RESUMO
The Department of Health is considering imposing a legal duty of candour on health care providers to ensure that an apology and explanation are given to patients when errors occur during medical treatment. This aims to improve quality of care and reduce adverse events during medical treatment. We present the current system of clinical negligence and the future of medical ethics. We discuss relevant cases with regard to duty of candour, and highlight the existence of serious imbalances in which patients' rights and corresponding ethical duties of professionals predominate over the responsibilities of patients themselves. It is known that most adverse events arise because of multiple factors for which no individual should be blamed. To improve healthcare services there is a need for a system in which lessons can be learnt from mistakes, and services can be improved in the interest of patient safety, and for transparency in the broad principles on which the decisions are based within which clinical performance is supervised and monitored.
Assuntos
Ética Odontológica , Imperícia/legislação & jurisprudência , Odontologia Estatal/ética , Revelação da Verdade/ética , Humanos , Notificação de Abuso , Obrigações Morais , Segurança do Paciente , Odontologia Estatal/legislação & jurisprudência , Reino UnidoRESUMO
We prospectively studied 21 cases of attachment of the lingual frenulum treated with laser excision, and report the results of a questionnaire survey of patients in the immediate postoperative phase.
Assuntos
Terapia a Laser/métodos , Lasers de Gás/uso terapêutico , Freio Lingual/cirurgia , Adolescente , Adulto , Criança , Pré-Escolar , Edema/etiologia , Seguimentos , Humanos , Higiene Bucal , Dor Pós-Operatória/etiologia , Satisfação do Paciente , Complicações Pós-Operatórias , Hemorragia Pós-Operatória/etiologia , Estudos Prospectivos , Fala/fisiologia , Língua/fisiologia , Adulto JovemRESUMO
The management of salivary gland disease forms a considerable part of the work done by oral and maxillofacial surgeons. Fast track and one-stop head and neck lump clinics allow for early diagnosis of salivary gland tumours in most units, the emphasis being on outcome after operation for benign disease. There have been limited advances in salivary gland surgery in recent years. Most recent publications have compared outcome of new methods of treatment with conventional techniques. This article reviews papers related to diseases of the salivary glands published in the British Journal of Oral and Maxillofacial Surgery (BJOMS) over a two-year period (2007-2008), and includes other relevant articles to bring readers up to date about salivary gland disease.
