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记录精神病患者信息的最佳方法是什么?我真的不知道——电子病历时代记录精神病患者病历的定性研究。

"What's the best way to document information concerning psychiatric patients? I just don't know"-A qualitative study about recording psychiatric patients notes in the era of electronic health records.

机构信息

Institute of Biomedical Ethics, University of Basel, Basel, Switzerland.

Unit of Health Law & Humanitarian Medicine at the Institute for Legal Medicine, University of Geneva, Geneva, Switzerland.

出版信息

PLoS One. 2022 Mar 3;17(3):e0264255. doi: 10.1371/journal.pone.0264255. eCollection 2022.

Abstract

This paper reports the results of a qualitative study regarding the main attitudes and concerns of Swiss psychiatrists related to the utility, usability and acceptability of EHR and how they address the pitfalls of sharing sensitive information with other parties. A total of 20 semi-structured interviews were carried out. Applied thematic analysis was used to identify themes with regard to participation. Three main themes were identified: 1) strengths of the use of EHR in the clinical context; 2) limitations of EHR; and 3) recommendations on preserving confidentiality in health records. The study shows variable practices of EHR use in psychiatric hospitals in Switzerland and a lack of standards on how to document sensitive information in EHR.

摘要

本文报告了一项定性研究的结果,该研究涉及瑞士精神科医生对电子健康记录的实用性、可用性和可接受性的主要态度和关注点,以及他们如何解决与其他方共享敏感信息的陷阱。共进行了 20 次半结构化访谈。应用主题分析来确定与参与相关的主题。确定了三个主要主题:1)在临床环境中使用电子健康记录的优势;2)电子健康记录的局限性;3)关于保护健康记录中机密性的建议。该研究表明,瑞士精神病院电子健康记录的使用实践存在差异,并且缺乏关于如何在电子健康记录中记录敏感信息的标准。

相似文献

本文引用的文献

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Safeguarding Confidentiality in Electronic Health Records.保护电子健康记录中的机密性。
Camb Q Healthc Ethics. 2017 Apr;26(2):337-341. doi: 10.1017/S0963180116000931.
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Switzerland: Health System Review.瑞士:卫生系统评估
Health Syst Transit. 2015;17(4):1-288, xix.

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