[1]李玉娇 王萍.电子病历中的患者信息安全研究[J].中国卫生质量管理,2019,26(05):068-70.[doi:10.13912/j.cnki.chqm.2019.26.5.20]
点击复制

电子病历中的患者信息安全研究
分享到:

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

卷:
第26卷
期数:
2019年05期
页码:
068-70
栏目:
患者安全
出版日期:
2019-09-28

文章信息/Info

作者:
李玉娇 王萍
哈尔滨医科大学人文社会科学学院
关键词:
电子病历患者信息信息安全保护
Keywords:
Electronic Medical RecordPatient Information Information Security Protection
DOI:
10.13912/j.cnki.chqm.2019.26.5.20
摘要:
介绍了电子病历中患者信息安全面临的多种挑战,包括电子病历系统的软硬件支持,使用者的操作技能,网络环境,科研数据泄露以及法律法规制度等。针对以上挑战,提出了如下解决对策:多种方式存储并用,加强医务人员培训,加大网络安全保护投入,注重科研数据保护,完善行政法律法规等。只有做好患者信息安全保护,才能维护电子病历系统健康发展,进而促进健康医疗大数据推广,更好地保障患者安全。
Abstract:
There are many challenges to patient information security in electronic medical records, which come from the software and hardware support of electronic medical records system, the lack of professional ethics and operational skills of users, the insecurity of network environment, the leakage of scientific research data and the lack of legal protection and related accountability etc. In view of the above challenges, relevant solutions were put forward:storage through variety of ways, strengthening medical training, increasing network security protection investment, paying special attention to the protection of scientific research data and improving administrative laws and regulations.Only by doing a good job in patient information security protection, can it be conducive to maintaining the healthy development of electronic medical record system, thus promoting the promotion of health and medical big data, and better ensuring the safety of patients.

参考文献/References:

[1]孙佳佳,刘继兰.电子病历法律效力问题初探[J].医院管理论坛,2008(9):16-19. [2]Feng Chang RPh Pharm D,Nishi Gupta RPh.Progress in electronic medical record adoption in Canada[J].Healthcare Provider Models,2015,61:1076-1084. [3]曹振.美国的“医生病历记录共享”系统[J].祝您健康,2017(3):58. [4]王红迁,汪鹏,王飞,等.保障医疗大数据安全及其实践[J].医学信息学,2017,38(12):43-47. [5]Hamdan O. Alanazi,Hamid A. Jalab,Gazi Mahabubul Alam,et al.Securing electronic medical records transmissions over unsecured communications: An overview for better medical governance[J].Journal of Medicinal Plants Research,2010,10(19):2059-2073. [6]Katherine Tucker,Janice Branson,Maria Dilleen,et al.Protecting patient privacy when sharing patient-level data from clinical trials[J].BMC Medical Research Methodology,2016(16):6-14. [7]吴行飞.中小型商业银行数据脱敏研究以东营银行为例[D].济南:山东大学,2016:5.Measuring safety climate in health care[J]. BMJ Quality & Safety, 2006, 15(2): 109-115. [7]Sexton J B, Helmreich R L, Neilands T B, et al. The Safety Attitudes Questionnaire: psychometric properties, benchmarking data, and emerging research[J]. BMC Health Services Research, 2006, 6(1): 44. [8]Sorra J S, Dyer N. Multilevel psychometric properties of the AHRQ hospital survey on patient safety culture[J]. BMC Health Services Research, 2010, 10(1): 199. [9]Singer S, Lin S, Falwell A, et al. Relationship of safety climate and safety performance in hospitals[J]. Health Services Research, 2009, 44(2p1): 399-421. [10]Morey J C, Simon R, Jay G D, et al. Error reduction and performance improvement in the emergency department through formal teamwork training: evaluation results of the MedTeams project[J]. Health Services Research, 2002, 37(6): 1553-1581. [11]Singer S J, Gaba D M, Geppert J J, et al. The culture of safety: results of an organization-wide survey in 15 California hospitals[J]. BMJ Quality & Safety, 2003, 12(2): 112-118. [12]Singer S J, Gaba D M, Falwell A, et al. Patient safety climate in 92 US hospitals: differences by work area and discipline[J]. Medical Care, 2009, 47(1): 23-31. [13]Sexton J B, Berenholtz S M, Goeschel C A, et al. Assessing and improving safety climate in a large cohort of intensive care units[J]. Critical Care Medicine, 2011, 39(5): 934-939. [14]Pronovost P, Weast B, Rosenstein B, et al. Implementing and validating a comprehensive unit-based safety program[J]. Journal of Patient Safety, 2005, 1(1): 33-40. [15]罗云婷, 李欢, 邓蓉.患者安全文化文献计量学分析[J]. 中国卫生质量管理, 2018,25(6):52-56. [16]李亚琴, 王凌颖,冯静, 等. 我国患者安全文化研究现状的文献计量学分析[J]. 中华现代护理杂志, 2016, 22(26): 3727-3731.

相似文献/References:

[1]崔梅,董军,张叶,等.实现电子病历信息共享[J].中国卫生质量管理,2016,23(03):004.[doi:10.13912/j.cnki.chqm.2016.23.3.02]
[2]黄鑫,陈安民*,杜杏利,等.KTQ质量认证体系在提高电子病历质量中的作用[J].中国卫生质量管理,2016,23(04):027.[doi:10.13912/j.cnki.chqm.2016.23.3.10]
[3]陈莉雅周启蒙陈宁芬胡平玲.某院2013年-2015年住院天数超过30天患者的监控与分析[J].中国卫生质量管理,2017,24(02):037.[doi:10.13912/j.cnki.chqm.2017.24.2.12]
[4]孙木 周颖明 胡炯 吴益平 魏凌云.基于电子病历的病案质量实时控制实践[J].中国卫生质量管理,2017,24(03):035.[doi:10.13912/j.cnki.chqm.2017.24.3.12]
[5]潘晨麟 是俊凤 邹姮 姚革 陆秉 王慧玲 邵红 许健 潘曙明.危急值报告系统优化设计与实践[J].中国卫生质量管理,2018,25(02):035.[doi:10.13912/j.cnki.chqm.2018.25.2.11]
[6]穆榕榕 全宇 高兴 郭启勇.基于电子病历自反馈式质控平台的实践应用[J].中国卫生质量管理,2018,25(03):082.[doi:10.13912/j.cnki.chqm.2018.25.3.25]
[7]陈旻洁 沈骏 朱华 张斌渊 孙晓凡.门诊电子病历的实践和思考[J].中国卫生质量管理,2018,25(04):050.[doi:10.13912/j.cnki.chqm.2018.25.4.16]
[8]王怡 白雪 崔胜男 任慧玲 张湛 刘振宇 范阳华 郭进京 冯铭.临床医学命名实体识别的病历质量筛选标准研究[J].中国卫生质量管理,2018,25(06):034.[doi:10.13912/j.cnki.chqm.2018.25.6.12]

更新日期/Last Update: 2019-09-28