scholarly journals WhatsApp in Clinical Practice—The Challenges of Record Keeping and Storage. A Scoping Review

2021 ◽  
Vol 18 (24) ◽  
pp. 13426
Author(s):  
Christopher Morris ◽  
Richard E. Scott ◽  
Maurice Mars
Keyword(s):  
Clinical Practice ◽  
Data Storage ◽  
Scoping Review ◽  
Medical Records ◽  
Privacy And Security ◽  
Electronic Communications ◽  
Record Keeping ◽  
Ethical Concerns ◽  
Reporting Requirements ◽  
And Storage

The use of WhatsApp in health care has increased, especially since the COVID-19 pandemic, but there is a need to safeguard electronic patient information when incorporating it into a medical record, be it electronic or paper based. The aim of this study was to review the literature on how clinicians who use WhatsApp in clinical practice keep medical records of the content of WhatsApp messages and how they store WhatsApp messages and/or attachments. A scoping review of nine databases sought evidence of record keeping or data storage related to use of WhatsApp in clinical practice up to 31 December 2020. Sixteen of 346 papers met study criteria. Most clinicians were aware that they must comply with statutory reporting requirements in keeping medical records of all electronic communications. However, this study showed a general lack of awareness or concern about flaunting existing privacy and security legislation. No clear mechanisms for record keeping or data storage of WhatsApp content were provided. In the absence of clear guidelines, problematic practices and workarounds have been created, increasing legal, regulatory and ethical concerns. There is a need to raise awareness of the problems clinicians face in meeting these obligations and to urgently provide viable guidance.

A Generic Model of Clinical Practice

2003 ◽  
Vol 42 (03) ◽  
pp. 203-211 ◽  
Author(s):  
J. L. G. Dietz ◽  
A. Hasman ◽  
P. F. de Vries Robbé ◽  
H. J. Tange
Keyword(s):  
Clinical Practice ◽  
Theoretical Model ◽  
Action Theory ◽  
Human Subjects ◽  
Shared Care ◽  
Patient Record ◽  
Generic Model ◽  
Problem Solver ◽  
Record Keeping ◽  
Process View

Summary Objectives: Many shared-care projects feel the need for electronic patient-record (EPR) systems. In absence of practical experiences from paper record keeping, a theoretical model is the only reference for the design of these systems. In this article, we review existing models of individual clinical practice and integrate their useful elements. We then present a generic model of clinical practice that is applicable to both individual and collaborative clinical practice. Methods: We followed the principles of the conversation-for-action theory and the DEMO method. According to these principles, information can only be generated by a conversation between two actors. An actor is a role that can be played by one or more human subjects, so the model does not distinguish between inter-individual and intra-individual conversations. Results: Clinical practice has been divided into four actors: service provider, problem solver, coordinator, and worker. Each actor represents a level of clinical responsibility. Any information in the patient record is the result of a conversation between two of these actors. Connecting different conversations to one another can create a process view with meta-information about the rationale of clinical practice. Such process view can be implemented as an extension to the EPR. Conclusions: The model has the potential to cover all professional activities, but needs to be further validated. The model can serve as a theoretical basis for the design of EPR-systems for shared care, but a successful EPR-system needs more than just a theoretical model.

A System Architecture for Data Storage in the Cloud

2015 ◽  
Vol 3 (2) ◽  
Author(s):  
Maryam Hammami ◽  
Hatem Bellaaj
Keyword(s):  
Data Storage ◽  
System Architecture ◽  
Cloud Storage ◽  
The Other ◽  
Important Data ◽  
Work In Progress ◽  
Flexible System ◽  
Other Hand ◽  
Data Manager ◽  
And Storage

The Cloud storage is the most important issue today. This is due to a rapidly changing needs and a huge mass of varied and important data to back up. In this paper, we describe a work in progress and propose a flexible system architecture for data storage in the Cloud. This system is centered on the Data Manager module. This module provides various functions such as the dispersion of data in fragments, encryption and storage of fragments... etc. This architecture proves to be very relevant. It ensures consistency between different components. On the other hand, it ensures the security and availability of data.

Clinical genomics in the 21st century: The fine balance between ethics and science

2021 ◽  
pp. 147775092110366
Author(s):  
Terence YS Liew ◽  
Chun Y Khoo
Keyword(s):  
Clinical Practice ◽  
Informed Consent ◽  
21St Century ◽  
Preventive Medicine ◽  
Genomic Medicine ◽  
Traditional Practices ◽  
Current Clinical Practice ◽  
Common Goal ◽  
Clinical Genomics ◽  
Ethical Concerns

The 21st century has been revolutionary for the field of clinical genomics, with major advancements and breakthroughs over the years. It is now considered an instrumental tool in clinical and preventive medicine and has been used on a day-to-day basis to complement current clinical practice. However, with advancements in genomics comes greater bioethical concerns, which becomes increasingly complex with more cutting-edge technology. Some of the major ethical concerns include obtaining informed consent, possibility for genetic enhancements and eugenics, genomic equity and potential discrimination and cloning. It is imperative that we appreciate the benefits of genomic medicine in complementing traditional practices, identify and address the ethical concerns with relation to the practice of genomic medicine, and to ensure a common goal of improving human lives. With these in mind, the practice of genomics can have maximum impact in the collective health of the population, with greater benefit to all.

scholarly journals Use of standardized terminologies in clinical practice: A scoping review

2021 ◽  
Vol 149 ◽  
pp. 104431
Author(s):  
Orna Fennelly ◽  
Loretto Grogan ◽  
Angela Reed ◽  
Nicholas R. Hardiker
Keyword(s):  
Clinical Practice ◽  
Scoping Review

Design of FPGA-Based Missile-Borne Image Acquisition and Storage Recorder

2015 ◽  
Vol 713-715 ◽  
pp. 1448-1451
Author(s):  
Lin Lu ◽  
Yan Feng Zhang ◽  
Xiao Feng Li
Keyword(s):  
Real Time ◽  
Data Storage ◽  
Storage System ◽  
Large Data ◽  
Engineering Practice ◽  
Image Storage ◽  
Video Images ◽  
Stable Performance ◽  
And Storage ◽  
Time Image

The high-altitude missile and other special application occasions have requirements on image storage system, such as small size, high storage speed, low temperature resistance, etc. Commonly used image storage system in the market cannot meet such requirement. In the paper, real-time image storage system solutions on missile based on FPGA should be proposed. The system mainly consists of acquisition module and memory reading module. The whole system adopts FPGA as main control chip for mainly completing real-time decoding and acquisition on one path of PAL format video images, reading and writing of NandFlash chipset, erasure, bad block management and so on. The solution has passed various environmental tests with stable performance, large data storage capacity and easy expansion, which has been used in engineering practice.

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