Clinical Cybersecurity Training Through Novel High-Fidelity Simulations

Background

Cybersecurity risks in health care systems have traditionally been measured in data breaches of protected health information, but compromised medical devices and critical medical infrastructure present risks of disruptions to patient care. The ubiquitous prevalence of connected medical devices and systems may be associated with an increase in these risks.

论大学生中医药文化自信教育

中医药文化自信是中华民族文化自信的重要组成部分。中医药的创新与转化是中医药文化自信的持续动力源泉。培养中医药文化自信是新时代立德树人根本任务的重要抓手、人才培养的首要任务、党的政治建设的具体体现，是高校的职能、教师的责任和大学生的本分。新时代需要培养大学生的中医药文化自觉，形成大学生的中医药文化认同，树立乃至坚定大学生的中医药文化自信。中医药文化价值取向和中医思维是中医药文化自信的主导与内核，是达成中医药文化自信最重要、最核心的组成要素。高校应以中医药文化价值取向为目标，以中医思维培养为关键，积极有效地探讨大学生中医药文化自信教育的多样化路径和方法。     

Using patient companions as interpreters in the Emergency Department: An interdisciplinary quantitative and qualitative assessment

ObjectivesTo explore the perceived and actual quality of communication and the conversational mechanisms through which misunderstandings arise in linguistically diverse Emergency Department consultations.MethodsA mixed method approach was used, based on audio-records of consultations which rely on patient companions for linguistic support, and ethnographic contextual data. Interpreting errors and their potential impact on the clinical reasoning process and doctor-patient relationships were quantitatively assessed. Complementary qualitative ethnographic research provided a richer understanding of the context. The study involved interdisciplinary collaboration with specialists in applied linguistics, medicine, and psychology.ResultsAccurate interpretation occurred in as few as 19% of interpreter speech turns. Answering for the patient and omitting information were the most frequent errors. The nature and severity of the impact of the errors varied. Answering for the patient had the greatest clinical impact. The omission of messages from the doctor to the patient negatively affected doctor-patient relationships.ConclusionGaps were observed between the perceived and the actual quality of communication, although patient companions often provided useful information.Practice implicationsIn addition to raising awareness among doctors on the potential risks of using AHIs, EDs should adjust their management to increase the utilization of onsite and remote PIs.