

 Modelul deliberativ:

bazat pe dezvoltareaunei rela$ii

Principiul eticcare prevaleaz"

Beneficien!a asupra

autonomiei.

Autonomia asupra

 beneficen!ei

Autonomia asupra

 beneficen!ei.

Beneficen!a se împlete"te

cu autonomia.

Cine decide înmodelul derela$ie.

Rolul medicului

 Medicul 

Medicul este în control.

 Medicul ca reprezentant al

 pacientului.

 Pacientul 

Pacientul este în control.

 Medicul ca un consultant

medical

 Pacientul 

Pacientul este în control

 Medicul ca interpret.

 Pacientul .

Pacientul este în control

 Medicul ca prieten.

Alian!a terapeutic#

Construc$iamodelului derela$ie

i. Medicul este

depozitarul

cunoa"terii

ii. Medicul staruie sa isi

 pastreze

independenta

iii. Valorile medicului

sunt transferateasupra pacientului

i. Prin exercitiul

drepturilor sale,

informare, libertate,

 pacientul se

autodetermina

(exercitiul drepturilor 

 sale civile).

ii. Pacientul î"iadministreaz# singur

 propriile valori

i. Prin intuitivism

medicul anticipeaz# 

dorin!ele pacientului.

ii. Medicul este un

consilier si un

interpret

iii. Medicul coboara

langa pacient pentrua-l ajuta sa isi

regaseasca propriile

sale valori în!elegand

informa!ia

i. Prin auto-dezvoltare

medicul ofera

cunoastere

ii. pacientul dobandeste

el singur informatia,

in cunostiinta de

cauza.

iii. Medicul ridica pacientul la nivelul

intelegerii sale

iv. Alianta terapeutica

v. Medicul este

 prietenul pe care îl ai

 pentru scurt timp

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 "   /-@- $08*:$"-&- - -$14&4" 8*+"$-& %0-1* .*,*:- -#%*$1* ,**1"$*' E,+"$-1"-8*+"$-&- #" -$14& 8*+"$-& ,4 -4 0 =-@- $08*:$"-&-

 "   E,$-&$-:*- ",+*%*,+*,1*" -$14&4"8*+"$-& *#1* +*?-<0:-="&- -1-1 8*+"$4&4";",$-&$-:*- &"=*:1-1""#-&* -?*$1-:*- :*#%0,#-="&"1-1"" #-&* &*.-&*>2 $-1 #"%-$"*,14&4" ;-?*$1*-@- ",$:*+*:*- ", 8*+"$ #" ", -$14& 8*+"$-& $-1 1"8% %-$"*,14&#1"* $- ,4 8*+"$4& $0,+4$* 1:-1-8*,14&> $-1 #" #0$"*1-1"" ;#0$"*1-1*-#4?*:- #-$4,0-#$- $- %:0?*#"0,"#1" -" #-" -$1"0,*-@- &"%#"1"+* &"=*:1-1* ", &"8"1-:*-

$08%*1*,1*" &0: +-: %-#1:-,+ 1014#" :-#%4,+*:*- &*.-&- %*,1:4 -$1"4,"&* &0:>

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!   9 %-$"*,1- <",* ",1:B4, $-=",*1 #108-10&0."$ #0&"$"1-,+?-1*1-:*- 1414:0: +",1"&0: $-:* +* -&1?*& -:-1- -$$*%1-="&?-:- %:0=&*8* +* #-,-1-1* +*,1-:-' )*+"$4& 0 ",1:*-=-

+* $* +0:*#1* #- ?-$- -$*-#1- #" " #* :-#%4,+* $- ]%*,1:4- ?" %*:?*$1" '̂ )*+"$4& "" *N%&"$- $- *N"#1- #" :"#$4:" 8-"-&*# %* 1*:8*, &4,. %:"<",+ +*1*:"0:-:*- $-&"1-1"" ,-1"<*- #8-&14&4"' Q-$"*,1- "" :-#%4,+* $- +-$- 8*+"$4& ,4 +-$4:# #0&"$"1-:"" #-&* %* =-,"" #-" <- 8*:.* &- 4, -&1 $0&*.

