{"id":9347,"date":"2024-12-10T19:07:46","date_gmt":"2024-12-10T18:07:46","guid":{"rendered":"https:\/\/extali.eu\/docs\/gute-hospitalpraxis\/1-kontext-des-krankenhauses\/1-2-patientenorientierung\/1-2-02-beratung-und-entscheidung-bei-behandlungsmassnahmen\/"},"modified":"2025-11-11T11:25:33","modified_gmt":"2025-11-11T10:25:33","slug":"1-2-02-counselling-and-decision-making-for-treatment-measures","status":"publish","type":"docs","link":"https:\/\/gutehospitalpraxis.de\/en\/handbuch\/1-kontext-de-krankenhauses\/1-2-patientenorientierung\/1-2-02-beratung-und-entscheidung-bei-behandlungsmassnahmen\/","title":{"rendered":"1.2.02 Counselling and decision-making for treatment measures"},"content":{"rendered":"<h3 class=\"wp-block-heading\" id=\"ziel_und_zweck\">1 Aim and purpose<\/h3>\n\n\n\n<p>Respect for and protection of human dignity and freedom require that the patient is fully informed about the intended procedure and that their consent is obtained before any medical intervention. Under the treatment contract, the doctor owes the patient advice and information. The joint decision of doctor and patient in favour of a medical intervention requires information about the type, scope and purpose of the intervention. In recognition of this right to self-determination, the procedure for obtaining the patient's consent to a medical intervention is set out here.<\/p>\n\n\n\n<p>Preparation of procedural instructions for counselling and informing the patient prior to treatment\/intervention and for obtaining consent for the intervention. The option of choosing a different treatment, including at a different hospital, or refusing treatment after consultation with the doctor should be made clear to the patient. The patient's preferences regarding the timing of treatment should be respected wherever possible.<\/p>\n\n\n\n<p>Patients must be informed about the nature and severity of their illness, the urgency of the treatment, the consequences of non-treatment, the proposed treatment and the alternatives to this treatment, the opportunities and risks, the likelihood of treatment success, side effects and consequential problems of the treatment. They should be made aware of their right to a second opinion and to refuse treatment.<\/p>\n\n\n\n<p>The person responsible for carrying out the treatment should be named. Questions about the qualifications, experience and knowledge of the therapist must be answered substantially.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"anwendungsbereich\">2 Scope of application<\/h3>\n\n\n\n<p>This instruction regulates the procedure for informing patients about the planned measures prior to a medical intervention and how their consent must be obtained.<\/p>\n\n\n\n<p>The procedure must be observed by all clinics, institutes and areas of the hospital in which medical interventions are carried out. The VA should be applied to medical interventions in healthcare in the same way as in clinical research.<\/p>\n\n\n\n<p>to the process instruction here <\/p>\n\n\n\n<div class=\"wp-block-file\"><a id=\"wp-block-file--media-36d6f61c-e4cb-4330-88ba-7ae6b2a3ee21\" href=\"https:\/\/gutehospitalpraxis.de\/wp-content\/uploads\/2024\/12\/1.2.02_00_qm_beratung_entscheidung.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">1.2.02_00_qm_beratung_entscheidung<\/a><a href=\"https:\/\/gutehospitalpraxis.de\/wp-content\/uploads\/2024\/12\/1.2.02_00_qm_beratung_entscheidung.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-36d6f61c-e4cb-4330-88ba-7ae6b2a3ee21\">Download<\/a><\/div>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"beschreibung\">3 Description<\/h3>\n\n\n\n<p><\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"risiken\">4 Risks<\/h3>\n\n\n\n<p><\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"ressourcen\">5 Resources<\/h3>\n\n\n\n<p><\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"dokumentation\">6 Documentation<\/h3>\n\n\n\n<p><\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"zustaendigkeit\">7 Responsibility<\/h3>\n\n\n\n<p><\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"hinweise_und_anmerkungen\">8 Notes and comments<\/h3>\n\n\n\n<p><\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"mitgeltende_unterlagen\">9 Applicable documents<\/h3>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"literatur\">9.1 Literature<\/h4>\n\n\n\n<p>BGB \u00a7 630d; BGB \u00a7 630<\/p>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"begriffe\">9 .2 Terms<\/h4>\n\n\n\n<p>Edit<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"anlagen\">Attachments<\/h3>\n\n\n\n<div class=\"wp-block-file\"><a id=\"wp-block-file--media-a63af4d9-2594-41c2-8fec-dce9230bbb7d\" href=\"https:\/\/gutehospitalpraxis.de\/wp-content\/uploads\/2024\/12\/1.2.02_01_qm_eingriffsliste.