手术室记录的伦理法律考量：系统性回顾
Ethical and Legal Considerations for Recording in the Operating Room: A Systematic Review.
机构信息
Vanderbilt University School of Medicine, Nashville, Tennessee; Surgical Ethics Program, VUMC Center for Biomedical Ethics and Society, Nashville, Tennessee.
Vanderbilt University School of Medicine, Nashville, Tennessee; Surgical Ethics Program, VUMC Center for Biomedical Ethics and Society, Nashville, Tennessee; Department of Otolaryngology - Head and Neck Surgery, Vanderbilt University Medical Center, Nashville, Tennessee.
出版信息
J Surg Res. 2023 Aug;288:118-133. doi: 10.1016/j.jss.2023.02.017. Epub 2023 Mar 23.
INTRODUCTION
The integration of high-resolution video into surgical practice has fostered widespread interest in capturing surgical video recordings for the purposes of patient care, medical training, quality improvement, and documentation. The capture, analysis, and storing of such recordings inherently impact operating room (OR) activities and introduce potential harms to patients as well as members of the surgical team, which can be analyzed from both ethical and legal perspectives.
METHODS
Following Preferred Reporting Items for Systematic Reviews and Meta Analyses (PRISMA) guidelines, a systematic literature search of PubMed was conducted. The citations of included articles were then reviewed to find any articles not captured by our initial search.
RESULTS
62 Articles were included in the review (52 from PubMed search and 10 from citation review). Prevalent key issues in the literature at present include privacy, consent, ownership, legal use and discoverability, editing, data security, and recording's impact on the surgical team.
CONCLUSIONS
This review aims to spark proactive discussions of the ethical and legal implications of recording in the OR, which will guide transformation as the medical field adapts to new and innovative technologies without compromising its ideals or patient care.
简介
将高分辨率视频融入手术实践中，激发了人们广泛的兴趣，希望将手术视频记录用于患者护理、医学培训、质量改进和记录保存。此类记录的捕获、分析和存储会对手术室（OR）活动产生内在影响，并给患者和手术团队成员带来潜在危害，可从伦理和法律角度进行分析。
方法
根据系统评价和荟萃分析的首选报告项目（PRISMA）指南，对 PubMed 进行了系统文献检索。然后，审查纳入文章的参考文献，以找到我们最初搜索未捕获的任何文章。
结果
综述共纳入 62 篇文章（52 篇来自 PubMed 搜索，10 篇来自参考文献审查）。目前文献中的普遍关键问题包括隐私、同意、所有权、合法使用和可发现性、编辑、数据安全以及记录对手术团队的影响。
结论
本综述旨在引发对 OR 记录的伦理和法律影响的积极讨论，这将指导医学领域在不损害其理想或患者护理的情况下适应新的创新技术的变革。
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