George Maliha, Keith Robert Thomas, Mary Ellen Nepps, Keith W Hamilton
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引用次数: 0
Abstract
Federal and state governments mandate some health care organizations to implement antibiotic stewardship programs (ASPs). Some early adopters developed model ASPs that have helped set industry standards; other benchmarks will likely be forged in subsequent regulation, legislation, and jurisprudence. This article considers how ASP designs can affect professional autonomy, especially of frontline antibiotic stewards who are usually physicians and pharmacists. This article also considers how ASP development and implementation might influence standards of care and malpractice liability.
联邦和州政府强制要求一些医疗机构实施抗生素监管计划(ASP)。一些先行者开发了示范性 ASP,帮助制定了行业标准;其他基准可能会在随后的监管、立法和判例中形成。本文探讨了 ASP 设计如何影响专业自主权,尤其是通常由医生和药剂师担任的一线抗生素监管人员的自主权。本文还探讨了 ASP 的制定和实施如何影响护理标准和渎职责任。
期刊介绍:
The AMA Journal of Ethics exists to help medical students, physicians and all health care professionals navigate ethical decisions in service to patients and society. The journal publishes cases and expert commentary, medical education articles, policy discussions, peer-reviewed articles for journal-based and audio CME, visuals, and more. Since its inception as an editorially-independent journal, we promote ethics inquiry as a public good.