Telemedicine should be used as a means of transmitting clinical information to reduce clinical risks. Especially at the time of the Covid ۱۹ epidemic, when maintaining interpersonal social distance is very important in saving human lives. Because clinical service management requires knowing where clinical decisions are made, it is important to ensure that
telemedicine is maintained as part of routine clinical and research data sets for clinical auditing and healthcare costing purposes.
Risk management in health care includes various methods and strategies to identify, analyze, evaluate and reduce risks in health centers. Therefore, the purpose of this study is a systematic review to identify various
risk factors in
telemedicine projects in health care, to find their causes and to discover ways through which the risks can be reduced. A systematic review, without time limit, was searched by searching for keywords (("Risk management" OR "Risk management strategies") AND ("Telemedicine" OR "Telerehabilitation" OR "telehealth" OR "Mobile Health" OR "eHealth " OR "mHealth")) in the title, abstract and keywords of studies in the authoritative scientific databases of Embase, Web of Science, Scopus, PubMed on November ۲۴, ۲۰۲۱. The studies, which were based on the title and content of a possible answer to the question, were reviewed by two researchers independently. Titles and abstracts were screened independently based on eligibility criteria. Complete texts were then retrieved and screened independently based on eligibility criteria. Inclusion criteria include studies in English focusing on the two main terms of
telemedicine and risk management, articles published in reputable scientific journals, access to the full text of articles and studies that, based on title and content, provide a possible answer to the question. They had research. Exclusion criteria included abstracts without full-text, the absence of one of the keywords in the title or text of the articles, and studies that did not provide any scientific, theoretical, laboratory, or statistical evidence. A total of ۴۷۶ related studies were extracted and finally ۱۰ main articles were selected based on inclusion, exclusion and quality evaluation criteria. Including
telemedicine risk factors including risks related to privacy and confidentiality of patient information, patient's physical safety, information sharing, lack of technical equipment, informed consent, jurisdiction, uncertainty of
telemedicine outcome and lack of equipment standards and It is functional. Many of these risks are reduced by adequate training, encouraging strong communication between staff, and maintaining adequate patient records. However, approaches and methods for remote medical risk management have been developed; But they vary from center to center. However, ISO / TS ۱۳۱۳۱: ۲۰۱۴ is used as the most valid standard to focus on risk management in
telemedicine services.
Risk management practices add value to
telemedicine and should be widely encouraged and practiced. Given that the hospital has the ultimate responsibility for the risks to the patient; Therefore, it is necessary for health professionals to learn how to diagnose risks, mitigating factors and take action to reduce the risks.