A thousand words in the palm of your hand: management of clinical photography on personal mobile devices

Allen, Kieran; Eleftheriou, Paul; Ferguson, John

doi:10.5694/mja16.00520

Cited by 3 publications

(4 citation statements)

References 16 publications

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“…Valid and informed consent from patients is compulsory. Furthermore, health organisations should ensure the development of and adherence to policies that guide clinicians in the capture, transmission and deletion of sensitive material …”

Section: Discussionmentioning

confidence: 99%

Endoscopic smartphone adaptors in Otolaryngology: How do they compare?

Stew

Dharmawardana

Kao

et al. 2018

Clinical Otolaryngology

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Results of univariate testing of FDG-PET/CT parameters for the prediction of necrosis vs. tumour recurrence/persistence. In this table, contrast enhancement and soft tissue mass are given as dichotomous parameters. CT, computed tomography; FDG-PET/CT, fluoro-deoxy-D-glucose positron emission tomography/computed tomography; SUV max , maximum standardised uptake value; SD, standard deviation; TLG, total lesion Photodocumentation allows for the image capture of information that can be used for the purpose of communication and teaching. In certain areas of medicine, such as cancer care and chronic disease, it facilitates the transfer of information and has the potential to transform the way healthcare is delivered. 6 Smartphone adaptors offer an innovative, portable and cost-effective solution to NHS departments looking to implement photodocumentation.One concern regarding the use of smartphones in clinical practice is that of confidentiality and mitigating medico-legal risk. 7 Potential loss or theft of the smartphone renders the patient at risk of harm and unauthorised publication. 8 Valid and informed consent from patients is compulsory. Furthermore, health organisations should ensure the development of and adherence to policies that guide clinicians in the capture, transmission and deletion of sensitive material. 9 | LimitationsThe limitations of this study include the low sample size (n = 10 participants); however, each participant had photos taken of three anatomical areas with four camera-adaptor combinations meaning that 120 photos were evaluated in total. There were a limited number of evaluators (n = 10) but they comprised a wide range of evaluators from medical students to experienced Otolaryngologists thus providing representation of end users. The inherent bias associated with Likert scales is recognised. However, Likert-based rating scales have been validated for video quality ratings. 10 The photos were presented for comparison on a projector rather than a high definition screen, which may account for the relatively low scores across all domains. Furthermore, the iPhone 6s uses an autofocus, which prevents manual adjustment and image optimisation. All three of the adaptors produced slightly granular and pixelated images with a fibre-optic endoscope compared to the rigid endoscope. The moiré effect in photography occurs when two regularly spaced sets of lines are superimposed on a new set of lines resulting in a new set of lines passing through the points where the original lines cross at small angles (Collins dictionary).This can be distracting to a viewer and is a proposed reason why the Storz Smart Scope outperformed the Storz Tele Pack which uses a single-chip camera attached to the fibre-optic endoscope. Furthermore, the results here are applicable for the iPhone 6s and different outcomes may have been found with other smartphones. | CONCLUSIONSmartphone adaptors with ENT endoscopes offer portability, ease of use and lower cost compared to the cost of an office-based camera stack system. The Smart ...

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Section: Discussionmentioning

confidence: 99%

Endoscopic smartphone adaptors in Otolaryngology: How do they compare?

Stew

Dharmawardana

Kao

et al. 2018

Clinical Otolaryngology

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“…The app is currently specific to the Android operating system and is only used for ED photography. The app has multiple functions (Figure 1), including: (1) scanning a barcode on the patient’s wrist band; (2) connecting wirelessly to the hospital information system (HIS) through an intranet network to verify patient identity (Figure 2); (3) capturing patient photos by using the phone’s built-in camera; (4) enabling convenient photograph selection (Figure 3); (5) sending the selected photos, wrapped in a data packet, to a folder on the patient’s EMR through the HIS; (6) notifying users about failed transmission through notices on the screen (the photos are stored temporarily in the app, and users can choose to either resend or restart the app to resume the upload); and (7) deleting of all the patient’s photos after securely uploading the image data packet to the EMR, due to a signal from the HIS [7].…”