+*B-& &4"'

!   6* #- ?-$- 8*+"$4& #- ?-$- #-4 #- ,4 ?-$- 1:-1-8*,14&P "  6:"1*:"4& %:0?*#"0,-& #" ",+"$-1"-%:"8*-@-' !-$- =-&-,1-

:"#$4:"T=*,*?"$"" *#1* ", ?-<0-:*- =*,*?"$"*,1*" -14,$" %0-1*#- 0 ?-$-' E, $-@ $0,1:-:2 $W"-: +-$- %"*:+* 4, %-$"*,1 ;",#"#1*8 %:"<-1>2 <- -&*.* #- ,4 ?-$- -$1"4,*- $-:* ,4 -+4$*=*,*?"$"" -$*&4" %-$"*,1 #" +*1*:8",- :"#$4:" ,*=-&-,#-1* +*-<-,1-R*'

' ' E ! A > H > C A

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'1'1E !6A6 <:> H@;6 >;C67686 :A6

D:?>6;C@A@>

!   6*& 8-" =4, ",1*:*# -& %-$"*,14&4" :*%:*@",1- +0:",1-%-$"*,14&4"'!   !0:",1*&* %-$"*,14&4" $-:* #4#1", =",*&*%-$"*,14&4" #" #1-:*- #- +* #-,-1-1* ",

#*,#4& %:*<*,1"*"2 -8*&"0:-:"" 0:" <",+*$-:""<0: ?" ",101+*-4,- #4#1",41*2%:080<-1*?"",+ #$0%4:" -&* 8*+"$",""'

!   Q0#"="& $0,?&"$1C -410,08"- %-$"*,14&4"<' ",+*%*,+*,1- %:0?*#"0,-&- #"<-&0:"&* 80:-&* ",+"<"+4-&* -&* 8*+"$4&4"

!   Q0-1* ",#- *N"#1- 4, $0,?&"$1 ",1:*+0:",1- %-$"*,14&4" #" <-&0:"&* #-&* #" <-&0:"&*8*+"$4&4" #"T#-4 -&* $0:%4&4" %:0?*#"0,-&

!   )*+"$4& <- -&*.* ",101+*-4,- %:080<-:*- #" #4#1",*:*- #-,-1-1"" #" <"*1""%-$"*,14&4" $W"-: "8%01:"<-",1*:*#*&0: #-&* %*:#0,-&* +-: ,4 <- +- $4:#+0:",1*&0: %-$"*,14&4" $-1 1"8% -$*#1*- ",$-&$- ,0:8*&* %:0?*#"0,-&*2,0:8*&* +* +:*%1 0:" &*.-&* 0:" <-&0:"&* #-&* 80:-&* ;*N$*%1"* #"14-1""&* +*

4:.*,1- ", $-:* 8*+"$4& <- %:01*R- 8-" ",1-" <"-1- #" #-,-1-1*- #" +0-: -%0"%:0%:""&* #-&* <-&0:">'

!   A"8*," ,4 1:*=4"* #- ?"* 4, 8"R&0$ -& "8%&",":"" ",1*:*#*&0: -&14"- ;-=0:+-:*a-,1"-,->'

!   )*+"$4& <- #1-:4" #- "#" %:01*R*@* ",+*%*,+*,1- %:0?*#"0,-&- ;-410,08"-8*+"$4&4">

#)*+30),(0*"% ,(-+!)%

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#)*+30),(0*"% ,(-+!)%!   #)*+30),(0*"% )0)%3U+!

