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J Korean Soc Emerg Med > Volume 32(1); 2021 > Article
Journal of The Korean Society of Emergency Medicine 2021;32(1): 1-4.
응급실에서 자의 퇴원을 요구하는 환자에 대한 최선의 진료 지침
안재윤1 , 류현욱1 , 최한주2 , 김형일2 , 정진우3 , 배현아4
1경북대학교 의과대학 응급의학교실
2단국대학교 의과대학 응급의학교실
3동아대학교 의과대학 응급의학교실
4이화여자대학교 법학전문대학원
Best practice guideline for patients requiring discharge against medical advice from emergency department
Jae Yun Ahn1 , Hyun Wook Ryoo1 , Han Joo Choi2 , Hyung Il Kim2 , Jinwoo Jeong3 , Hyun A Bae4
1Department of Emergency Medicine, School of Medicine, Kyungpook National University, Daegu, Korea
2Department of Emergency Medicine, Dankook University Hospital, Dankook University College of Medicine, Cheonan, Korea
3Department of Emergency Medicine, Dong-A University College of Medicine, Busan, Korea
4School of Law, Ewha Womans University, Seoul, Korea
Correspondence  Hyun Wook Ryoo ,Tel: 053-200-6400, Fax: 053-428-2820, Email: ryoo@knu.ac.kr,
Received: June 24, 2020;  Accepted: August 12, 2020.  Published online: February 26, 2021.
ABSTRACT
Discharge against medical advice remains a problematic issue worldwide because it may not only lead to adverse medical outcomes for the patients but also medicolegal problems for emergency physicians. Recently, there have been cases in Korea in which a patient in the emergency room, who had been discharged from hospital without following medical instructions, filed a lawsuit against the hospital and emergency medical staff for their responsibility for their worsening disease since discharge. The court acknowledged the responsibility of the medical staff. To minimize the legal risk and reach the optimal ethical standard for these patients, this paper suggests the best practice guideline for the emergency physicians for patients who request discharge against medical advice from the emergency department in Korea.
Key words: Patient discharge; Ethics, Medical; Emergency department; Guideline
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