在神经外科病例中检查电子同意的引入:了解实施障碍
Daniele S C Ramsay1, Virensinh Rathod2, Sami Rashed3
1Department of Medicine, Imperial College London, London, UK; Imperial Brain and Spine Initiative, London, UK; Department of Neurosurgery, Charing Cross Hospital, London, UK.
World neurosurgery
|August 14, 2024
概括
在神经外科手术中,电子同意 (e-consent) 显示了改善知情同意 (IC) 和减少临床医生的时间的前景. 然而,在紧急设置和模板定制方面,实施受到挑战的限制.
科学领域:
- 神经外科 神经外科
- 医疗信息学 医疗信息学
- 患者沟通 患者沟通
背景情况:
- 知情同意 (IC) 对于患者在医疗程序中的自主性至关重要.
- 电子同意 (e-consent) 为传统的基于纸张的IC提供了一个数字替代方案.
- 之前的研究表明,电子同意可以提高患者的理解,并简化IC过程.
研究的目的:
- 评估目前神经外科实践中电子同意的采用率.
- 确定阻碍在神经外科广泛实施电子同意的障碍.
- 评估临床医生的经验和对电子同意的看法.
主要方法:
- 从两个神经外科中心的程序和同意数据进行了为期六个月的比较分析.
- 在选择性与紧急神经外科手术过程中评估电子同意使用趋势.
- 临床医生调查以收集有关电子同意实施和感知障碍的反.
主要成果:
- 在55.6%的神经外科手术中使用电子同意,在创伤病例中使用率较低 (38.38%).
- 临床医生调查显示,50%的强烈同意电子同意减少了IC时间.
- 关键障碍包括紧急情况下的表格复杂性和无法定制电子同意模板.
结论:
- 电子同意对神经外科知情同意有好处,包括时间效率.
- 由于实际的挑战,有限的采用仍然存在,特别是在紧急和创伤场景中.
- 提高模板的灵活性和用户友好性对于更广泛的电子同意实施至关重要.
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