從病人安全論醫院感染管制之法律責任－以醫療照護相關感染事件為例

Legal Liability for Infection Control from Patient Safety Theory - Healthcare Associated Infection as An Example

許國忠(Gwo-Jong Hsu) ； 莊漢誠(Han-Cheng Zhuang) ； 郝鳳鳴(Feng-Ming Hao)

《南臺灣醫學雜誌》 13卷2期 (2017/12) Pp. 50-55

https://doi.org/10.6726/MJST.201712_13(2).0001

摘要

醫療照護相關感染乃病人住院後，可能因醫院未落實感染管制作業而發生被感染，且可能引發為群聚事件。另外近年來全球出現的新興感染症(如嚴重急性呼吸道症候群，H5N1、H7N9新型流感、中東呼吸症候群冠狀病毒感染症、伊波拉病毒感染等)的出現，皆可能造成院內群聚感染事件，威脅其他員工、病人及家屬的健康。文獻報導醫療照護相關感染會增加額外的醫療花費、住院天數、死亡率等，且帶給病人各種身體、健康、精神的傷害。醫療法就醫院感染管制問題，要求醫院提供病人安全的醫療環境，因此若醫院及所屬醫療人員未盡感染管制義務，造成群聚感染，可能該當於法律應負的責任。

關鍵字

醫療照護相關感染 ； 感染管制 ； 法律責任

並列摘要

Legal liability for infection control from patient safety theory-Healthcare associated infection as an example. Healthcare associated infection is an infection that a patient who may be infected in a hospital due to unapproved infection control operations and may cause an outbreak event. In addition, the emergence of emerging infectious diseases (such as SARS, H5N1, H7N9 novel influenza, MERS-CoV, Ebola Syndrome, etc.) recently can cause nosocomial infection and threaten the health of the patients, their family and other employees. Reported that healthcare associated infections will increase the additional medical expenses, hospital days, mortality, etc., and bring the patient a variety of physical, health, mental harm. Medical treatment law on the hospital infection control issues, requiring hospitals to provide patients with a safe medical environment, so if the hospital and its medical staff did not follow the control obligations, resulting in outbreak infection, may be the responsibility of the legal liability.

並列關鍵字

healthcare associated infection ； infection control ； legal liability