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电子病历使用中的伦理问题。

Ethical concerns in the use of electronic medical records.

作者信息

Phillips Win, Fleming David

机构信息

MU Center for Health Ethic,s Department of Health Management and Informatics, University of Missouri School of Medicine in Columbia, USA.

出版信息

Mo Med. 2009 Sep-Oct;106(5):328-33.

Abstract

The use of electronic medical record systems raises important ethical concerns about patient privacy and confidentiality, medical errors, expectations of structured data entry by clinicians, documentation integrity, and provider-patient interaction. Clinicians and health care organizations need to define best practices and policies in the use of EMR systems to improve quality and maintain clinician efficiency without compromising patient welfare and safety.

摘要

电子病历系统的使用引发了有关患者隐私与保密、医疗差错、临床医生对结构化数据录入的期望、文档完整性以及医患互动等重要伦理问题。临床医生和医疗保健机构需要确定使用电子病历系统的最佳做法和政策,以在不损害患者福利和安全的前提下提高质量并保持临床医生的工作效率。

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