{"id":2794,"date":"2009-11-06T15:55:17","date_gmt":"2009-11-06T14:55:17","guid":{"rendered":"http:\/\/catai.net\/blog\/\/?p=2794"},"modified":"2009-11-06T16:20:20","modified_gmt":"2009-11-06T15:20:20","slug":"tics-inteligentes-y-medicina-legal-preventiva-para-el-medico","status":"publish","type":"post","link":"https:\/\/catai.net\/blog\/2009\/11\/tics-inteligentes-y-medicina-legal-preventiva-para-el-medico\/","title":{"rendered":"TICs Inteligentes y Medicina Legal Preventiva para el m\u00e9dico."},"content":{"rendered":"<p>Hoy han tenido lugar unas\u00a0interesantes\u00a0jornadas sobre &#8220;<a href=\"http:\/\/www.aegastro.es\/docs\/JornadaCalidadCribado2009.pdf\">Calidad asistencial en la endoscopia de cribado del cancer de colon<\/a>&#8221; en Tenerife, organizadas por el servicio de digestivo del HUC.<\/p>\n<p>Se han tratado temas importantes de calidad asistencial y aspectos medico-legales ligados a la presion asistencial y a la historia clinica electronica-EHR. Ha quedado claro que la EHR mejora la eficiencia a costa, en algunos casos, de poner en peligro la responsabilidad del medico.<\/p>\n<p><!--more--><\/p>\n<p>Ya en estos momentos hay <strong>100.000 reclamaciones judiciales al a\u00f1o. <\/strong>El representante de Medicina Legal el Dr. Fernando Bandr\u00e9s de la Complutense ha hecho especial esfuerzo en recordarnos que se debe hacer una MEDICINA LEGAL PREVENTIVA y no una Medicina Legal defensiva.<\/p>\n<p>Es decir <strong>se tienen que prevenir los problemas legales<\/strong> que conllevan determinadas actuaciones, una de ellas es no hacer un\u00a0hist\u00f3rico\u00a0en la Historia\u00a0cl\u00ednica\u00a0de como se ha ido concienciando al paciente hasta que ha dado su consentimiento informado, especificar que el consentimiento informado ha sido dado por el medico que asume el riesgo de la\u00a0exploraci\u00f3n\u00a0o\u00a0intervenci\u00f3n\u00a0del paciente (jamas por el sanitario de turno&#8230;..) y siempre estando el paciente consciente (nunca\u00a0despu\u00e9s\u00a0de una sedaci\u00f3n). Recoger la historia clinica los cuidados post-intervencion or post-exploracion, y en consecuencia, dotar a la historia clinica de todos los datos suficientes para que si hay una demanda judicial se pueda inferir la\u00a0actuaci\u00f3n\u00a0correcta y ajustada a la ley del medico en todo momento.<\/p>\n<p>Es importante, porque los <strong>sistemas\u00a0inform\u00e1ticos<\/strong> de\u00a0atenci\u00f3n\u00a0hospitalaria o domiciliaria, en la\u00a0mayor\u00eda\u00a0de los casos dise\u00f1ados por\u00a0inform\u00e1ticos, hacen caso omiso de estas premisas en aras de la eficiencia. Por ejemplo:<\/p>\n<ul>\n<li>Las peticiones de exploraciones se hacen apretando un\u00a0bot\u00f3n\u00a0sin\u00a0justificaci\u00f3n\u00a0razonada suficiente<\/li>\n<li>Si el medico, para cubrirse la personaliza para el paciente, ha de escribir la misma mirando al ordenador y no al paciente, por lo que el paciente toma conciencia de que &#8230;&#8221;el medico ni siquiera me miraba&#8221;&#8230;.<\/li>\n<\/ul>\n<p>Y ya saben que un enfermo descontento activa a 25 personas, mientras que un enfermo contento solo lo hace con 10.<\/p>\n<p>En realidad ante cualquier\u00a0petici\u00f3n\u00a0deberia haber una lista de seleccion exhaustiva que ademas se utilizara para imprimir un consentimiento informado-<strong>CI personalizado<\/strong>, en el que se razonaran todas y cada una de las indicaciones y posibles complicaciones. Entonces si que el sistema\u00a0inform\u00e1tico\u00a0seria inteligente para el medico porque le\u00a0cubrir\u00eda\u00a0de las posibles demandas y\u00a0realizar\u00eda\u00a0una <strong>Medicina Legal preventiva<\/strong> gracias a las herramientas TIC.<\/p>\n<p>Para esto\u00a0tendr\u00edamos\u00a0que tener a los\u00a0m\u00e9dicos\u00a0entrenados y preparados para dise\u00f1ar estos sistemas.<\/p>\n<p>Igualmente mencion\u00f3 con mucho criterio el problema de las muestras biologicas a las que le hemos dedicado un <a href=\"http:\/\/www.teide.net\/catai\/congresos\/departamentoanatomia.pdf\">articulo completo<\/a> ya que serian las aplicaciones TICs las que deberian iniciar <em>antes de su extraccion<\/em> el sistema de <strong>CI-de muestra biologica<\/strong> y en el <em>momento de la extraccion<\/em> de la muestra el sistema de tracking de la misma.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Hoy han tenido lugar unas\u00a0interesantes\u00a0jornadas sobre &#8220;Calidad asistencial en la endoscopia de cribado del cancer de colon&#8221; en Tenerife, organizadas por el servicio de digestivo del HUC. Se han tratado temas importantes de calidad asistencial y aspectos medico-legales ligados a la presion asistencial y a la historia clinica electronica-EHR. Ha quedado claro que la EHR [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"give_campaign_id":0,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_hide_featured_image":false,"_jetpack_featured_image_duplicate_dismissed":0,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"jetpack_post_was_ever_published":false},"categories":[20,21,1,28,29],"tags":[],"class_list":["post-2794","post","type-post","status-publish","format-standard","hentry","category-cursos_seminarios","category-educacion","category-general","category-sanidad","category-seguridad"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>TICs Inteligentes y Medicina Legal Preventiva para el m\u00e9dico. | Telemedicina<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/catai.net\/blog\/2009\/11\/tics-inteligentes-y-medicina-legal-preventiva-para-el-medico\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"TICs Inteligentes y Medicina Legal Preventiva para el m\u00e9dico. | Telemedicina\" \/>\n<meta property=\"og:description\" content=\"Hoy han tenido lugar unas\u00a0interesantes\u00a0jornadas sobre &#8220;Calidad asistencial en la endoscopia de cribado del cancer de colon&#8221; en Tenerife, organizadas por el servicio de digestivo del HUC. 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