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在日益数字化的世界中确保手术安全:互联网是敌是友?

Making surgery safer in an increasingly digital world: the internet-friend or foe?

机构信息

Department of Urology, AZ Groeninge Hospital, Kortrijk, Belgium.

Department of Urology, Eastern Health, Box Hill, VIC, Australia.

出版信息

World J Urol. 2020 Jun;38(6):1391-1395. doi: 10.1007/s00345-020-03145-8. Epub 2020 Apr 8.

Abstract

PURPOSE

The internet has resulted in huge efficiency gains in health care, the ability to deal with massive data accumulation and better manage patient data. However, potential and real pitfalls exist, including breeches in security of data and patient confidentiality, data storage issues, errors, and user interface issues.

METHODS

A MEDLINE review was performed using MeSH terms "health care" and "information technology." Cross-referencing was used to explore the different opportunities and challenges the internet has to offer.

RESULTS

As health professionals, we are fast adopting technologies at our fingertips, such as WhatsApp and video capabilities, into our clinical practice to increase productivity and improve patient care. However, the potential security breaches are significant for the health professional and health service. Further, electronic medical records have theoretical advantages to improve patient care, reduce medication errors, and expedite referrals. The downside is a less personalized approach to patient care, as well as the potential for these systems to be even more cumbersome. In regard to the acquisition of knowledge, there is no doubt the internet is our friend. Health care professionals as well as patients have unlimited resources for learning, including podcasts videos, apps, simulators, and wearable devices. Unfortunately, this comes with a risk of misinformation and poorly referenced data with little to no regulation of content.

CONCLUSION

In this increasing digital world, it is our task as health care providers to embrace these new technologies but develop guidelines and control systems to minimize the pitfalls.

摘要

目的

互联网在医疗保健领域带来了巨大的效率提升,能够处理大量数据积累并更好地管理患者数据。然而,也存在潜在和实际的陷阱,包括数据和患者隐私的安全漏洞、数据存储问题、错误以及用户界面问题。

方法

使用 MeSH 术语“医疗保健”和“信息技术”进行 MEDLINE 综述。交叉引用用于探索互联网提供的不同机会和挑战。

结果

作为医疗保健专业人员,我们正在迅速将指尖上的技术(如 WhatsApp 和视频功能)应用于临床实践,以提高生产力并改善患者护理。然而,潜在的安全漏洞对医疗保健专业人员和医疗服务来说是重大的。此外,电子病历在改善患者护理、减少用药错误和加快转诊方面具有理论优势。缺点是对患者护理的个性化方法减少,以及这些系统可能更加繁琐。在获取知识方面,毫无疑问,互联网是我们的朋友。医疗保健专业人员和患者都有无尽的学习资源,包括播客视频、应用程序、模拟器和可穿戴设备。不幸的是,这伴随着错误信息和引用数据不佳的风险,而且几乎没有内容监管。

结论

在这个日益数字化的世界中,作为医疗保健提供者,我们的任务是接受这些新技术,但要制定指导方针和控制系统,以最小化陷阱。

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