门诊手术后无人陪护患者发生车祸的案例

门诊手术患者偶尔会在无人陪护下就医。这一情况使医护人员面临两难，允许患者开车可能会影响其安全。加拿大医学保护协会是一个为95％的加拿大医师所共有的保护组织。国家数据库是唯一一个大规模的医学法律数据库。本研究详细调查了数据库中，因门诊手术后允许患者自行驾车回家，而对其造成不良后果的医疗事故资料。在这一数据库中，有2例门诊手术后无人陪护的患者，出院后造成医疗过失的报道，2例患者均因车祸而致重伤。基于本研究，不推荐对全身麻醉、区域麻醉、监护麻醉和镇静治疗后的患者在无人陪护的情况下准予出院。患者在门诊手术后开车是危险的，医护人员需确保其能安全开车回家。

Occasionally, ambulatory surgical patients present without an escort for their procedure. This creates a dilemma for caregivers, and allowing patients to drive may have an impact on their safety. The Canadian Medical Protective Association is a mutual defense organization for 95% of Canadian physicians. The national database is a unique and extensive repository of medico-legal data. We scanned this database for malpractice patients who were discharged after an ambulatory surgery procedure and allowed to drive home with a poor outcome. From this database, two malpractice cases of patients who were discharged without an escort after an ambulatory surgical procedure were reported. Both had a car accident and sus- tained serious injuries, Based on this we do not recommend discharge without an escort after general anesthesia, regional anesthesia, monitored anesthesia or sedation. Driving after ambulatory surgery cannot be considered safe and caregivers need to verify a safe ride home.