A duty of quality.

نویسندگان

  • A Sandham
  • J F Yeo
  • M H Huang
چکیده

The process of delivery of health care is complex and includes aspects which concern the clinician, the patient and the treatment process itself. Training imparts skill and knowledge to the clinician. The outcome of any care should be subjected to audit to enable intraand inter-hospital comparisons to be made. Patient option and the level of satisfaction should be part of the overall assessment. In any oganisation that provides this service, there should be documented statements for each clinical process that are derived from evidence-based protocols and consensus statements from the profession. The management of patients with craniofacial malformation or trauma demands a high level of skill, not only for function to be restored but also for aesthetic goals to be realised. New biomedical materials for hard and soft tissue replacement and new techniques such as distraction osteogenesis are expanding the armamentarium of the reconstructive surgeon and redefining treatment protocols for this complex disorders. It is even more important that these new approaches are adequately audited and are evidence based. To try something out “to see what happens” is indefensible from both a moral and legal standpoint. When new approaches are used, the autonomy of the patient should be fully respected, sufficient information should be provided to help in the decisionmaking process and alternative approaches should be discussed.

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عنوان ژورنال:
  • Annals of the Academy of Medicine, Singapore

دوره 28 5  شماره 

صفحات  -

تاریخ انتشار 1999