对病理学报告的开放访问:潜在的危害和建议的解决方案
Alex P Tannenbaum1, Paul S Weisman1, Thomas D Harter2
1Department of Pathology and Laboratory Medicine, University of Wisconsin-Madison School of Medicine and Public Health, Madison, WI, USA.
Journal of communication in healthcare
|February 14, 2025
概括
治愈规则允许立即访问健康记录,但将其应用于病理学报告可能会导致患者的痛苦和损害关系. 建议采取降低危害的策略,以改善患者的护理.
科学领域:
- 医疗信息学 医疗信息学
- 患者对记录的访问权限
- 病理学报告 病理学报告
背景情况:
- "治愈规则"要求患者立即获得健康信息.
- 开放笔记为临床进展笔记提供了好处.
- 将此扩展到病理学报告中可能会带来风险.
研究的目的:
- 根据"治愈规则" (Cures Rule) 审查立即访问病理学报告的潜在危害.
- 确定对患者和医疗保健提供者的后果.
- 提出危害减轻策略的建议.
主要方法:
- 基于患者和提供者经验的假设病例分析.
- 探索涉及误解诊断和偶然癌症发现的场景.
- 对潜在的患者和提供者结果的审查.
主要成果:
- 潜在的危害包括患者的困惑,增加的痛苦,以及损害患者与提供者关系.
- 提供者可能因意外发现而遭受道德伤害.
- 立即访问敏感的病理学结果可能会导致不良事件.
结论:
- 立即访问病理学报告需要仔细考虑,因为潜在的危害.
- 建议采用降低伤害的策略,如知情发布,延迟访问和警告.
- 缓解策略旨在平衡透明度与患者安全和福祉.
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