从新冠疫情到患者安全:远程医疗的新“春天”还是回旋镖效应?
From COVID-19 Pandemic to Patient Safety: A New "Spring" for Telemedicine or a Boomerang Effect?
作者信息
De Micco Francesco, Fineschi Vittorio, Banfi Giuseppe, Frati Paola, Oliva Antonio, Travaini Guido Vittorio, Picozzi Mario, Curcio Giuseppe, Pecchia Leandro, Petitti Tommasangelo, Alloni Rossana, Rosati Enrico, De Benedictis Anna, Tambone Vittoradolfo
机构信息
Bioethics and Humanities Research Unit, Campus Bio-Medico University of Rome, Rome, Italy.
Department of Anatomical, Histological, Forensic and Orthopaedic Sciences (SAIMLAL), Sapienza University of Rome, Rome, Italy.
出版信息
Front Med (Lausanne). 2022 Jun 15;9:901788. doi: 10.3389/fmed.2022.901788. eCollection 2022.
During the Covid-19 health emergency, telemedicine was an essential asset through which health systems strengthened their response during the critical phase of the pandemic. According to the post-pandemic economic reform plans of many countries, telemedicine will not be limited to a tool for responding to an emergency condition but it will become a structural resource that will contribute to the reorganization of Healthcare Systems and enable the transfer of part of health care from the hospital to the home-based care. However, scientific evidences have shown that health care delivered through telemedicine can be burdened by numerous ethical and legal issues. Although there is an emerging discussion on patient safety issues related to the use of telemedicine, there is a lack of reseraches specifically designed to investigate patient safety. On the contrary, it would be necessary to determine standards and specific application rules in order to ensure safety. This paper examines the telemedicine-risk profiles and proposes a position statement for clinical risk management to support continuous improvement in the safety of health care delivered through telemedicine.
在新冠疫情卫生紧急状态期间,远程医疗是一项重要资产,借助它卫生系统在疫情关键阶段加强了应对措施。根据许多国家的疫情后经济改革计划,远程医疗将不仅限于应对紧急状况的工具,而是会成为一种结构性资源,有助于医疗保健系统的重组,并使部分医疗服务从医院转向居家护理。然而,科学证据表明,通过远程医疗提供的医疗服务可能会受到众多伦理和法律问题的困扰。尽管关于远程医疗使用相关的患者安全问题正在展开讨论,但专门针对调查患者安全的研究却很缺乏。相反,有必要确定标准和具体应用规则以确保安全。本文审视了远程医疗的风险概况,并提出一份临床风险管理立场声明,以支持通过远程医疗提供的医疗服务安全性的持续改进。
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