适当地将运输护理单位与医院间运输护理患者相匹配:实施研究
Shirin Hasavari1, Pouyan Esmaeilzadeh2
1Department of Information Science & Systems, Graves School of Business & Management, Morgan State University, Baltimore, MD, United States.
JMIR formative research
|November 14, 2024
概括
这项研究介绍了ITC-InfoChain,这是一个区块链平台,通过实现安全的患者数据共享来增强设施间运输护理. 它提高了救护车响应的准确性和患者护理协调.
科学领域:
- 医疗信息学 医疗信息学
- 区块链技术 区块链技术
- 紧急医疗服务 紧急医疗服务
背景情况:
- 由于对基本患者数据的访问有限,医疗机构间的运输护理面临着将救护车响应水平与患者需求相匹配的挑战.
- 由于隐私和互操作性问题,现有系统难以将电子健康记录 (EHR) 数据集成到运输请求中.
- 介绍了设施间运输护理 (ITC) -InfoChain平台,以解决这些局限性,通过实现安全的数据共享而不会损害EHR安全或患者隐私.
研究的目的:
- 详细介绍ITC-InfoChain的实施,ITC-InfoChain是一个安全的,基于区块链的平台.
- 展示用于设施间运输的增强实时数据共享能力.
- 确保在整个过程中保持数据隐私和EHR安全性.
主要方法:
- 在亚马逊网络服务上使用Hyperledger Fabric (一种许可区块链) 实现ITC-InfoChain原型.
- 开发参与者注册,身份管理和孤立患者数据收集,独立于发送医院的电子病历.
- 将患者数据加密提交到分布式分类账,通过PatienTrack网络应用程序通过接收设施和紧急医疗服务 (EMS) 团队访问.
主要成果:
- ITC-InfoChain平台展示了强大的性能和可扩展性.
- 平均数据交易时间为3.1秒 (1-20次交易) 和6.4秒 (100次交易),以优化为400次交易的1.8-1.9秒.
- 该平台证实了其对高交易量的能力,支持及时,实时的数据访问以进行关键决策.
结论:
- 通过确保数据隐私,完整性和实时共享,ITC-InfoChain平台有效地解决了将适当的运输单元与患者需求相匹配的挑战.
- 该平台的成功表明了区域试点和在安全医疗保健系统中更广泛采用的潜力.
- 由于区块链不熟悉和隐私问题,利益相关方的抵抗需要针对性的教育和参与,以实现未来的实施.
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