Buijink Arthur Willem Gerard, Visser Benjamin Jelle, Marshall Louise
Department of Neurology, Academic Medical Center-University of Amsterdam, Amsterdam, The Netherlands.
Evid Based Med. 2013 Jun;18(3):90-2. doi: 10.1136/eb-2012-100885. Epub 2012 Aug 25.
Increasing numbers of healthcare professionals are using smartphones and their associated applications (apps) in daily clinical care. While these medical apps hold great potential for improving clinical practice, little is known about the possible dangers associated with their use. Breaches of patient confidentiality, conflicts of interests and malfunctioning clinical decision-making apps could all negatively impact on patient care. We propose several strategies to enhance the development of evidence-based medical apps while retaining their open nature. The increasing use of medical apps calls for broader discussion across medicine's organising and accrediting bodies. The field of medical apps is currently one of the most dynamic in medicine, with real potential to change the way evidence-based healthcare is delivered in the future. Establishing appropriate regulatory procedures will enable this potential to be fulfilled, while at all times ensuring the safety of the patient.
越来越多的医疗保健专业人员在日常临床护理中使用智能手机及其相关应用程序（应用）。虽然这些医疗应用在改善临床实践方面具有巨大潜力，但对于其使用可能存在的危险却知之甚少。侵犯患者隐私、利益冲突以及临床决策应用程序故障都可能对患者护理产生负面影响。我们提出了几种策略，以在保持其开放性的同时加强循证医学应用的开发。医疗应用的日益普及需要医学组织和认证机构进行更广泛的讨论。医疗应用领域目前是医学中最具活力的领域之一，具有真正改变未来循证医疗保健提供方式的潜力。建立适当的监管程序将使这一潜力得以实现，同时始终确保患者的安全。
