Evolution of health information management and information technology in emergency medicine

Dinh, Michael; Chu, Matthew

doi:10.1111/j.1742-6723.2006.00855.x

Cited by 18 publications

(11 citation statements)

References 25 publications

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“…Furthermore, workflow efficiency in the ED is complex and consultation times might not be the most appropriate means of measuring this. Process optimization through clinical pathways and quality control through reductions in performance variation might be more relevant 19 …”

Section: Discussionmentioning

confidence: 99%

“…Process optimization through clinical pathways and quality control through reductions in performance variation might be more relevant. 19 Limitations to the present study include small sample size and simulated clinical scenarios. For the present study, a clinical scenario was set up as realistically as possible to how it would be in the ED; however, it was not tested on actual patients in real time.…”

Section: Discharge Management In Relation To Emergencymentioning

confidence: 95%

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Electronic interface for emergency department management of asthma: A randomized control trial of clinician performance

Taylor

Dinh

Kwok

et al. 2007

Emerg Medicine Australasia

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Section: Discussionmentioning

confidence: 99%

Section: Discharge Management In Relation To Emergencymentioning

confidence: 95%

Electronic interface for emergency department management of asthma: A randomized control trial of clinician performance

Taylor

Dinh

Kwok

et al. 2007

Emerg Medicine Australasia

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“…Ambulante Behandlungen stellen heterogene, kommunikationsintensive Dienstleistungen dar (Dinh/Chu 2006), die ohne den Einsatz von IT schon heute für einen Großteil der Leistungserbringer nicht mehr koordinierbar sind (Dünnebeil et al 2010a). Seit Jahrzenten nutzen niedergelassene Ärzte in ihren Praxen isolierte Arztinformationssysteme (AIS), die sie bei der medizinischen und administrativen Abwicklung ihrer Behandlungen unterstützen.…”

Section: Motivation Und Relevanzunclassified

“…Es wird daher angestrebt, die korrekte Servicekomposition zur Laufzeit in der Architektur zu verankern, um eine Konformitätsprüfung zu vereinfachen. (Dinh/Chu 2006) …”

Section: Abbildung 58 -Soa Als Architekturmusterunclassified

Modulare Softwarearchitektur für Mehrwertanwendungen der deutschen Gesundheitstelematik

et al. 2013

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Vorwort AbstractThe emerging German healthcare telematics infrastructure will offer a set of e-health services that can be integrated in distributed applications to achieve common security standards, ubiquitous access and interoperability in healthcare. However, the German ambulatory care system currently shows a highly fragmented environment of legacy systems, mostly based on proprietary technology. Therefore, IT support of integrated treatment processes, adapted to case specific requirements, is hard to achieve, as multiple legacy system need to be integrated for this purpose. The dissertation suggests an architecture that bridges the gap between different legacy systems by proposing a modular reference architecture for value adding applications in the German healthcare, designed to fulfill the requirements of integrated care delivery. It encapsulates seven layers of typical non-functional requirements in German healthcare, derived from caregivers' requirements in the field. The architecture covers the aspects legacy of system integration, interoperability, authorization, process control, communication control and security. The article explains how the model has been constructed and evaluated in several research cycles and presents three exemplary applications of the reference model in detail using the cases of an appointment management application, a marketplace for assistive technology and a telemonitoring application for patients with chronic heart failure. The resulting applications allow structured treatment processes with comprehensive security standards and quality control on physician network layer.

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“…Information management, especially in emergency medicine, enhances the instantaneous and ubiquitous availability of digital patient records and can significantly improve clinical practice [1]. On the other hand, poor patient data security represents a major problem that must be addressed with more sophisticated hospital information technology (HIT) [2], but the protection of information represents a growing challenge [3].…”

Section: Introductionmentioning

confidence: 99%

Assessing and Comparing Information Security in Swiss Hospitals

Landolt¹,

Hirschel²,

Schlienger³

et al. 2012

Interact J Med Res

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BackgroundAvailability of information in hospitals is an important prerequisite for good service. Significant resources have been invested to improve the availability of information, but it is also vital that the security of this information can be guaranteed.ObjectiveThe goal of this study was to assess information security in hospitals through a questionnaire based on the International Organization for Standardization (ISO) and the International Electrotechnical Commission (IEC) standard ISO/IEC 27002, evaluating Information technology – Security techniques – Code of practice for information-security management, with a special focus on the effect of the hospitals’ size and type.MethodsThe survey, set up as a cross-sectional study, was conducted in January 2011. The chief information officers (CIOs) of 112 hospitals in German-speaking Switzerland were invited to participate. The online questionnaire was designed to be fast and easy to complete to maximize participation. To group the analyzed controls of the ISO/IEC standard 27002 in a meaningful way, a factor analysis was performed. A linear score from 0 (not implemented) to 3 (fully implemented) was introduced. The scores of the hospitals were then analyzed for significant differences in any of the factors with respect to size and type of hospital. The participating hospitals were offered a benchmark report about their status.ResultsThe 51 participating hospitals had an average score of 51.1% (range 30.6% - 81.9%) out of a possible 100% where all items in the questionnaire were fully implemented. Room for improvement could be identified, especially for the factors covering “process and quality management” (average score 1.3 ± 0.8 out of a maximum of 3) and “organization and risk management” (average score 1.3 ± 0.7 out of a maximum of 3). Private hospitals scored significantly higher than university hospitals in the implementation of “security zones” and “backup” (P = .008).ConclusionsHalf (50.00%, 8588/17,177) of all assessed hospital beds in German-speaking Switzerland are in hospitals that have a score of 49% or less of the maximum possible score in information security. Patient data need to be better protected because of the data protection laws and because sensitive, personal data should be guaranteed confidentiality, integrity, and availability.

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Evolution of health information management and information technology in emergency medicine

Cited by 18 publications

References 25 publications

Electronic interface for emergency department management of asthma: A randomized control trial of clinician performance

Electronic interface for emergency department management of asthma: A randomized control trial of clinician performance

Modulare Softwarearchitektur für Mehrwertanwendungen der deutschen Gesundheitstelematik

Assessing and Comparing Information Security in Swiss Hospitals

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