https://doi.org/10.4081/mem.2021.949
Sponde del letto in un ambiente clinico di medicina interna: un'analisi medico-legale basata su una revisione sistematica della letteratura disponibile
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Autori
L'utilizzo di mezzi di contenzione e, in particolare, il ricorso alle sponde per il letto, rappresenta una tematica controversa. Le sponde per il letto sono comunemente considerate un dispositivo di protezione; tuttavia, possono essere utilizzate come forma di contenzione e la loro applicazione può esitare in gravi lesioni. Sovente i mezzi di contenzione sono applicati nonostante la mancanza di un'appropriata indicazione e prescrizione, oltre che in assenza di un completo consenso informato e di un'adeguata documentazione in cartella clinica. Per tali ragioni, l'uso di mezzi contenzione può essere fonte di contenzioso medico-legale. Si presentano due casi in cui l'uso di contenzione fisica è stato complicato da conseguenze sulla salute a seguito delle quali sono state formulate richieste di risarcimento ed è stata condotta una valutazione medico-legale al fine di evidenziare la sussistenza di eventuale responsabilità medica e/o infermieristica.
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