從不施行心肺復甦術同意書（DNR）論醫院風險管理

A Study on the Issue of Hospital’s Promotion of Consent Forms for“Do Not Resuscitate (DNR)”and the Corresponding Risk Management Actions

在醫療實務上，告知義務是醫療人員應盡的重要原則，其涉及向病人告知醫療或手術的潛在風險、益處和替代方案。知情同意的目的是確保病人瞭解所有必要的資訊，以便於對醫療決策做出知情的決定。知情同意也是目前衛生福利部的政策之一，未能獲得病人知情同意可能會導致法律責任，特別是在不施行心肺復甦術同意書（DNR）的運用實務上。
本研究透過個案研究的方式，期能瞭解不施行心肺復甦術同意書在醫院推動上的相關議題，通過對於病患的說明及理解，善用同意書可以幫助避免醫療糾紛，減少醫病雙方溝通的差距，讓醫療服務提供者可以減少經營的風險，保護自身權益。藉此提升醫療從業人員風險管理觀念，並確保病人得到盡可能好的治療，達到雙贏的局面。

In medical practice, the duty to inform is an important principle that medical personnel should perform, which involves informing patients of the potential risks, benefits, and alternatives of medical treatment or surgery. The purpose of informed consent is to ensure that the patient has all the necessary information to make an informed decision about medical treatment. Informed consent is also one of the current policies of the Ministry of Health and Welfare. Failure to obtain informed consent from patients may result in legal liability, especially in the practice of the use of Do Not Resuscitate Consent (DNR).
Through case study, this paper hopes to understand the issues related to the promotion of consent forms for DNR in hospitals. By explaining and understanding patients, making good use of consent forms can help avoid medical disputes and reduce the number of medical disputes between doctors and patients. The communication gap allows medical service providers to reduce business risks and protect their own rights and interests. This will enhance the risk management concept of medical practitioners and ensure that patients receive the best possible treatment, achieving a win-win situation.