Department of Trauma and Orthopaedics, St Georges University Hospitals NHS Foundation Trust, London, UK.
Br J Hosp Med (Lond). 2020 Jun 2;81(6):1-8. doi: 10.12968/hmed.2020.0139. Epub 2020 Jun 8.
Open fractures incur significant morbidity and mortality, and as such have standardised guidelines for their management. Photography of open fractures is an essential component of documentation in the treatment of open fractures as per the British Orthopaedic Association Standards of Trauma and National Institute for Health and Care Excellence guidelines. Smartphones have made photography easily accessible to the clinician, but serious concerns exist regarding data security and the consent process around the use of sensitive clinical images. This project sought to overcome this issue by developing a Caldicott-compliant hospital imaging protocol that allows clinicians to use their smartphone to upload open fracture images into the patient's permanent record. Implementation of the protocol was audited and resulted in the increase of safe and secure open fracture photographic storage to inpatient medical records. This protocol would be transferrable to other hospital trusts and could be adopted across major trauma networks.
开放性骨折会导致严重的发病率和死亡率，因此，其治疗有标准化的指南。按照英国矫形协会创伤标准和国家卫生与保健卓越研究所指南，开放性骨折的摄影是治疗开放性骨折记录文档的重要组成部分。智能手机使临床医生能够轻松拍摄照片，但在使用敏感临床图像的过程中，严重关切数据安全和同意问题。该项目旨在通过开发符合卡迪科特原则的医院成像协议来解决这个问题，该协议允许临床医生使用他们的智能手机将开放性骨折图像上传到患者的永久记录中。该协议的实施情况经过审核，结果是将安全的开放性骨折摄影存储增加到住院病历中。该协议可推广至其他医院信托，并可在重大创伤网络中采用。
