临床护理中的电子同意书:一项国际范围审查。

IF 4.1 Q1 HEALTH CARE SCIENCES & SERVICES
Susan Chimonas, Allison Lipitz-Snyderman, Konstantina Matsoukas, Gilad Kuperman
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引用次数: 1

摘要

目的:数字技术为改善临床护理中的同意程序创造了机会。然而,在临床环境中,从纸质同意转变为电子同意或电子同意的流行率、特征或结果知之甚少。因此,电子响应对效率、数据完整性、用户体验、护理获取、公平性和质量的影响仍然存在问题。我们的目标是研究这一关键主题的所有已知发现。材料和方法:通过一项国际、系统的范围界定审查,我们确定并评估了学术和灰色文献中关于临床电子响应的所有已发表研究结果,包括对远程医疗会面、程序和健康信息交流的同意。从每一份相关出版物中,我们提取了关于研究设计、测量、发现和其他研究特征的数据。主要结果指标:描述或评估临床电子就诊的指标,包括对纸质就诊与电子就诊的偏好;效率(如时间、工作量)和有效性(如数据完整性、护理质量)。在可用的情况下捕获用户特征。结果:自2005年以来,共发表了25篇文章,其中大部分来自北美或欧洲,报道了电子对抗在外科、肿瘤学和其他临床环境中的应用。实验设计和其他研究特点各不相同,但几乎都集中在程序性电子反应上。Synthesis揭示了关于提高效率和数据完整性以及用户对电子响应的偏好的相对一致的发现。获得护理和质量问题的探讨频率较低,研究结果各不相同。讨论和结论:文献尚处于萌芽阶段,主要集中在直接和直接衡量的问题上。随着虚拟护理途径的扩大,迫切需要进行更多的研究,以确保电子响应提高护理质量和获得护理的机会,而不是损害护理质量和机会。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Electronic consent in clinical care: an international scoping review.

Electronic consent in clinical care: an international scoping review.

Objective: Digital technologies create opportunities for improvement of consenting processes in clinical care. Yet little is known about the prevalence, characteristics or outcomes of shifting from paper to electronic consenting, or e-consent, in clinical settings. Thus questions remain around e-consent's impact on efficiency, data integrity, user experience, care access, equity and quality. Our objective was to scope all known findings on this critical topic.

Materials and methods: Through an international, systematic scoping review, we identified and assessed all published findings on clinical e-consent in the scholarly and grey literatures, including consents for telehealth encounters, procedures and health information exchanges. From each relevant publication, we abstracted data on study design, measures, findings and other study features.

Main outcome measures: Metrics describing or evaluating clinical e-consent, including preferences for paper versus e-consenting; efficiency (eg, time, workload) and effectiveness (eg, data integrity, care quality). User characteristics were captured where available.

Results: A total of 25 articles published since 2005, most from North America or Europe, report on the deployment of e-consent in surgery, oncology and other clinical settings. Experimental designs and other study characteristics vary, but nearly all focus on procedural e-consents. Synthesis reveals relatively consistent findings around improved efficiency and data integrity with, and user preferences for, e-consent. Care access and quality issues are less frequently explored, with disparate findings.

Discussion and conclusion: The literature is nascent and largely focused on issues that are immediate and straightforward to measure. As virtual care pathways expand, more research is urgently needed to ensure that care quality and access are advanced, not compromised, by e-consent.

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来源期刊
CiteScore
6.10
自引率
4.90%
发文量
40
审稿时长
18 weeks
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