Obligation d’information du patient après sa sortie

FlickR - A doctor from the Leakey, Texas - The US National ArchivesOn s’imagine souvent, et les manuels de droit hospitalier ne le démentent pas, que l’obligation d’information du patient trouve matière à s’appliquer uniquement en amont de sa prise en charge, qu’il s’agisse d’une hospitalisation conventionnelle, ambulatoire, ou bien d’une consultation externe. Voici une preuve, s’il en était encore besoin, que cette obligation d’information ne s’éteint pas à la sortie du patient de l’hôpital mais que, au contraire, elle perdure.

En l’espèce, le service des urgences d’un centre hospitalier a constaté, au vu des radiographies effectuées, que le patient souffrait d’une entorse à la cheville. Celui-ci, rentré chez lui avec une attelle provisoire et une ordonnance lui prescrivant un plâtre, n’a ensuite ressenti aucune amélioration. Un erreur fautive de diagnostic a été commise lors de son passage au service des urgences. En effet, le centre hospitalier a effectué un nouvel examen des radiographies le lendemain du départ du patient et les résultats différaient manifestement de ceux qui lui avaient été communiqués lors de son passage aux urgences. L’hôpital ne lui a pas communiqué spontanément les nouveaux résultats.

Le patient n’en a pris connaissance que lors de sa demande de communication de son dossier médical. L’établissement de santé aurait donc dû prendre l’initiative de communiquer ce complément d’information, ce dont il s’est abstenu.

Cette omission constitue une faute de nature à engager la responsabilité du service public hospitalier. Le patient a en effet perdu une chance de recevoir des soins adaptés qui lui auraient permis une guérison sans séquelles ((CE, 2 septembre 2009, n°292783)).

Aucun critère temporel ne limite en somme l’obligation d’information à délivrer au patient, laquelle s’applique aussi bien avant qu’après sa sortie de l’hôpital.

Cette solution de bon sens doit être mise en corrélation avec le critère 11c du manuel de certification V2010 de la Haute Autorité de santé, intitulé Information du patient en cas de dommage lié aux soins qui indique notamment :

« Toute personne victime ou s’estimant victime d’un dommage imputable à une activité de prévention, de diagnostic ou de soins ou ses ayants droit, si la personne est décédée, ou, le cas échéant, son représentant légal, doit être informée par le professionnel, l’établissement de santé, les services de santé ou l’organisme concerné sur les circonstances et les causes de ce dommage. Cette information lui est délivrée au plus tard dans les quinze jours suivant la découverte du dommage ou à sa demande expresse, lors d’un entretien au cours duquel la personne peut se faire assister par un médecin ou une autre personne de son choix (art. L. 1142-4 du code de la santé publique). »

La jurisprudence se montre, on le voit dans le cas présent, plus exigente que le manuel de qualité dès lors qu’il ne s’agit pas d’un entier préjudice mais d’une perte de chance pour le patient de guérir sans séquelles, laquelle est financièrement sanctionnée.

This Post Has 359 Comments

  1. I am really grateful to the holder of this site
    who has shared this fantastic post at at this time.

  2. raising sales dit :

    This paragraph is actually a fastidious one it helps new the web visitors, who are wishing for
    blogging.

  3. I mean, who is aware of what kind of Nintendo Switch games we’ll get at launch!

  4. I was wondering if you ever thought of changing the structure of your website?
    Its very well written; I love what youve got to say.
    But maybe you could a little more in the way of content so people could
    connect with it better. Youve got an awful lot of text for only having 1 or two
    images. Maybe you could space it out better?

  5. I know this if off topic but I’m looking into starting my own blog and was curious what all
    is needed to get set up? I’m assuming having a blog
    like yours would cost a pretty penny? I’m not very internet smart so I’m not 100% positive.
    Any tips or advice would be greatly appreciated. Many thanks

  6. mp3 songs dit :

    Really informative article post.Much thanks again. Keep writing.

  7. here are some hyperlinks to sites that we link to due to the fact we feel they are worth visiting

  8. I’m not that much of a online reader to be honest but your blogs
    really nice, keep it up! I’ll go ahead and bookmark your site to come back in the future.
    Cheers

  9. just beneath, are numerous absolutely not connected websites to ours, on the other hand, they are surely really worth going over

  10. sales skills dit :

    We are a group of volunteers and opening a new scheme in our community.
    Your website offered us with valuable information to work on. You have done an impressive job and our entire community will be grateful
    to you.

  11. Hello, i feel that i noticed you visited my
    blog so i got here to go back the choose?.I am trying to in finding
    things to enhance my site!I suppose its good enough to use
    some of your ideas!!

  12. When you add a Jabber contact you possibly can’t instantly tell if they’re online or not.

  13. Wonderful blog! I found it while surfing around
    on Yahoo News. Do you have any tips on how to get listed in Yahoo News?
    I’ve been trying for a while but I never seem to get there!
    Many thanks

  14. I think this is among the most important info for me.

    And i’m glad reading your article. But wanna remark on some general
    things, The site style is perfect, the articles is really great
    : D. Good job, cheers

  15. whoah this weblog is excellent i really like reading your posts.
    Keep up the good work! You recognize, a lot of people are hunting round
    for this info, you can aid them greatly.

  16. Hi there! I just wanted to ask if you ever have any trouble with hackers?
    My last blog (wordpress) was hacked and I ended up losing many months of hard work
    due to no back up. Do you have any methods to prevent hackers?

