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題 名 | 建構醫療機構「病歷我保密 就醫好自在」保護網=Establishing a Network to Protect Health Records and Improve Healthcare Quality |
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作 者 | 許淑玲; 蔣維凡; 鄭明享; 蔡蕙如; | 書刊名 | 病歷資訊管理期刊 |
卷 期 | 13:1 2014.07[民103.07] |
頁 次 | 頁1-18 |
分類號 | 419.26 |
關鍵詞 | 病歷; 電子病歷; 隱私; 品管圈; Medical records; Electronic health records; Privacy; Quality control circle; |
語 文 | 中文(Chinese) |
中文摘要 | 病歷保密對病人個人隱私來說相當重要,從傳統紙本病歷到電子病歷病人資料皆為醫療院所重視的課題,而電子病歷實施範圍愈大對於病人醫療資訊隱私保護程度更為重要。近年來國內外發生病人資料外洩事件頻傳,電子病歷雖帶來民眾就醫許多便利性,但是醫療資訊安全及個人隱私保護卻是隨之而來的新興問題,如果沒有完善電子病歷隱私保護措施,可能使病人資料受到嚴重損害進而造成不良影響。病歷保密隱私對醫院及病人來說極為重要,國內鮮少醫院建置具體病歷保密作為,故本研究訂定病歷保密改善措施,來使醫護團隊正視病人隱私權的尊重及病人病情資訊之保密責任。本研究自2012年1-12月進行專案改善,透過品管圈之品質改善手法進行改善,就人員、制度、空間三個面向,建置硬體設備及工具功能、加強病歷保密認知、建立病歷保密管理規範,改善成果達到率150%、114%、160%,建立標準化作業規範落實執行推廣至醫療體系,進而使病人隱私大幅提升。 |
英文摘要 | To ensure the privacy and confidentiality of patients' medical records (paper as well as electronic) is essential and important for healthcare organizations. It becomes even more critical as electronic health records (EHRs) grow rapidly. However, breaches of patient data and information take place frequently worldwide nowadays. Although EHRs do improve the convenience for patients to seek medical help, security and privacy of the system raise concerns. Without comprehensive information security measures, EHRs can cause severe privacy threats and result in great security problems. Only very few hospitals in Taiwan that have ever had polices established to protect medical record confidentiality. This study aims to develop some workable improvement measures for the medical staff to take steps and the responsibility to respect and protect the confidentiality of patients' health information. Such improvement activities were launched in January 2012 through Quality Control Circle (QCC) approach by improving human resource management, organizational system, and space usage. Among them, providing facility and equipment, enhancing cognition in confidentiality of medical records, and establishing guidelines for managing and auditing medical records have each exceeded the targets by 50%, 14%, and 60%, respectively. By creating and implementing standard operating guidelines, we promoted and enhanced patient privacy protection in the healthcare system. |
本系統中英文摘要資訊取自各篇刊載內容。