{"id":458,"date":"2011-02-03T12:11:34","date_gmt":"2011-02-03T10:11:34","guid":{"rendered":"http:\/\/www.easistent.ro\/new\/?p=458"},"modified":"2021-02-26T15:58:23","modified_gmt":"2021-02-26T13:58:23","slug":"458","status":"publish","type":"post","link":"https:\/\/www.easistent.ro\/?p=458","title":{"rendered":"Ghidurile de practica medicala"},"content":{"rendered":"

GHIDURILE DE PRACTIC\u0102 MEDICAL\u0102
\n<\/strong>Autor avocat dr. Dan CIMPOERU<\/strong><\/p>\n

\"ghidurile<\/a>Practica medical\u0103 unitar\u0103 dup\u0103 standardele interna\u0163ionale \u015fi adaptat\u0103 gradului de activitate \u015fi nivelului fiec\u0103rui spital este o linie de conduit\u0103 care implic\u0103 elaborarea ghidurilor de practic\u0103 medical\u0103 \u015fi diseminarea acestora la nivelul tuturor unit\u0103\u0163ilor sanitare care acord\u0103 asisten\u0163\u0103 medical\u0103 \u00een specialit\u0103\u0163ile implicate.<\/p>\n

Ghidurile de diagnostic \u015fi tratament sunt recomand\u0103ri dezvoltate \u00een mod sistematic, bazate pe dovezi \u015ftiin\u0163ifice privind \u00eengrijirile care trebuie acordate \u00eentr-o anumit\u0103 circumstan\u0163\u0103 clinic\u0103. Ele \u00eendeplinesc atribu\u0163iile generale ale unui ghid \u015fi sunt valide, reproductibile, cost-eficiente, reprezentative, aplicabile clinic, flexibile, clare, revizuibile, supuse auditului clinic (capabile de transpus \u00een criterii de audit explicite).<\/p>\n

Ghidurile nu sunt:
\n–\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 substitute ale experien\u0163ei clinice, aplicabile tuturor pacien\u0163ilor\u00a0;
\n–\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0singura solu\u0163ie pentru o problem\u0103;
\n–\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 directive sau protocoale obligatorii si rigide.<\/p>\n

Prin aprobarea acestui proiect de act normativ se realizeaz\u0103 at\u00e2t o practic\u0103 medical\u0103 unitar\u0103 na\u0163ional\u0103 care s\u0103 se alinieze standardelor interna\u0163ionale\u00a0 c\u00e2t \u015fi educa\u0163ia medical\u0103 continu\u0103 a personalului medical prin reactualizarea periodic\u0103 a ghidurilor de practic\u0103 medical\u0103.<\/p>\n

Personalul medical are obliga\u0163ia legal\u0103 s\u0103 aplice standardele terapeutice stabilite prin aceste ghiduri.<\/p>\n

Articolul 655 alineatul (1) din Legea nr. 95\/2006 privind reforma \u00een domeniul s\u0103n\u0103t\u0103\u0163ii prevede:<\/p>\n

\u201e\u00cen acordarea asisten\u0163ei medicale\/\u00eengrijirilor de s\u0103n\u0103tate, personalul medical are obliga\u0163ia aplic\u0103rii standardelor terapeutice, stabilite prin ghiduri de practic\u0103 \u00een specialitatea respectiv\u0103, aprobate la nivel na\u0163ional, sau, \u00een lipsa acestora, standardelor recunoscute de comunitatea medical\u0103<\/em>l<\/em>a specialit\u0103\u0163ii respective.\u201d<\/em><\/p>\n

P\u00e2n\u0103 \u00een prezent au fost aprobate la nivel na\u0163ional, urm\u0103toarele Ghiduri de practic\u0103 medical\u0103 pentru specialitatea<\/strong>:<\/strong>
\n– cardiologie<\/strong>, aprobate prin Ordinul nr. 1390 \/08.11.2010;
\n– geriatrie \u015fi gerontologie<\/strong>, aprobat prin Ordinul nr. 1454\/30.11.2010\u00a0;
\n– medicin\u0103 intern\u0103<\/strong> aprobate prin Ordinul nr. 1391\/08.11.2010;
\n– anestezie \u015fi terapie intensiv\u0103<\/strong>, aprobate prin Ordinul nr. 1529\/23.12.2010;
\n– radiologie-imagistic\u0103 medical\u0103<\/strong> si medicin\u0103 nuclear\u0103<\/strong>, aprobate prin Ordinul nr. 1393\/08.11.2010;<\/p>\n

Aceste ghiduri de practic\u0103 medical\u0103 sunt postate pe site-ul Ministerului S\u0103n\u0103t\u0103\u0163ii, la adresa www.ms.ro<\/span><\/strong>, rubrica „Ghiduri clinice”<\/strong>.<\/p>\n

\"ghidurile<\/a>\"ghidurile<\/a><\/p>\n

\u00cen continuare, prezent\u0103m pe scurt principalele prevederi ale acestor ghiduri:<\/p>\n

