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脑电图记录的远程传输。

Tele-transmission of EEG recordings.

作者信息

Lemesle M, Kubis N, Sauleau P, N'Guyen The Tich S, Touzery-de Villepin A

机构信息

Service de neurophysiologie clinique, CHU de Dijon, 1, boulevard Jeanne-d'Arc, BP 77908, 21079 Dijon cedex, France.

Service de physiologie clinique-explorations fonctionnelles, université Paris Diderot, Sorbonne Paris Cité, hôpital Lariboisière, AP-HP, 2, rue Ambroise-Paré, 75010 Paris, France; Unité Inserm 965/Paris 7, angiogenèse et recherche translationnelle, hôpital Lariboisière, 2, rue Ambroise-Paré, 75475 Paris cedex 10, France.

出版信息

Neurophysiol Clin. 2015 Mar;45(1):121-30. doi: 10.1016/j.neucli.2014.12.001. Epub 2015 Jan 12.

Abstract

EEG recordings can be sent for remote interpretation. This article aims to define the tele-EEG procedures and technical guidelines. Tele-EEG is a complete medical act that needs to be carried out with the same quality requirements as a local one in terms of indications, formulation of the medical request and medical interpretation. It adheres to the same quality requirements for its human resources and materials. It must be part of a medical organization (technical and medical network) and follow all rules and guidelines of good medical practices. The financial model of this organization must include costs related to performing the EEG recording, operating and maintenance of the tele-EEG network and medical fees of the physician interpreting the EEG recording. Implementing this organization must be detailed in a convention between all parties involved: physicians, management of the healthcare structure, and the company providing the tele-EEG service. This convention will set rules for network operation and finance, and also the continuous training of all staff members. The tele-EEG system must respect all rules for safety and confidentiality, and ensure the traceability and storing of all requests and reports. Under these conditions, tele-EEG can optimize the use of human resources and competencies in its zone of utilization and enhance the organization of care management.

摘要

脑电图记录可进行远程解读。本文旨在明确远程脑电图的操作流程和技术指南。远程脑电图是一项完整的医疗行为,在适应症、医疗申请的制定以及医学解读方面,需要与本地操作满足相同的质量要求。在人力资源和物资方面,它也遵循相同的质量要求。它必须是医疗组织(技术和医疗网络)的一部分,并遵循所有良好医疗实践的规则和指南。该组织的财务模式必须包括脑电图记录的执行成本、远程脑电图网络的运营和维护成本以及解读脑电图记录的医生的医疗费用。实施该组织必须在所有相关方(医生、医疗结构管理层以及提供远程脑电图服务的公司)之间的一份协议中详细说明。这份协议将为网络运营和财务制定规则,同时也为所有工作人员的持续培训制定规则。远程脑电图系统必须遵守所有安全和保密规则,并确保所有申请和报告的可追溯性和存储。在这些条件下,远程脑电图可以优化其使用区域内的人力资源和能力,并加强护理管理的组织。

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