Section: Methodsmentioning

confidence: 99%

“…Modern smartphones with high quality cameras and software are now highly advanced and are more similar to laptops or handheld computers. A market for smartphone applications devoted to healthcare is emerging [7,8], and many apps serve numerous users in various fields, including clinical practice, medical education and patient instruction [9]. Medical devices and apps are already invaluable tools for HCPs, and as the range of features and uses expands, they are expected to exhibit greater market penetration in all aspects of clinical practice [10].…”

Section: Introductionmentioning

confidence: 99%

A Smartphone App for Improving Clinical Photography in Emergency Departments: Comparative Study

Liu

Lin

et al. 2019

JMIR Mhealth Uhealth

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BackgroundDigital photography is crucial for electronic medical records (EMRs), particularly for documenting dermatological diseases and traumatic wounds. In modern emergency departments (EDs), digital cameras are commonly used for photography, but the process is time-consuming. The problems of addressing patient privacy issues and that of interruptions and heavy workloads can cause archival errors when uploading photos. However, smartphones are widely available and cheap, so with a suitable app many errors could be mitigated.ObjectiveThe aim of this study is to design and test a smartphone app to improve the efficiency of clinical photography and improve patient privacy in the ED. The app is connected to the hospital information system to verify patient identification and enable archiving, and the app can automatically delete images after upload to the patient’s EMR.MethodsThis study enrolled 48 experienced ED nurses trained in clinical photography. Each nurse was first assigned a digital camera for photography and then a smartphone with the app preinstalled after it was launched. The time taken to upload images to a patient’s EMR was then recorded and the efficiency of the digital camera and app groups were compared.ResultsThe average time taken to upload images to a patient’s EMR for the camera and app groups were 96.3 s (SD 19.3; P<.001) and 26.3 s (SD 4.7; P<.001), respectively.ConclusionsThe app effectively reduced processing time and improved clinical photography efficiency in the ED. Some issues of patient privacy in the camera group were revealed and resolved in the app group.

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“…• Mobile-device cameras are here to stay: Smartphones are increasingly used for clinical photography as they have good resolution and Internet connectivity, which allows faster communication between the care teams. This capability has been shown to improve patient care [40][41][42][43]. • The Caldicott Principles provide an excellent guide to managing patent data, emphasizing how safe data sharing helps improve patient care, while also making safe sharing our responsibility.…”

Section: Foundations Of the Proposed Frameworkmentioning

confidence: 99%

Safe clinical photography: best practice guidelines for risk management and mitigation

Chandawarkar

Nadkarni

2021

Arch Plast Surg

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Clinical photography is an essential component of patient care in plastic surgery. The use of unsecured smartphone cameras, digital cameras, social media, instant messaging, and commercially available cloud-based storage devices threatens patients’ data safety. This paper Identifies potential risks of clinical photography and heightens awareness of safe clinical photography. Specifically, we evaluated existing risk-mitigation strategies globally, comparing them to industry standards in similar settings, and formulated a framework for developing a risk-mitigation plan for avoiding data breaches by identifying the safest methods of picture taking, transfer to storage, retrieval, and use, both within and outside the organization. Since threats evolve constantly, the framework must evolve too. Based on a literature search of both PubMed and the web (via Google) with key phrases and child terms (for PubMed), the risks and consequences of data breaches in individual processes in clinical photography are identified. Current clinical-photography practices are described. Lastly, we evaluate current risk mitigation strategies for clinical photography by examining guidelines from professional organizations, governmental agencies, and non-healthcare industries. Combining lessons learned from the steps above into a comprehensive framework that could contribute to national/international guidelines on safe clinical photography, we provide recommendations for best practice guidelines. It is imperative that best practice guidelines for the simple, safe, and secure capture, transfer, storage, and retrieval of clinical photographs be co-developed through cooperative efforts between providers, hospital administrators, clinical informaticians, IT governance structures, and national professional organizations. This would significantly safeguard patient data security and provide the privacy that patients deserve and expect.

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A thousand words in the palm of your hand: management of clinical photography on personal mobile devices

Cited by 3 publications

References 16 publications

Endoscopic smartphone adaptors in Otolaryngology: How do they compare?

Endoscopic smartphone adaptors in Otolaryngology: How do they compare?

A Smartphone App for Improving Clinical Photography in Emergency Departments: Comparative Study

Safe clinical photography: best practice guidelines for risk management and mitigation

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