clinendoКлиническая эндоскопияFilin’s Clinical endoscopy2415-7813"Global Media technology" Ltd10.31146/2415-7813-endo-67-3-23-35clinendo-247Research ArticleАДМИНИСТРАТИВНЫЕ ВОПРОСЫADMINISTRATIVE ISSUESОсложнения эндоскопических вмешательств на нижних отделах желудочно-кишечного трактаComplications of endoscopic interventions in the lower gastrointestinal tracthttps://orcid.org/0000-0003-4690-9335БурдюковМ. С.BurdyukovM. S.burdyukovms@gmail.comУсятинскаяИ. Е.UsyatinskayaI. E.noemail@neicon.ruАлексеевА. В.AlekseevA. V.noemail@neicon.ruhttps://orcid.org/0000-0002-0070-9066КуваевР. О.KuvaevR. O.noemail@neicon.ruhttps://orcid.org/0000-0001-5061-0139КоролевМ. П.KorolevM. P.noemail@neicon.ruhttps://orcid.org/0000-0002-9772-1351АлиевН. А.AlievN. A.noemail@neicon.ruhttps://orcid.org/0000-0002-5984-5660КоржеваИ. И.KorzhevaI. I.noemail@neicon.ruКузинМ. Н.KuzinM. N.noemail@neicon.ruПетровС. П.PetrovS. P.noemail@neicon.ruhttps://orcid.org/0000-0003-2917-9967АмироваВ. В.AmirovaV. V.noemail@neicon.ruhttps://orcid.org/0000-0001-9992-119XВеселовВ. В.VeselovV. V.noemail@neicon.ruhttps://orcid.org/0000-0001-6098-7677КашинС. В.KashinS. V.noemail@neicon.ruhttps://orcid.org/0000-0003-0218-8265ГусевД. В.GusevD. V.noemail@neicon.ruФедеральная сеть клиник «Евроонко»; ФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования» Минздрава России; ГБУЗ «Московский многопрофильный клинико-диагностический центр им. С.П. Боткина ДЗМ»Federal network of clinics “Euroonco”; Russian Medical Academy of Continuous Professional Education; Botkin HospitalФБУЗ «Приволжский окружной медицинский центр» ФМБАVolga District Medical CenterООО «Мед-ЮрКонсалт»“Med-JurConsult”ГБУЗ ЯО «Клиническая онкологическая больница»; ФДПО ФГАОУ ВО «Российский национальный исследовательский медицинский университет им. Н.И. Пирогова» Министерства здравоохранения Российской ФедерацииClinical Oncology Hospital; Pirogov Russian National Research Medical UniversityФГБОУ ВО «Санкт-Петербургский государственный педиатрический медицинский университет» Министерства здравоохранения Российской ФедерацииSaint Petersburg State Pediatric Medical UniversityООО «Клиника ЦЛД»; ФГБОУ ВО «Дагестанский государственный медицинский университет» Министерства здравоохранения Российской Федерации; Медицинский центр «ИмиджЛаб»CLD Clinic; Dagestan State Medical University; Medical center “ImageLab”ФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования» Минздрава России; ГБУЗ «Московский многопрофильный клинико-диагностический центр им. С.П. Боткина ДЗМ»Russian Medical Academy of Continuous Professional Education; Botkin HospitalМедицинский центр «ИмиджЛаб»Medical center “ImageLab”ОАО «Санаторий «Магадан»Sanatorium “Magadan”ФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования» Минздрава РоссииRussian Medical Academy of Continuous Professional EducationФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования» Минздрава России; ФГБУ «НМИЦ колопроктологии им. А.Н. Рыжих» Министерства здравоохранения Российской ФедерацииRussian Medical Academy of Continuous Professional Education; Center of Proctology named after A.N. RyzhikhГБУЗ ЯО «Клиническая онкологическая больница»; ФГБУ «Национальный медицинский исследовательский центр терапии и профилактической медицины» Министерства здравоохранения Российской ФедерацииClinical Oncology Hospital; National Medical Research Center for Therapy and Preventive MedicineГБУЗ ЯО «Клиническая онкологическая больница»Clinical Oncology Hospital2025181120256732335Copyright © Бурдюков М.С., Усятинская И.Е., Алексеев А.В., Куваев Р.О., Королев М.П., Алиев Н.А., Коржева И.И., Кузин М.Н., Петров С.П., Амирова В.В., Веселов В.В., Кашин С.В., Гусев Д.В., 20252025Бурдюков М.С., Усятинская И.Е., Алексеев А.В., Куваев Р.О., Королев М.П., Алиев Н.А., Коржева И.И., Кузин М.Н., Петров С.П., Амирова В.В., Веселов В.В., Кашин С.В., Гусев Д.В.Burdyukov M.S., Usyatinskaya I.E., Alekseev A.V., Kuvaev R.O., Korolev M.P., Aliev N.A., Korzheva I.I., Kuzin M.N., Petrov S.P., Amirova V.V., Veselov V.V., Kashin S.V., Gusev D.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://clinendo.elpub.ru/jour/article/view/247

