Chandawarkar Rajiv, Nadkarni Prakash
Department of Plastic Surgery, Ohio State University Wexner Medical Center, Columbus, OH, USA.
College of Nursing, University of Iowa, Iowa City, IA, USA.
Arch Plast Surg. 2021 May;48(3):295-304. doi: 10.5999/aps.2021.00262. Epub 2021 May 15.
Clinical photography is an essential component of patient care in plastic surgery. The use of unsecured smartphone cameras, digital cameras, social media, instant messaging, and commercially available cloud-based storage devices threatens patients' data safety. This paper Identifies potential risks of clinical photography and heightens awareness of safe clinical photography. Specifically, we evaluated existing risk-mitigation strategies globally, comparing them to industry standards in similar settings, and formulated a framework for developing a risk-mitigation plan for avoiding data breaches by identifying the safest methods of picture taking, transfer to storage, retrieval, and use, both within and outside the organization. Since threats evolve constantly, the framework must evolve too. Based on a literature search of both PubMed and the web (via Google) with key phrases and child terms (for PubMed), the risks and consequences of data breaches in individual processes in clinical photography are identified. Current clinical-photography practices are described. Lastly, we evaluate current risk mitigation strategies for clinical photography by examining guidelines from professional organizations, governmental agencies, and non-healthcare industries. Combining lessons learned from the steps above into a comprehensive framework that could contribute to national/international guidelines on safe clinical photography, we provide recommendations for best practice guidelines. It is imperative that best practice guidelines for the simple, safe, and secure capture, transfer, storage, and retrieval of clinical photographs be co-developed through cooperative efforts between providers, hospital administrators, clinical informaticians, IT governance structures, and national professional organizations. This would significantly safeguard patient data security and provide the privacy that patients deserve and expect.
临床摄影是整形外科患者护理的重要组成部分。使用未加密的智能手机摄像头、数码相机、社交媒体、即时通讯工具以及市售的基于云的存储设备会威胁患者的数据安全。本文识别了临床摄影的潜在风险，并提高了对安全临床摄影的认识。具体而言，我们评估了全球现有的风险缓解策略，并将其与类似环境中的行业标准进行比较，通过确定组织内外拍摄、传输到存储、检索和使用图片的最安全方法，制定了一个避免数据泄露的风险缓解计划框架。由于威胁不断演变，该框架也必须不断发展。通过对PubMed和网络（通过谷歌）进行文献检索，使用关键词和子术语（针对PubMed），识别了临床摄影各个过程中数据泄露的风险和后果。描述了当前的临床摄影实践。最后，我们通过研究专业组织、政府机构和非医疗行业的指南，评估了当前临床摄影的风险缓解策略。我们将上述步骤中吸取的经验教训整合到一个有助于制定国家/国际安全临床摄影指南的综合框架中，提供了最佳实践指南的建议。必须通过提供者、医院管理人员、临床信息专家、IT治理结构和国家专业组织之间的合作，共同制定关于临床照片简单、安全和可靠的拍摄、传输、存储和检索的最佳实践指南。这将显著保障患者数据安全，并提供患者应得和期望的隐私。
