Walker Kerry E, Migneault David, Lindsay Heather C, Abu-Laban Riyad B
University of British Columbia Emergency Medicine Residency Program, Vancouver Site, Vancouver, BC.
Emergency Department, Vancouver General Hospital, Vancouver Coastal Health, Vancouver, BC.
CJEM. 2019 Jul;21(4):455-459. doi: 10.1017/cem.2019.29. Epub 2019 Apr 22.
Use of personal mobile devices to record patient data appears to be increasing, but remains poorly studied. We sought to determine the extent and reasons that Canadian emergency physicians (EPs) and emergency medicine residents use personal mobile devices to record patient data in the emergency department (ED).
A national survey was distributed to Canadian EPs and residents between 27/02/17 and 23/03/17. This captured demographics, frequency, and purpose of personal mobile device use to record patient data in the ED. It also asked about obtaining consent, security of information, implications for patient care, and knowledge of relevant regulations.
The response rate was 23.1% (406 participants). A third (31.5%) reported using personal mobile devices to record patient data. Most (78.1%) did so more than once a month, and 7.0% did so every shift. Reasons cited included beliefs that using personal mobile devices to record patient data improves care by consultants (36.7%), expedites care (31.3%), and advances medical education (32.8%). Consent was rarely or never documented and a minority of participants (10.9%) indicated they did not obtain consent. More than half of participants (53.2%) reported being unaware of applicable regulations.
This is the first Canadian study on the use of personal mobile devices to record patient data in the ED. Our findings demonstrate current practice may risk privacy breaches. Personal mobile device use to record patient data in the ED is common and Canadian EPs and residents believe that this practice enhances patient care.
使用个人移动设备记录患者数据的情况似乎在增加,但相关研究仍较少。我们试图确定加拿大急诊医生(EPs)和急诊医学住院医师在急诊科(ED)使用个人移动设备记录患者数据的程度及原因。
在2017年2月27日至2017年3月23日期间,对加拿大的急诊医生和住院医师进行了一项全国性调查。该调查涵盖了使用个人移动设备在急诊科记录患者数据的人口统计学信息、频率和目的。还询问了获取同意的情况、信息安全性、对患者护理的影响以及对相关法规的了解。
回复率为23.1%(406名参与者)。三分之一(31.5%)的人报告使用个人移动设备记录患者数据。大多数人(78.1%)每月这样做不止一次,7.0%的人每次轮班都这样做。提及的原因包括认为使用个人移动设备记录患者数据可改善会诊医生的护理(36.7%)、加快护理速度(31.3%)以及促进医学教育(32.8%)。很少或从未记录过同意情况,少数参与者(10.9%)表示他们没有获得同意。超过一半的参与者(53.2%)报告称不知道适用的法规。
这是加拿大第一项关于在急诊科使用个人移动设备记录患者数据的研究。我们的研究结果表明,当前的做法可能存在隐私泄露风险。在急诊科使用个人移动设备记录患者数据很常见,加拿大的急诊医生和住院医师认为这种做法能提高患者护理水平。