Федеральный закон № 323-ФЗ от 21.11.2011 определяет требования к содержанию и оформлению бланка «Информированного добровольного согласия» (ИДС) на медицинские вмешательства. Данный документ служит правовой гарантией соблюдения прав пациента и медицинских работников. В статье рассмотрены порядок подписания ИДС и ключевые разделы, которые требуют особого внимания. Наиболее значимыми являются разделы «Показания» и «Противопоказания к проведению медицинского вмешательства». Указание показаний необходимо для информирования пациента о значении конкретного вмешательства, а также о последствиях отказа от него, что позволяет обеспечить осознанность и полноту выбора. Раздел «Противопоказания» фиксирует возможные риски для здоровья и жизни, обусловленные как состоянием пациента, так и особенностями вмешательства, включая вероятность осложнений. Подпись пациента под этими разделами подтверждает его ознакомление и согласие, а также обеспечивает юридическую защиту медицинской организации и персонала в случае возникновения осложнений или правовых споров. Особое внимание уделено разделу «Риски, связанные с оказанием медицинской помощи». Перечень нежелательных явлений (например, при колоноскопии) может быть очень широким, поэтому предлагается их стандартизация и адаптация для включения в бланк ИДС. Такой подход позволяет достичь баланса между информированием пациента и практической применимостью документа.

The Federal Law No. 323-FZ of November 21, 2011 establishes the requirements for the content and format of the “Informed Voluntary Consent” (IVC) form for medical interventions. This document serves as a legal guarantee of protecting the rights of both patients and healthcare professionals. The article discusses the procedure of signing the IVC and highlights its key sections that require special consideration. The most important are the sections “Indications” and “Contraindications for medical intervention.” Indications provide patients with information about the necessity of a particular procedure and the possible consequences of refusal, ensuring awareness and informed decision-making. The section on contraindications reflects potential health and life risks related to the patient’s condition or to the specifics of the intervention, including possible complications. The patient’s signature confirms awareness and consent, while also providing legal protection for the healthcare institution and staff in case of adverse outcomes or legal disputes. Special attention is paid to the section “Risks associated with medical care.” The list of potential adverse events (for example, during colonoscopy) can be extensive, which makes it impossible to include every detail. Therefore, the authors propose standardization and adaptation of such risks for inclusion in the IVC form. This approach allows achieving a balance between comprehensive patient information and practical usability of the document.

информированное согласиемедицинское вмешательствопоказанияпротивопоказанияправа пациентовправовая защитарискиколоноскопияосложненияinformed consentmedical interventionindicationscontraindicationspatient rightslegal protectionriskscolonoscopycomplicationsReferencesNikonov E.L., Galkova Z.V., Kashin S.V., Gorelov M.V., Zharova M.E. Preparation for Introduction of a National Screening Program for Colorectal Cancer. Doctor.Ru. 2019; 10(165): 23-30. (in Russ.) doi: 10.31550/1727-2378-2019-165-10-23-30.@@ Никонов Е.Л., Галкова З.В., Кашин С.В., Горелов М.В., Жарова М.Е. Подготовка к созданию национальной программы скрининга колоректального рака. Доктор.Ру. 2019; 10(165): 23-30. doi: 10.31550/1727-2378-2019-165-10-23-30.Nikonov E.L., Galkova Z.V., Kashin S.V., Gorelov M.V., Zharova M.E. Preparation for Introduction of a National Screening Program for Colorectal Cancer. Doctor.Ru. 2019; 10(165): 23-30. 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The authors declare that there are no conflicts of interest present.