Ghidurile de practic\u0103 medical\u0103 pentru specialitatea cardiologie cuprind:<\/span><\/strong><\/p>\n

–\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Recomand\u0103rile Asocia\u0163iei Europene de Ecocardiografie privind standardizarea efectu\u0103rii, stoc\u0103rii digitale \u015fi raport\u0103rii ecocardiografiilor;
\n–\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Ghidul ESC pentru diagnosticul \u015fi tratamentul insuficien\u0163ei cardiace acute \u015fi cronice 2008;
\n–\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Managementul riscului cardiovascular total;
\n–\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Ghidul de preven\u0163ie a bolilor cardiovasculare;
\n–\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Ghidul de insuficien\u0163\u0103 cardiac\u0103 acut\u0103;
\n–\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Document de consens clinic al exper\u0163ilor Colegiului American de Cardiologie\/Societ\u01ce\u0163ii Europene de Cardiologie asupra cardiomiopatiei hipertrofice;
\n–\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Ghidul Societ\u0103\u0163ii Europene de Cardiologie pentru diagnosticul \u015fi tratamentul disec\u0163iei de aort\u0103;
\n–\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Ghid pentru stimularea cardiac\u0103 \u015fi terapia de resincronizare;
\n–\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Ghidul european de preven\u0163ie a bolilor cardiovasculare \u00een practica clinic\u0103;
\n–\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Ghid pentru evaluarea si tratamentul valvulopatiilor \u015f.a.<\/p>\n

Ghidul de practic\u0103 medical\u0103 pentru specialitatea geriatrie \u015fi gerontologie<\/span><\/strong> cuprinde\u00a0:<\/span><\/strong><\/p>\n

–\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Ghid practic de utilizare evalu\u0103rii geriatrice;
\n–\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Model de foaie de observa\u0163ie geriatric\u0103.<\/p>\n

Ghidurile de practic\u0103 medical\u0103 pentru specialitatea medicin\u0103 intern\u0103, cuprind<\/span><\/strong>:<\/span><\/p>\n

–\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Ghid de preven\u0163ie a tromboembolismului venos\u00a0;
\n–\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Managementul pacie\u0163ilor cu boal\u0103 arterial\u0103 periferic\u0103.<\/p>\n

Ghidurile de practic\u0103 medical\u0103 pentru specialitatea anestezie \u015fi terapie intensiv\u0103 cuprind:<\/span><\/strong><\/p>\n

–\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Recomand\u0103rile\u00a0 Societatii Rom\u00e2ne de ATI (SRATI) 2009;
\n–\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Profilaxia antibiotica perioperatorie;
\n–\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Profilaxia hemoragiei digestive superioare si a ulcerului de stress la pacientul critic si chirurgical;
\n–\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Diagnosticul \u015fi men\u0163inerea donorului aflat \u00een moarte cerebral\u0103;
\n–\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Diagnosticul \u015fi tratamentul hipertensiunii intraabdominale \u015fi sindromul de compartiment abdominal;
\n–\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Managementul anestezic al pacien\u0163ilor suferinzi de Sindromul Apneei Obstructive de Somn (SAOS);
\n–\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Monitorizarea hemodinamica in soc;
\n–\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Nutri\u0163ia clinic\u0103 la pacientul critic;
\n–\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Sedarea \u015fi analgezia la pacientul critic \u015f.a.<\/p>\n

Ghidurile de practic\u0103 medical\u0103 pentru specialit\u0103\u0163ile radiologie-imagistic\u0103 medical\u0103 \u015fi medicin\u0103 nuclear\u0103 cuprind:<\/span><\/strong><\/p>\n

– Ghid de utilizare a examenelor radiologice \u015fi imagistice medicale.<\/p>\n","protected":false},"excerpt":{"rendered":"

GHIDURILE DE PRACTIC\u0102 MEDICAL\u0102 Autor avocat dr. Dan CIMPOERU Practica medical\u0103 unitar\u0103 dup\u0103 standardele interna\u0163ionale \u015fi adaptat\u0103 gradului de activitate \u015fi nivelului fiec\u0103rui spital este o linie de conduit\u0103 care implic\u0103 elaborarea ghidurilor de practic\u0103 medical\u0103 \u015fi diseminarea acestora la nivelul tuturor unit\u0103\u0163ilor sanitare care acord\u0103 asisten\u0163\u0103 medical\u0103 \u00een specialit\u0103\u0163ile implicate. Ghidurile de diagnostic \u015fi […]<\/p>\n","protected":false},"author":3,"featured_media":459,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[5],"tags":[],"_links":{"self":[{"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/posts\/458"}],"collection":[{"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=458"}],"version-history":[{"count":2,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/posts\/458\/revisions"}],"predecessor-version":[{"id":6626,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/posts\/458\/revisions\/6626"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/media\/459"}],"wp:attachment":[{"href":"https:\/\/www.easistent.ro\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=458"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=458"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=458"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}