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Sample for the intervention list: 1.2.02_01_qm_eingriffsliste<\/a><a href=\"https:\/\/gutehospitalpraxis.de\/wp-content\/uploads\/2024\/12\/1.2.02_01_qm_eingriffsliste.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-a63af4d9-2594-41c2-8fec-dce9230bbb7d\">Download<\/a><\/div>\n\n\n\n<div class=\"wp-block-file\"><a id=\"wp-block-file--media-6d1ba9c8-7b55-4e8b-873d-8da9a4718bf0\" href=\"https:\/\/gutehospitalpraxis.de\/wp-content\/uploads\/2024\/12\/1.2.02_02_qm_mustereinwilligung_bluttransfusion.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Sample declaration of consent: 1.2.02_02_qm_mustereinwilligung_bluttransfusion<\/a><a href=\"https:\/\/gutehospitalpraxis.de\/wp-content\/uploads\/2024\/12\/1.2.02_02_qm_mustereinwilligung_bluttransfusion.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-6d1ba9c8-7b55-4e8b-873d-8da9a4718bf0\">Download<\/a><\/div>\n\n\n\n<div class=\"wp-block-file\"><a id=\"wp-block-file--media-0e276eca-e260-46f6-859b-54d311e7fa93\" href=\"https:\/\/gutehospitalpraxis.de\/wp-content\/uploads\/2024\/12\/1.2.02_03_qm_gespraechsnotiz.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Sample for a conversation note: 1.2.02_03_qm_gespraechsnotiz<\/a><a href=\"https:\/\/gutehospitalpraxis.de\/wp-content\/uploads\/2024\/12\/1.2.02_03_qm_gespraechsnotiz.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-0e276eca-e260-46f6-859b-54d311e7fa93\">Download<\/a><\/div>\n\n\n\n<div class=\"wp-block-file\"><a id=\"wp-block-file--media-10aab01b-2cfe-4caf-aa0e-dd071693ce29\" href=\"https:\/\/gutehospitalpraxis.de\/wp-content\/uploads\/2024\/12\/1.2.02_04_iq_muster_gesprachsprotokoll.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Sample for a ready-made conversation protocol: 1.2.02_04_iq_muster_gesprachsprotokoll<\/a><a href=\"https:\/\/gutehospitalpraxis.de\/wp-content\/uploads\/2024\/12\/1.2.02_04_iq_muster_gesprachsprotokoll.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-10aab01b-2cfe-4caf-aa0e-dd071693ce29\">Download<\/a><\/div>\n\n\n\n<p><a href=\"https:\/\/link.springer.com\/article\/10.1007\/s00103-025-04070-0?utm_source=springer_etoc&amp;utm_medium=email&amp;utm_campaign=CONR_00103_AWA1_GL_DTEC_054CI_TOC-240725&amp;utm_content=etoc_springer_20250724\" target=\"_blank\" rel=\"noopener\">Sample information and consent for genetic tests to clarify parentage<\/a><\/p>\n\n\n\n<p><\/p>","protected":false},"excerpt":{"rendered":"<p>1 Ziel und Zweck Achtung und Schutz von W\u00fcrde und Freiheit des Menschen gebieten es, den Patienten vor einem \u00e4rztlichen Eingriff umfassend \u00fcber die vorgesehene Ma\u00dfnahme aufzukl\u00e4ren und seine Einwilligung einzuholen. Durch den Behandlungsvertrag schuldet der Arzt dem Patienten Rat und Hinweis. Die gemeinsame Entscheidung von Arzt und Patient f\u00fcr einen \u00e4rztlichen Eingriff setzt die [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":9325,"menu_order":11,"comment_status":"open","ping_status":"closed","template":"","doc_tag":[],"doc_badge":[],"class_list":["post-9347","docs","type-docs","status-publish","hentry","no-post-thumbnail"],"acf":[],"author_avatar":"https:\/\/secure.gravatar.com\/avatar\/c6b2616140d9fcd6a1c5d6d2ebbf43422308c9322c032ef03f88ec3235855dcf?s=96&d=mm&r=g","author_name":"admin","_links":{"self":[{"href":"https:\/\/gutehospitalpraxis.de\/en\/wp-json\/wp\/v2\/docs\/9347","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/gutehospitalpraxis.de\/en\/wp-json\/wp\/v2\/docs"}],"about":[{"href":"https:\/\/gutehospitalpraxis.de\/en\/wp-json\/wp\/v2\/types\/docs"}],"author":[{"embeddable":true,"href":"https:\/\/gutehospitalpraxis.de\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/gutehospitalpraxis.de\/en\/wp-json\/wp\/v2\/comments?post=9347"}],"version-history":[{"count":4,"href":"https:\/\/gutehospitalpraxis.de\/en\/wp-json\/wp\/v2\/docs\/9347\/revisions"}],"predecessor-version":[{"id":15887,"href":"https:\/\/gutehospitalpraxis.de\/en\/wp-json\/wp\/v2\/docs\/9347\/revisions\/15887"}],"up":[{"embeddable":true,"href":"https:\/\/gutehospitalpraxis.de\/en\/wp-json\/wp\/v2\/docs\/9325"}],"wp:attachment":[{"href":"https:\/\/gutehospitalpraxis.de\/en\/wp-json\/wp\/v2\/media?parent=9347"}],"wp:term":[{"taxonomy":"doc_tag","embeddable":true,"href":"https:\/\/gutehospitalpraxis.de\/en\/wp-json\/wp\/v2\/doc_tag?post=9347"},{"taxonomy":"doc_badge","embeddable":true,"href":"https:\/\/gutehospitalpraxis.de\/en\/wp-json\/wp\/v2\/doc_badge?post=9347"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}