期刊名称：Annals of Agricultural and Environmental Medicine
印刷版ISSN：1232-1966
电子版ISSN：1898-2263
出版年度：2017
卷号：24
期号：4
页码：606-609
DOI：10.5604/12321966.1232554
出版社：Institute of Agricultural Medicine in Lublin
摘要：Introduction. The development of patient rights and increasing number of lawsuits based on medical malpractice makemedical doctors constantly improve knowledge regarding the acceptability of changing the scope of operation. This isparticularly important when patients have expressed their refusal to changing the scope and type of procedure (ESTP) orno informed consent (IC) has been obtained from the patient prior to the procedure.Method. The method of study comprised content analysis of existing legislation. The current jurisprudence and doctrinewere confronted with existing regulations. An algorithm of correct formal procedures was elaborated.Results. The doctor has right to realize ESTP when the patient has not given the consent to it or the refusal expressed byhim was not fully conscious. Healthcare providers are absolutely prohibited from realizing ESTP when patient objectedto any changes being thoroughly informed by the physician prior to the operation. When patient refuses possible ESTP,the doctor has the right to withdraw from performing surgery but should inform the patient about other places, where asimilar procedure can be provided.
关键词：extending the scope of operative field; informed consent; informed refusal; legality of operation; withdrawal from health;service provision
