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皮肤科手术中的活检“1-2-3”:改善智能手机应用以避免手术部位错误

BIOPSY 1-2-3 in Dermatologic Surgery: Improving Smartphone use to Avoid Wrong-Site Surgery.

作者信息

Highsmith James T, Weinstein David A, Highsmith M Jason, Etzkorn Jeremy R

机构信息

Dermatology Service, James A. Haley Veterans' Hospital, Tampa, FL, USA; Dermatology Surgery Institute, Lutz, FL, USA.

Department of Internal Medicine, University of Central Florida College of Medicine, Orlando, FL, USA.

出版信息

Technol Innov. 2016 Sep;18(2-3):203-206. doi: 10.21300/18.2-3.2016.203.

DOI:10.21300/18.2-3.2016.203
PMID:28066529
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5218525/
Abstract

The smartphone has become a ubiquitous tool in modern culture. Given the current high quality of smartphone cameras, they should be considered a valuable tool for the dermatologic surgeon in the pre-operative consultation. The purpose of this technical note is to describe a methodology using smartphone camera technology to improve the process for capturing biopsy site photographs and including those photos in decision making to maximize cutaneous surgical outcomes. This technical note describes a three-step procedure () to simplify and standardize the protocol for capturing a biopsy site photograph using the patient's own smartphone. The steps are also intended to improve the resolution and value of the image. A case example is provided. Using the steps of , the case example biopsy site image is clearly identified compared to a less structured image. Using , biopsy site images taken by patient-owned smartphone cameras can empower and involve patients in their care, improve image quality, and reduce medical errors.

摘要

智能手机已成为现代文化中无处不在的工具。鉴于当前智能手机摄像头的高质量,在术前咨询中,它们应被视为皮肤科外科医生的宝贵工具。本技术说明的目的是描述一种使用智能手机摄像头技术的方法,以改进获取活检部位照片的过程,并将这些照片纳入决策过程,以最大限度地提高皮肤手术效果。本技术说明描述了一个三步程序(),以简化和规范使用患者自己的智能手机拍摄活检部位照片的方案。这些步骤还旨在提高图像的分辨率和价值。提供了一个案例示例。使用的步骤,与结构较差的图像相比,案例示例活检部位图像能够清晰识别。使用,患者自己的智能手机摄像头拍摄的活检部位图像可以增强患者在其护理中的参与度,提高图像质量,并减少医疗错误。

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本文引用的文献

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J Am Acad Dermatol. 2016 Jun;74(6):1185-93. doi: 10.1016/j.jaad.2015.12.019. Epub 2016 Feb 4.
2
Feasibility and effects of home-based smartphone-delivered automated feedback training for gait in people with Parkinson's disease: A pilot randomized controlled trial.基于家庭的智能手机自动反馈训练对帕金森病患者步态的可行性及效果:一项随机对照试验。
Parkinsonism Relat Disord. 2016 Jan;22:28-34. doi: 10.1016/j.parkreldis.2015.11.004.
3
Biopsy site selfies--a quality improvement pilot study to assist with correct surgical site identification.活检部位自拍——一项旨在协助正确识别手术部位的质量改进试点研究。
Dermatol Surg. 2015 Apr;41(4):499-504. doi: 10.1097/DSS.0000000000000305.
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Surgical Excision of Non-Melanoma Skin Cancer in an Elderly Veteran's Affairs Population.老年退伍军人事务部人群中非黑色素瘤皮肤癌的手术切除
Plast Reconstr Surg Glob Open. 2015 Jan 8;2(12):e277. doi: 10.1097/GOX.0000000000000234. eCollection 2014 Dec.
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