!   ([>8C: ' G97<6 =6 7:C>9;:<6;C :;:A9I>?J

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+' A*41"&CS #* <- *<"1- %* 1*:8*, &4,. 0:" ", #*$1"" ", $-:* -R4,. =0&,-<" $4 +.' -1"%"$*2 $08%&"$-1*2 :-:* 0:" $4 1:-1-8*,1

",+"<"+4-&"@-1

*' 7"#$4:"C #-=&0,"@-:*2 4,"?0:8"@-:* A -&.0:"18"@-:*C $:*#1* *?"$"*,1- ", $-@4:"&* $084,*2 %"*:+* %-:1"$4&-:"1-1*-

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80+*&

+' A*41"&C #* <- *<"1- %* 1*:8*, &4,. %*,1:4 - %*:8"1* 8*+"$4&4" ",+*%*,+*,1- %:0?*#"0,-&-

*' 7"#$4:"C 141*&-2 80+*&4& ,4 0?*:- ",+*%*,+*,1- #" #0&41"* ", 0:"$* $-@ $" +0-: ", $-@4:"&* $* ?0:8*-@- *N%*:"*,1- -&14"-S

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=' 5,+*C #*$1""&* 8*+"$-&* +", #%"1-&* 8-" 8"$" ;8-" ?:*$<*,1>2 *1$' #-4 #%"1-&* 8-" 8-:" +-: $4 :4&-R 8-:* +* %-$"*,1"

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*' 7"#$4:"C #'K()%*" '&%2%#"A 2')&%#(*')"A 3"-%! 5 2)5,*"7'S #",.4:- $-:* #-&<*-@- :-1"0,-8*,14& -$*#14" 8*+"$ *#1* -410B%*:?*$1"0,-:*- -&18",1*:" *& ,4 #* *<0&4- ;,4 <- +*%-#" ,"<*&4& 8*+"4 %&4#>

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!   #)*+30),(0* 4)#,)!3%3U+! $)" 4+2+3/)*3%3U+!

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7"#$4:"C ,4 #* 1:-1*-@- *1"0&0."- #" -#1?*& =0-&- %0-1* :*-%-:* 0:" *#1* 1:-1-1- ",$08%&*1

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!.' #"T#-4 1:-1-8*,14& #* =-@*-@- %* 8*$-,"#8*&* =0&"" ;?"@"0%-10&0."*>

Y* -+:*#*-@- 8*$-,"#84&4" =0&"" ", "+**- ", $-:* 1:-1-,+ 8*$-,"#8*&* +"#%-: #" *?*$1*&*'

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7"#$4:"C 1:-1-8*,14& ,4 *#1* ",+"<"+4-&"@-1 ;#* 1:-1*-@- 0 =0-&- "-: ,4 4, %-$"*,1>S #* %018-,"?*#1- :"#$4:" "-1:0.*,* 0:" ",*?"$"*,1- 1*:-%*41"$- $- :*-$1"* ",+"<"+4-&-S-,1"80+*& ="0B%#"W0B#0$"-&

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; % >

!!*$"@"- 8*+"$-&- ,4 #* =-@*-@- %* *N%*:"*,1-%*:#0,-&- #-4 *N%*:"*,1- $0&*$1"<-

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EROAREA

EROAREA

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EROAREAEROAREA

Eroarea (de fapt) tine de natura actului medical, de natura lucrului in sine.

Eroarea de fapt este neimputabila.

Eroarea nu este urmata de reprezentarea subiectivaa consecintelor ei negative,deoarece nu poate fi a prevazuta.

Erorile au la baza cunoasterea incompleta, falsa, determinate fiind de nivelul

cunoasterii medicale in general sau a unei reactivitati speciale a pacientului.

 Intentiile sau actiunile insuficiente sau nepotrivite nevoii de ingrijire

medicala ale unui medic constituie o eroare atata timp cat se face dovada ca

in acelasi imprejurari a actionat dupa cum ar fi actionat orice alt medic

inzestrat cu acelasi nivel de pregatire si de practica

Eroarea apare in ciuda bunei-credinte (calitateavointei) si a constiinciozitatii

medicului (diligentei), fie ca materializare a unui risc nenormat fie a

cunoasterii insuficiente a stiintei medicale

U#($()%)

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Eroarea de norma (ce tine de lacune profesionale sau de atitudine profesionala).

Eroarea de norma (greseala) este imputabila.

Greseala tine de domeniul constiintei profesionale si individuale: medicul are reprezentareariscului (usurinta, temeritate) ori nu o are (neglijenta).

