北美和英国儿科医院医疗环境中视频记录的患病率及适应证
Prevalence and indications for video recording in the health care setting in North American and British paediatric hospitals.
作者信息
Taylor Katherine, Mayell Antonia, Vandenberg Stephanie, Blanchard Nadeene, Parshuram Christopher S
机构信息
Department of Anaesthesia;
出版信息
Paediatr Child Health. 2011 Aug;16(7):e57-60. doi: 10.1093/pch/16.7.e57.
BACKGROUND
Health care video recording has demonstrated value in education, performance assessment, quality improvement and clinical care.
METHODS
A survey was administered to paediatric hospitals in Great Britain, Canada and the United States. Heads of departments or delegates from six areas (emergency departments [EDs], operating rooms, paediatric intensive care units [PICUs], neonatal intensive care units [NICUs], simulation centres and neuroepilepsy units) were asked 10 questions about the prevalence, indications and process issues of video recording.
RESULTS
Seventy hospitals were surveyed, totalling 307 clinical areas. The hospital response rate was 100%; the rate for clinical departments was 65%. Sixty-six hospitals (94%) currently use video recording. Video recording was used in 62 of 68 (91%) operating rooms; 36 of 69 (52%) PICUs; 35 of 67 (52%) NICUs; 12 of 65 (19%) EDs; seven of eight (88%) neuroepilepsy units and 13 of 14 (93%) simulation centres. Education was the most common indication (112 of 204 [55%]). Most sites obtained written consent. Since the introduction of more strict privacy legislation, 11 of 65 (17%) EDs have discontinued video recording.
CONCLUSION
The present study describes video recording practices in paediatric hospitals in North America and Great Britain. Video recording is primarily used for education and most areas have a consent process.
背景
医疗保健视频记录已在教育、绩效评估、质量改进和临床护理中展现出价值。
方法
对英国、加拿大和美国的儿科医院进行了一项调查。向六个领域（急诊科[ED]、手术室、儿科重症监护病房[PICU]、新生儿重症监护病房[NICU]、模拟中心和神经癫痫科）的科室负责人或代表询问了10个关于视频记录的普遍性、适应症和流程问题。
结果
共调查了70家医院，总计307个临床区域。医院的回应率为100%；临床科室的回应率为65%。66家医院（94%）目前使用视频记录。视频记录应用于68个手术室中的62个（91%）；69个PICU中的36个（52%）；67个NICU中的35个（52%）；65个ED中的12个（19%）；8个神经癫痫科中的7个（88%）以及14个模拟中心中的13个（93%）。教育是最常见的适应症（204例中的112例[55%]）。大多数场所获得了书面同意。自引入更严格的隐私立法以来，65个ED中有11个（17%）停止了视频记录。
结论
本研究描述了北美和英国儿科医院的视频记录实践。视频记录主要用于教育，且大多数区域有同意程序。
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