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Vol. 14. Issue 3.
Pages 129-134 (January 2010)
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Vol. 14. Issue 3.
Pages 129-134 (January 2010)
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Obtención y uso de imágenes en la práctica clínica
Obtaining and Using Images in the Clinical Setting
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4859
Ricardo Cendales
Corresponding author
acardocen@yahoo.com

Correspondencia: Ricardo Cendales. Grupo de Radioterapia, Instituto Nacional de Cancerología. Av. 1a No. 9-85, Bogotá, D.C., Colombia. Teléfono: 334 1997.
Grupo de Radioterapia, Instituto Nacional de Cancerología, Bogotá, D.C., Colombia
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Resumen

Los avances tecnológicos han puesto al alcance del público pequeños dispositivos electrónicos capaces de obtener imágenes y videos de buena calidad. El uso masivo de estos dispositivos hace cada vez más frecuente la práctica de imágenes en el entorno clínico. Las imágenes médicas son herramienta útil para documentar condiciones clínicamente relevantes en el diagnóstico, tratamiento y seguimiento de nuestros enfermos; además pueden tener utilidad científica, docente o legal; sin embargo, la práctica no regulada de la fotografía clínica puede someter al paciente y al clínico que asume las responsabilidades Sabsde fotógrafo clínico a riesgos innecesarios. Este documento hace una reflexión acerca de la importancia que tiene el reconocer los riesgos y deberes de la obtención de imágenes médicas y de la responsabilidad que tienen las instituciones y el colectivo para establecer políticas y acciones orientadas a preservar la privacidad y dignidad del paciente.

Palabras clave:
Fotografía
confidencialidad
práctica profesional
derechos del paciente
acceso a la información
Abstract

Currently small electronic devices capable of producing high quality images are available. The massive use of these devices has become common in the clinical setting as medical images represent a useful tool to document relevant clinical conditions for patient diagnosis, treatment and follow-up. Besides, clinical images are beneficial for legal, scientific and academic purposes. The extended practice without proper ethical guidelines might represent a significant risk for the protection of patient rights and clinical practice. This document discusses risks and duties when obtaining medical images, and presents some arguments on institutional and professional responsibilities around the definition of policies regarding the protection of privacy and dignity of the patient.

Keywords:
Photography
confidentiality
professional practice
patient rights
access to information
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Referencias
[1.]
C.A. Hood, T. Hope, P. Dove.
Videos, photographs, and patient consent.
BMJ, 316 (1998), pp. 1009-1011
[2.]
I. Berle.
Clinical photography and patient rights: the need for orthopraxy.
J Med Ethics, 34 (2008), pp. 89-92
[3.]
H.A. Tranberg, B.A. Rous, J. Rashbass.
Legal and ethical issues in the use of anonymous images in pathology teaching and research.
Histopathology, 42 (2003), pp. 104-109
[4.]
Institute of Medical Illustrators. IMI National Guidelines: A Code of Professional Conduct for Members [Internet]. London: IMI; 2009 [Citado: 24 diciembre 2009]. 23p. Disponible en: http://www.imi.org.uk/natguidelines/code.pdf.
[5.]
British Medical Association Ethics. Taking and using visual and audio images of patients. Guidance from the BMA Medical Ethics Department [Internet]. London: BMC; 2009 [Citado: 24 diciembre 2009]. 8p. Disponible en: http://www.bma.org.uk/ethics/confidentiality/avrecordings.jsp.
[6.]
General Medical Council: Regulating doctors, ensuring good medical practice [Internet]. London: GMC; c2002-2010. Making and using visual and audio recordings of patients-guidance for doctors; May 2002 [Citado: 24 diciembre 2009]. Disponible en: http://www.gmc-uk.org/guidance/current/library/making_audiovisual.asp.
[7.]
P.D. Welsby.
Videos, photographs, and patient consent. Digital disguising techniques need to be improved.
BMJ, 317 (1998), pp. 1523
[8.]
British Medical Journal: helping doctors make better decisions [Internet]. London: BMJ; c.2008-2010. Use of Images. Illustrations and photographs; 2008 [Citado: 24 diciembre 2009]; [aproximadamente 4 pantallas]. Disponible en: http://resources.bmj.com/bmj/authors/editorial-policies/use-of-images.
[9.]
Institute of Medical Illustrators. IMI National Guidelines: Consent to Clinical Photography [Internet]. London: IMI; 2006 [Citado: 24 diciembre 2009]. 8p. Disponible en: http://www.imi.org.uk/natguidelines/IMINatGuidelines-ConsentMarch2006.pdf.
[10.]
M.K. Johns.
Informed consent for clinical photography.
J Audiov Media Med, 25 (2002), pp. 59-63
[11.]
NHS Bolton. Photography and Video Recordings of Patients: Confidentiality and Consent, Copyright and Storage [Internet]. Bolton: NHS Bolton; 2009 [Citado: 24 diciembre 2009]. 11p. Disponible en: http://www.bolton.nhs.uk/Library/policies/IMTDP006.pdf.
[12.]
P.A. Singer.
Consent to the publication of patient information.
[13.]
The use of chaperones in clinical photography.
J Vis Commun Med, 29 (2006), pp. 168-169
[14.]
Institute of Medical Illustrators. IMI National Guidelines: Patient Confidentiality and Clinical Illustrative Records [Internet]. London: IMI; 2006 [Citado: 24 diciembre 2009]. 8p. Disponible en: http://www.imi.org.uk/natguidelines/IMINatGuidelinesConfidentialityMarch2006.pdf.
[15.]
A.P. Gardner.
Exposing the body--baring the soul.
J Audiov Media Med, 25 (2002), pp. 64-68
[16.]
Department of Health. Using mobile phones in NHS hospitals [Internet]. London: DH; 2009 [Citado: 24 diciembre 2009]. 12p. Disponible en: http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_092811.
[17.]
L.A. Thompson, K. Dawson, R. Ferdig, E.W. Black, J. Boyer, J. Coutts, et al.
The intersection of online social networking with medical professionalism.
J Gen Intern Med, 23 (2008), pp. 954-957
[18.]
L.E. Buffardi, W.K. Campbell.
Narcissism and social networking Web sites.
Pers Soc Psychol Bull, 34 (2008), pp. 1303-1314
[19.]
J.S. Guseh 2nd, R.W. Brendel, D.H. Brendel.
Medical professionalism in the age of online social networking.
J Med Ethics, 35 (2009), pp. 584-586
[20.]
S.H. Jain.
Practicing medicine in the age of Facebook.
N Engl J Med, 361 (2009), pp. 649-651
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