Olson L A, Peters S G, Stewart J B
Mayo Foundation, Rochester, MN, USA.
Healthc Inf Manage. 1998 Spring;12(1):27-37.
The maintenance of privacy and confidentially must remain a core principle of the interaction between patients and medical staff. Traditionally, the single paper copy of the medical history has been treated with systematic handling, careful tracking, and respect for the integrity and confidentiality of the contents. The widespread availability of computerized information requires that these principles be maintained in the electronic environment. Security measures should protect sensitive data without hindering medical practice. At Mayo, we have established data security policies and standards for the handling of all electronic information. Dissemination and communication of these standards and guidelines are an ongoing challenge. Technical maneuvers can be employed to protect data integrity, identify users, and monitor compliance. Personnel policies must be updated to reflect the responsibilities and liabilities of the electronic environment. Practice efficiencies and access to clinical data must be balanced by individual responsibility and accountability for privileged patient information.
维护隐私和保密必须始终是患者与医护人员互动的核心原则。传统上，病史的单一纸质副本一直受到系统处理、仔细跟踪，并尊重其内容的完整性和保密性。计算机化信息的广泛应用要求在电子环境中维护这些原则。安全措施应保护敏感数据，同时不妨碍医疗实践。在梅奥诊所，我们已经制定了处理所有电子信息的数据安全政策和标准。传播和宣传这些标准和指南是一项持续的挑战。可以采用技术手段来保护数据完整性、识别用户并监控合规情况。人事政策必须更新，以反映电子环境中的责任和义务。实践效率和临床数据访问必须与对患者特权信息的个人责任和问责制相平衡。
