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利益相关者对整合医学影像研究的患者照片使用的看法。

Stakeholders' Perceptions Regarding the Use of Patient Photographs Integrated with Medical Imaging Studies.

作者信息

Sadigh Gelareh, Applegate Kimberly E, Ng Timothy W, Hendrix Kamilah A, Tridandapani Srini

机构信息

Department of Radiology and Imaging Sciences, Emory University School of Medicine, Winship Cancer Institute, 1701 Uppergate Drive NE, #5018, Atlanta, GA, 30322, USA.

Children's Healthcare of Atlanta, Atlanta, GA, USA.

出版信息

J Digit Imaging. 2016 Jun;29(3):341-6. doi: 10.1007/s10278-015-9850-0.

Abstract

Integrating digital facial photographs of pediatric patients as identifiers (ID) with medical imaging (integrated photographic IDs) may increase the detection of mislabeled studies. The purpose of this study was to determine how different stakeholders would receive this novel technology. Parents or guardians of patients in a children's hospital outpatient radiology department, radiology faculty and residents, and radiology technologists and nurses were asked to complete a survey. The perception about the anticipated use of integrated photographic ID in different clinical scenarios was investigated, and its predictors were determined using logistic regression analysis. Four hundred ninety-eight parents responded (response rate 83 %); 96 and 97 % supported the use of integrated photographic ID, if it improves the radiologist's imaging interpretation or decreases the rate of mislabeled errors, respectively. Thirty-eight percent were worried that photographic IDs would impact patients' privacy. Ninety-four percent believed that they should be asked for their consent prior to obtaining their child's photograph. Seventy-eight radiologists responded (response rate 39 %); 63 and 59 % believed that the use of integrated photographic ID would result in improvement in accurate interpretation of images and identification of mislabeled patient errors, respectively. Forty-nine percent of radiologists had concern that integrated photographic ID would increase interpretation time. Fifty technologists and nurses responded (response rate 59 %); 71 and 73 % supported the technology if it resulted in more acute interpretation of images and identification of mislabeled patients, respectively. A majority of stakeholders support integrated photographic ID in order to improve safety. A majority of parents believe that consent should be obtained.

摘要

将儿科患者的数字面部照片作为标识符(ID)与医学影像相结合(集成照片ID)可能会增加对贴错标签研究的检测。本研究的目的是确定不同利益相关者对这项新技术的接受程度。儿童医院门诊放射科患者的父母或监护人、放射科教员和住院医师以及放射科技师和护士被要求完成一项调查。调查了对集成照片ID在不同临床场景中预期用途的看法,并使用逻辑回归分析确定其预测因素。498名家长做出了回应(回应率83%);如果集成照片ID能改善放射科医生的影像解读或降低贴错标签错误率,分别有96%和97%的家长支持使用。38%的家长担心照片ID会影响患者隐私。94%的家长认为在获取孩子照片之前应该征求他们的同意。78名放射科医生做出了回应(回应率39%);分别有63%和59%的放射科医生认为使用集成照片ID会提高图像解读的准确性和识别贴错标签的患者错误。49%的放射科医生担心集成照片ID会增加解读时间。50名技师和护士做出了回应(回应率59%);如果集成照片ID能分别带来对图像更敏锐的解读和识别贴错标签的患者,71%和73%的技师和护士支持这项技术。大多数利益相关者支持集成照片ID以提高安全性。大多数家长认为应该获得同意。

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