Meier Nickolas, Little Andrew, Morales-Yurik Teresita, Arehart Brandon
Emergency Medicine, OhioHealth Doctors Hospital, Columbus, USA.
Emergency Medicine, Adventhealth East Orlando, Orlando, USA.
Cureus. 2022 Apr 27;14(4):e24523. doi: 10.7759/cureus.24523. eCollection 2022 Apr.
Despite the possible benefits of provider-recorded visit summaries for patient use, the utilization of such recordings has yet to be adopted as standard care in most specialities. The objective of this study was to investigate the perspectives of emergency department (ED) providers regarding the utilization of audio or video recordings during ED patient encounters, particularly during discharge conversations.
This study utilized an eight-question survey pooling the opinions of various emergency medicine nurses, advanced practitioners, residents, and physicians within a local Ohio hospital system. Providers from multiple healthcare centers were studied. Study data were collected using an anonymous online survey database. Results: Fifty-seven providers were surveyed. Twenty (35%) agreed that patients had the right to record medical conversations, and 36 (63%) cited potential legal liability as their reason for hesitation. Twenty-five providers (43.9%) answered that no video or audio recordings should be provided at discharge. There was no significant difference in secondary outcomes comparing between demographic categories of age, sex, and practice facility type (p>0.05). Conclusion: Providers who responded to this survey did not feel comfortable being recorded during any portion of their patient encounter, even when providing discharge instructions. Our study showed that there is at least some hesitation on behalf of ED providers based on fear of legal retaliation or violation of HIPPA. However, more research in this area is necessary for recordings to become the standard of care during ED encounters.
尽管医护人员记录的就诊总结可能对患者有用，但在大多数专科中，这种记录的使用尚未成为标准护理措施。本研究的目的是调查急诊科医护人员对于在急诊科患者诊疗过程中，尤其是在出院谈话期间使用音频或视频记录的看法。
本研究采用了一项包含八个问题的调查问卷，汇总了俄亥俄州当地医院系统内各种急诊科护士、高级执业医师、住院医师和医生的意见。研究了来自多个医疗中心的医护人员。研究数据通过匿名在线调查数据库收集。结果：共调查了57名医护人员。20人（35%）同意患者有权记录医疗谈话，36人（63%）表示犹豫的原因是潜在的法律责任。25名医护人员（43.9%）回答在出院时不应提供视频或音频记录。在年龄、性别和执业机构类型等人口统计学类别之间比较次要结果时，没有显著差异（p>0.05）。结论：参与本次调查的医护人员在患者诊疗的任何阶段，即使是在提供出院指导时，都不愿意被录音。我们的研究表明，急诊科医护人员至少存在一些犹豫，原因是担心法律报复或违反《健康保险流通与责任法案》（HIPPA）。然而，要使记录成为急诊科诊疗过程中的护理标准，还需要在该领域进行更多研究。
