【万物流动,万物静止——数字时代的麻醉学和重症监护医学】。

Raimund Huf, Nicolai Andrees, Simone Kagerbauer
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引用次数: 0

摘要

麻醉学和重症监护医学是创新的专业领域,主要利用数字文档的优势。然而,要充分利用数字时代的潜力,需要的不仅仅是将纸质文件转换为数字格式。德国的医疗体系需要迎头赶上;推动数字化发展需要的不仅仅是资金。所有相关人员适应新环境的意愿至关重要——这一过程被称为“数字化转型”。医学数字化转型的驱动力是对个性化治疗、技术进步以及医生和患者之间共同决策的需求。然而,人类应该占据医学的中心舞台;技术只是达到目的的一种手段。随着数据驱动的研究变得越来越重要,FAIR原则必须适用于常规数据,就像它在研究中传播一样:数据必须是可查找的、可访问的、可互操作的和可重用的。利用高质量的数据库、决策支持和预警系统可以开发早期识别和预防并发症。远程重症监护是数字化转型的具体体现。COVID-19大流行为其成为标准治疗铺平了道路。数字技术在教育和培训领域越来越受欢迎。虚拟和增强现实应用程序为实习医生和经验丰富的团队提供了逼真的培训场景。在未来,扩展基础设施和促进所有医疗保健领域之间的数据交换至关重要。应用程序必须可靠和安全,因为网络犯罪对我们的医院构成了严重威胁,因此保持警惕的IT部门和IT安全教育至关重要。总之,如果实施得当并让所有利益相关者都参与进来,数字化可以使患者护理更安全、更好。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Everything flows, nothing stands still-Anesthesiology and intensive care medicine in the digital age].

Anaesthesiology and intensive care medicine are innovative specialist areas that mainly use the advantages of digital documentation. However, to exploit the full potential of the digital age, more than conversion of paper-based documentation into digital formats is required. The German healthcare system needs to catch up; more than money is required to drive digitalisation forward. The willingness of all those involved to adapt to new circumstances is essential-a process known as 'digital transformation'.The drivers of digital transformation in medicine are the need for personalised therapies, technological advances, and shared decision-making between physicians and patients. However, humans should take centre stage in medicine; technology is only a means to an end.As data-driven research is becoming increasingly important, the FAIR principles must apply to routine data in the same way as it is propagated for research: Data must be findable, accessible, interoperable and reusable. Utilising high-quality databases, decision support, and warning systems can be developed for early recognition and prevention of complications.Teleintensive care is a concrete expression of digital transformation. The COVID-19 pandemic paved the way for it to become standard care.Digital technologies in education and training are becoming increasingly popular. Virtual and augmented reality applications enable realistic training scenarios for trainee physicians and experienced teams.In the future, expanding the infrastructure and facilitating data exchange between all healthcare areas is essential. Applications must be reliable and secure, as cybercrime poses a severe threat to our hospitals, making vigilant IT departments and education in IT security crucial. In summary, digitalisation can make patient care safer and better if implemented correctly and involving all stakeholders.

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