Implica preluarea unor riscuri (in numele pacientului cu incalcarea autonomiei, dreptului lalibertate, sanatate, viata, etc.) care se pot materializa asupra pacientului si care nu s-ar fimaterializat daca pacientul ar fi fost pacientul altor colegi pentru ca acestia nu ar fi preluat/asumat

riscurile respective (practica medicala inferioara unui standard de competenta si pricepere acceptat)Greselile pot fi comisive/omisive.

 Intentiile sau actiunile insuficiente sau nepotrivite nevoii de ingrijire medicala ale unui medic

constituie o greseala atata timp cat se face dovada ca prin modul de actiune acest medic ar fi 

actionat diferit fatade un alt medic inzestrat cu acelasi nivel de pregatiresi acelasi nivel de

 practica care in aceleasi imprejurari date ar fi avut o alta actiune medicala, mai favorabila,conform normelor .

Greseala apare prin lipsa de constiinciozitate, de prevedere, superficialitate, neglienta, in relatieindividuala intre medic si pacient

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)A6: C67:D6@C>?:

!   K&*- ;*'&.l :"#$2 ",$*:1"14+",*S <",* +", &-1",-C ]K&*- "-$1- *#1^C ]m-:4:"&* -4 ?0#1 -:4,$-1*^

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RISCURI

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! Riscurile se clasifica dupa:! Alegerea momentului

! Justificare planului terapeutic (dg. si tratament)

! Posibilitatea de control a actului medical

! Decizia profesionala priveste diagnosticul si tratamentul cu manifestare prin actiunea de a ingriji sau non-actiunea de a ingriji (ex. a opera sau anu opera).

! Tratamentul este recomandat in conformitate cu ghidurile profesionale:ghidurile tempereaza actiunea individuala vs. experienta colectiva si aduc

 proba timpului asupra noutatilor profesionale)

In mod teoretic diagnosticul este singurul act medical lipsit de riscuri intrucatel presupune doar recunoasterea si atestarea realitatii.

In mod practic poate include etape care sa conduca spre riscuri mai maridecat boala insasi si ca atare riscul diagnosticului poate sa depaseascariscul abtinerii de la diagnostic.

Cat priveste tratamentul, intotdeauna acesta presupune un risc.Intotdeauna un risc medical trebuie sa ia in calcul cele 3 elemente mai sus

mentionate.

SCU

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K81

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CRITERII DE APRECIERE CORECTA A RISCULUI

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CRITERII DE APRECIERE CORECTA A RISCULUI

!   In aprecierea riscului se va tine seama de faptul ca:

!   in risc se afla pacientul iar nu medicul (respectul persoanei, demnitatea

umana)!   deciziile profesionale ale medicului se rasfrang asupra unei alte persoane

(pacientul) ceea ce implica responsabilitatea actului medical

!   Raportarea riscului este obligatorie si ea se include in consimtamantul informat

!   Niciodata un risc fara un beneficiu real, cuantificabil, semnificativ mai important

decat riscul

!   Riscul se manifesta inerent actului benefic si nu este un risc suplimentar.

!   Cu cat riscul este mai mare cu atat calitatea ingrijirii trebuie sa fie mai mare:procedura se poate opri fie din risc prea mare (mai mare ca beneficiul) fie dinlipsa posibilitatii ingrijirii adecvate

!   Cu cat riscul este mai mare cu atat nevoia care poarta riscul trebuie sa fie maimare (justificare/indicatie).

!   O stare de stabilitate functionala pune in indoiala oportunitatea riscurilor mari saua celor letale (riscuri care apar nejustificate fata de acea stare)

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!   Riscul se accepta intotdeauna doar in interesul bolnavului rezolvando problema de necesitate medicala;

 "  riscul trebuie acceptat liber si clar de catre bolnav,

 "  riscul trebuie sa fie util si justificat;

 "  riscul trebuie sa fie acceptat doar in lipsa unei alte alternative;

 "   riscul trebuie sa fie fara efecte umane negative previzibile,asteptate;

In orice procedura cu risc privind sanatatea ori viata este

obligatoriu consimtamântul informat 

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-3$)#"% ,(-+!)% )% /)!+(0*"%"+

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