Despite the great advances in the field of electronic health records (EHRs) over the past 25 years, implementation and adoption challenges persist, and the benefits realized remain below expectations. This scoping review aimed to present current knowledge about the effects of EHR implementation and the barriers to EHR adoption and use. A literature search was conducted in PubMed, Web of Science, IEEE Xplore Digital Library and ACM Digital Library for studies published between January 2005 and May 2020. In total, 7641 studies were identified of which 142 met the criteria and attained the consensus of all researchers on inclusion. Most studies (n = 91) were published between 2017 and 2019 and 81 studies had the United States as the country of origin. Both positive and negative effects of EHR implementation were identified, relating to clinical work, data and information, patient care and economic impact. Resource constraints, poor/insufficient training and technical/educational support for users, as well as poor literacy and skills in technology were the identified barriers to adoption and use that occurred frequently. Although this review did not conduct a quality analysis of the included papers, the lack of uniformity in the use of EHR definitions and detailed contextual information concerning the study settings could be observed.

No abstract

Today, the traditional approach used to conduct phishing attacks through email and spoofed websites has evolved to include social network sites (SNSs). This is because phishers are able to use similar methods to entice social network users to click on malicious links masquerading as fake news, controversial videos and other opportunities thought to be attractive or beneficial to the victim. SNSs are a phisher's "market" as they offer phishers a wide range of targets and take advantage of opportunities that exploit the behavioural vulnerabilities of their users. As such, it is important to further investigate aspects affecting behaviour when users are presented with phishing. Based on the literature studied, this research presents a theoretical model to address phishing susceptibility on SNSs. Using data collected from 215 respondents, the study examined the mediating role that information processing plays with regard to user susceptibility to social network phishing based on their personality traits, thereby identifying user characteristics that may be more susceptible than others to phishing on SNSs. The results from the structural equation modeling (SEM) analysis revealed that conscientious users were found to have a negative influence on heuristic processing, and are thus less susceptible to phishing on SNSs. The study also confirmed that heuristic processing increases susceptibility to phishing, thus supporting prior studies in this area. This research contributes to the information security discipline as it is one of the first to examine the effect of the relationship between the Big Five personality model and the heuristic-systematic model of information processing.

Cyber criminals appear to be plying their trade without much hindrance. Home computer users are particularly vulnerable to attack by an increasingly sophisticated and globally-dispersed hacker group. The smartphone era has exacerbated the situation, offering hackers even more attack surfaces to exploit. It might not be entirely coincidental that cyber crime has mushroomed in parallel with governments pursuing a neoliberalist agenda. This agenda has a strong drive towards individualizing risk i.e. advising citizens how to take care of themselves, and then leaving them to face the consequences if they choose not to follow the advice. In effect, citizens are "responsibilized." Whereas responsibilization is effective for some risks, the responsibilization of cyber security is, we believe, contributing to the global success of cyber attacks. There is, consequently, a case to be made for governments taking a more active role than the mere provision of advice, which is they case for many countries. We conclude with a concrete proposal for a risk regulation regime that would more effectively mitigate and ameliorate cyber risk.

No abstract