  17. Loretta dit :

    I like what you guys are usually up too. This sort of clever work and
    coverage! Keep up the wonderful works guys I’ve included you
    guys to my blogroll.

  18. except credit dit :

    I constantly spent my half an hour to read this web site’s content everyday along with a cup of coffee.

  19. Lorenzo dit :

    We stumbled over here different web page and thought I should check things out.
    I like what I see so now i’m following you. Look forward to
    going over your web page yet again.

  20. Excellent blog here! Also your web site loads up very fast!
    What host are you using? Can I get your affiliate link to your host?
    I wish my web site loaded up as quickly as yours lol

  21. sales arena dit :

    It’s very easy to find out any matter on web as compared to textbooks,
    as I found this paragraph at this web site.

  22. Webcam model dit :

    the time to study or pay a visit to the material or web sites we’ve linked to beneath the

  23. Love dit :

    Every once inside a even though we decide on blogs that we read. Listed beneath would be the most recent web sites that we opt for

  24. we prefer to honor lots of other net web sites on the net, even though they arent linked to us, by linking to them. Beneath are some webpages really worth checking out

  25. Wonderful story, reckoned we could combine some unrelated information, nonetheless actually really worth taking a look, whoa did one particular study about Mid East has got far more problerms also

  26. see more dit :

    bonjour I love Your Blog can not say I come here often but im liking what i c so far….

  27. very couple of web-sites that take place to be detailed below, from our point of view are undoubtedly well really worth checking out

  28. sex toy swing dit :

    Sites of interest we have a link to

  29. below youll come across the link to some sites that we assume you should visit

  30. 1 dit :

    Fantastic article post.Thanks Again.

  31. G Spot Toys dit :

    please go to the web-sites we comply with, like this one, because it represents our picks through the web

  32. usually posts some quite interesting stuff like this. If youre new to this site

  33. Sites of interest we have a link to

  34. very couple of internet sites that come about to become detailed beneath, from our point of view are undoubtedly effectively really worth checking out

  35. Woxe Nitamo dit :

    This is really interesting, You’re a very skilled blogger. I have joined your feed and look forward to seeking more of your fantastic post. Also, I have shared your website in my social networks!

  36. Normally I don’t read post on blogs, but I would like to say that this write-up very compelled me to check out and do it!
    Your writing style has been amazed me. Thank you,
    quite nice post.

  37. Woxe Nitamo dit :

    I’m partial to blogs and i actually respect your content. The article has actually peaks my interest. I am going to bookmark your site and preserve checking for new information.

  38. Georgiana dit :

    Hi would you mind letting me know which hosting company you’re using?
    I’ve loaded your blog in 3 completely different browsers and I must
    say this blog loads a lot faster then most.

    Can you suggest a good hosting provider at a reasonable price?
    Thanks a lot, I appreciate it!

  39. just beneath, are various completely not related websites to ours, having said that, they’re certainly worth going over

  40. Major thanks for the blog article.Really looking forward to read more. Fantastic.

  41. Sites of interest we have a link to

  42. Toys Adults dit :

    the time to read or check out the subject material or internet sites we have linked to beneath the

  43. Women Toys dit :

    Every when in a while we opt for blogs that we read. Listed beneath would be the most current web pages that we pick

  44. I am regular visitor, how are you everybody? This article posted at this website is really fastidious.

  45. we like to honor several other internet web sites on the net, even when they arent linked to us, by linking to them. Beneath are some webpages worth checking out

  46. The details talked about inside the post are several of the most effective available

  47. The facts mentioned in the post are several of the very best offered

  48. Augustine dit :

    Appreciating the commitment you put into your blog and detailed information you provide. It’s great to come across a blog every once in a while that isn’t the same outdated rehashed information. Great read! I’ve bookmarked your site and I’m adding your RSS feeds to my Google account.

  49. When someone writes an post he/she keeps the idea
    of a user in his/her brain that how a user can be aware of it.
    Thus that’s why this article is outstdanding.
    Thanks!

  50. Every as soon as inside a while we pick blogs that we read. Listed below are the most current websites that we opt for

  51. roulette dit :

    Wonderful story, reckoned we could combine a few unrelated information, nonetheless seriously worth taking a search, whoa did one particular find out about Mid East has got more problerms at the same time

  52. Glayds dit :

    The subsequent time I read a blog, I hope that it doesnt disappoint me as much as this one. I mean, I know it was my choice to learn, however I truly thought youd have something attention-grabbing to say. All I hear is a bunch of whining about one thing that you possibly can fix if you werent too busy looking for attention.

  53. I truly appreciate this blog post.Much thanks again. Really Cool.

  54. we like to honor many other internet sites on the web, even though they arent linked to us, by linking to them. Beneath are some webpages worth checking out

  55. Jane dit :

    It is the best time to make some plans for the future and it’s time to be happy.
    I have read this post and if I could I wish to suggest you few
    interesting things or tips. Maybe you could write next articles referring to this article.

    I want to read even more things about it!

  56. we prefer to honor lots of other net web pages on the web, even when they arent linked to us, by linking to them. Beneath are some webpages worth checking out

  57. here are some links to web pages that we link to because we think they may be really worth visiting

  58. please visit the web pages we stick to, like this one particular, because it represents our picks in the web

Leave A Reply