电子健康记录:在医疗保健服务中值得冒险吗?

V. Raposo
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引用次数: 27

摘要

电子健康记录代表了医疗保健服务的一个重大变化,无论是对卫生专业人员和卫生机构,还是对患者。在这篇文章中,我们将主要集中在其对患者安全和医疗责任的后果。在这一特定领域,电子健康记录具有双重作用:一方面,防止医疗差错,从这个意义上说,促进患者安全和保护医生免受诉讼;但是,另一方面,如果使用不当,它也可能产生其他类型的错误,潜在地威胁到患者的安全,从而增加了医生承担法律责任的风险。本文着重介绍了电子健康档案在使用过程中可能出现的主要人为错误、技术错误和医疗错误,以及克服这些错误的方法,并说明了电子健康档案在司法程序中如何在法庭上使用。
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Electronic health records: Is it a risk worth taking in healthcare delivery?
The electronic health record represents a major change in healthcare delivery, either for health professionals and health institutions, either for patients. In this essay we will mainly focus on its consequences regarding patient safety and medical liability. In this particular domain the electronic health record has dual effects: on one side prevents medical errors and, in this sense, promotes patient safety and protects the doctor from lawsuits; but, on the other side, when not used properly, it may also generate other kind of errors, potentially threatening patient safety and, therefore, increasing the risk of juridical liability for the physician. This paper intends to underline the main human errors, technologic mistakes and medical faults that may occur while using the electronic health record and the ways to overcome them, also explaining how the electronic health record may be used in court during a judicial proceeding.
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