From COVID-19 Pandemic to Patient Safety: A New "Spring" for Telemedicine or a Boomerang Effect?

被引:21
作者
De Micco, Francesco [1 ]
Fineschi, Vittorio [2 ]
Banfi, Giuseppe [3 ,4 ]
Frati, Paola [2 ]
Oliva, Antonio [5 ]
Travaini, Guido Vittorio [4 ]
Picozzi, Mario [6 ]
Curcio, Giuseppe [7 ]
Pecchia, Leandro [8 ]
Petitti, Tommasangelo [9 ,10 ]
Alloni, Rossana [1 ]
Rosati, Enrico [11 ]
De Benedictis, Anna [12 ]
Tambone, Vittoradolfo [1 ]
机构
[1] Campus Biomed Univ Rome, Bioeth & Humanities Res Unit, Rome, Italy
[2] Sapienza Univ Rome, Dept Anat Histol Forens & Orthopaed Sci SAIMLAL, Rome, Italy
[3] IRCCS Ist Ortoped Galeazzi, Milan, Italy
[4] Univ Vita Salute San Raffaele, Milan, Italy
[5] Univ Cattolica Sacro Cuore, Fdn Policlin A Gemelli IRCCS, Dept Hlth Surveillance & Bioeth, Sect Legal Med, Rome, Italy
[6] Insubria Univ, Ctr Clin Ethics, Dept Biotechnol & Sci Life, Varese, Italy
[7] Univ Laquila, Dept Biotechnol & Appl Clin Sci, Laquila, Italy
[8] Campus Biomed Univ Rome, Rome, Italy
[9] Campus Biomed Univ Rome, Hygiene Publ Hlth & Stat, Rome, Italy
[10] Fdn Don Carlo Gnocchi Onlus, Dept Med Affairs, Rome, Italy
[11] Casa Cura Auxol Roma Buon Pastore, Rome, Italy
[12] Campus Biomed Univ Rome, Nursing Sci Res Unit, Rome, Italy
关键词
telemedicine; Healthcare risk Management; patient safety; quality of care (QoC); systemic clinical risk management; clinical governance (CG); Ethics of Job Well Done; HEALTH-CARE; HOME-CARE; COMMUNICATION; CHALLENGES; RISKS;
D O I
10.3389/fmed.2022.901788
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
During the Covid-19 health emergency, telemedicine was an essential asset through which health systems strengthened their response during the critical phase of the pandemic. According to the post-pandemic economic reform plans of many countries, telemedicine will not be limited to a tool for responding to an emergency condition but it will become a structural resource that will contribute to the reorganization of Healthcare Systems and enable the transfer of part of health care from the hospital to the home-based care. However, scientific evidences have shown that health care delivered through telemedicine can be burdened by numerous ethical and legal issues. Although there is an emerging discussion on patient safety issues related to the use of telemedicine, there is a lack of reseraches specifically designed to investigate patient safety. On the contrary, it would be necessary to determine standards and specific application rules in order to ensure safety. This paper examines the telemedicine-risk profiles and proposes a position statement for clinical risk management to support continuous improvement in the safety of health care delivered through telemedicine.
引用
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页数:12
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