与同步远程医疗相关的患者安全风险:范围审查
Juliana Salomão Rocha de Oliveira1, Rafael Saad Fernandez1, Mônica Rossatti Molina1
1Departament of Philanthropy, Hospital BP - A Beneficência Portuguesa de São Paulo, São Paulo, Brazil.
PloS one
|December 16, 2025
概括
同步远程医疗带来了患者安全风险,主要涉及患者体验,药物安全,沟通,培训和识别. 解决这些问题需要对教育进行战略性投资,并有结构地实施以提高安全性.
科学领域:
- 数字健康数字健康
- 医疗保健技术 技术 医疗保健 技术
- 患者安全 患者安全
背景情况:
- 同步远程医疗,利用实时信息和通信技术 (ICT),提供了替代的医疗保健提供模式.
- 然而,与这些虚拟互动相关的潜在患者安全风险需要彻底调查.
研究的目的:
- 进行范围审查,分析同步远程医疗固有的患者安全风险.
- 识别和分类关于这个主题的现有系统审查中报告的主要问题.
主要方法:
- 进行了全面的范围审查,搜索了三个主要数据库 (Medline,Embase,Cochrane) 到2024年9月4日.
- 包括实时远程医疗互动中检查患者安全问题的系统审查,遵循乔安娜·布里格斯研究所的方法.
主要成果:
- 包括15项系统性审查,综合了315项研究. 所有已确定的患者安全风险.
- 最常见的担忧是患者体验 (53.3%),其次是用户知识差距和缺乏安全标准.
- 确定的风险领域包括:患者体验,药物安全,沟通,培训和患者识别.
结论:
- 同步远程医疗虽然有益,但存在特定的患者安全风险,需要集中注意力和缓解策略.
- 进一步的研究对于更深入地了解和有效管理这些风险至关重要.
- 对教育,培训和结构化实施的战略投资对于尽量减少不良事件和提高远程医疗中的患者安全至关重要.
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