Evaluating information technology in health care: barriers and challenges

Heathfield, Heather; Pitty, David; Hanka, R

doi:10.1136/bmj.316.7149.1959

Cited by 187 publications

(141 citation statements)

References 19 publications

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“…government agencies, NHS executives, hospital trusts, IT suppliers and patients). Most of the studies were descriptive and lacked an historical dimension (Heathfield et al, 1998). Further, many of the studies on the introduction of medical systems were not supported by a robust theoretical framework, and instead were more narrowly aimed to identify examples of best practice (Guah and Currie, 2005).…”

Section: Governance Systemsmentioning

confidence: 99%

Conflicting Institutional Logics: A National Programme for IT in the Organisational Field of Healthcare

Currie

Guah

2007

Journal of Information Technology

236

220

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This paper reports the findings from a 4-year study on the UK National Health Service on the introduction of a national programme for information technology. 1 This is the largest civil IT programme worldwide at an estimated technical cost of d6.2 billion over a 10-year period. An institutional analysis of our historical and empirical data from six NHS organisations identifies growing fragmentation in the organisational field of healthcare, as past and present institutional logics both fuel and inhibit changes in the governance systems and working practices of healthcare practitioners. This is further complicated by new institutional logics that place the citizen at centre stage of the NPfIT, in a move to promote patient choice and public value.

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Section: Governance Systemsmentioning

confidence: 99%

Conflicting Institutional Logics: A National Programme for IT in the Organisational Field of Healthcare

Currie

Guah

2007

Journal of Information Technology

236

220

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“…There is no doubt that integrated information systems, whether dedicated to clinical care or financial accounting, reduce duplication of tests, procedures and administrative processes by decreasing manual handling of paper and providing more accurate data for determining the cost of care (Stripe 1996;Work & Pawola 1996;Moynihan & Norman 1994). However, a number of authors caution that the direct financial benefits of IT integration are not yet established or optimised (Perisly & Gottlieb 1999, Heathfield et al 1998, Ritchie 1997, Work & Pawola 1996. Important factors influencing financial benefit include the size of the hospital and the level of IT use within the venue.…”

Section: Service Objectives Of Information Systems Within Integrated mentioning

confidence: 99%

“…Centralised or regional leadership is required to coordinate the timely implementation of the appropriate range of resources to meet identified needs (Department of Health UK 2001a). Regional offices also need to be adequately resourced to justify the financial outlay and maximise usage (Heathfield et al 1998;Ritchie 1997). This includes resources for continuous IT and IS education for clinical staff as well as adequate back-up staff for Help Desks.…”

Section: Service Objectives Of Information Systems Within Integrated mentioning

confidence: 99%

“…They should be able to deliver information with minimum complexity and maximum security in terms of patient confidentiality and privacy (Department of Health UK 2001b, Heathfield et al 1998). While there is still considerable disquiet about confidentiality and privacy, the technology does exist to set limits to what information can be accessed by various professionals within the health care sector.…”

Section: Best Practice Information Systems Within Integrated Deliverymentioning

confidence: 99%

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Using nursing information systems to enhance quality service across multiple service providers

Dunn¹,

Willis²,

Pal³

et al. 2004

Aust. Health Review

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“…Healthcare is perhaps one of the most vulnerable sectors to such cyber threats, as healthcare delivery organizations, hospitals, and clinics store both vast amounts of personal data and care for patients through networked, highly complex technological systems [3]. Furthermore, when compared to sectors such as finance and government, healthcare lags significantly behind in cyber preparedness [4].…”

Section: Introductionmentioning

confidence: 99%

Clinical Cybersecurity Training Through Novel High Fidelity Simulations (Preprint)

Dameff¹,

Selzer²,

Fisher³

et al. 2018

Preprint

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Background: Cybersecurity risks in healthcare systems have traditionally been measured in data breaches of protected health information but compromised medical devices and critical medical infrastructure raises questions about the risks of disrupted patient care. The increasing prevalence of these connected medical devices and systems implies that these risks are growing.Objective: This paper details the development and execution of three novel high fidelity clinical simulations designed to teach clinicians to recognize, treat, and prevent patient harm from vulnerable medical devices. Methods: Clinical simulations were developed which incorporated patient care scenarios with hacked medical devices based on previously researched security vulnerabilities. Results: Clinician participants universally failed to recognize the etiology of their patient's pathology as being the result of a compromised device. Conclusions: Simulation can be a useful tool in educating clinicians in this new, critically important patient safety space. IntroductionThe increasing development of and reliance on technical systems is an inescapable reality for humanity. Inherent cyber vulnerabilities in these systems are ubiquitous spanning all sectors of the global economy. From damaging breaches of private consumer data such as the Equifax hack that exposed half of the US population to the threat of identity theft [1], to active cyber warfare between nation states[2], the potential for harm caused by the exploitation of such vulnerable systems is profound.

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Evaluating information technology in health care: barriers and challenges

Cited by 187 publications

References 19 publications

Conflicting Institutional Logics: A National Programme for IT in the Organisational Field of Healthcare

Conflicting Institutional Logics: A National Programme for IT in the Organisational Field of Healthcare

Using nursing information systems to enhance quality service across multiple service providers

Clinical Cybersecurity Training Through Novel High Fidelity Simulations (Preprint)

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