Serious Technology Assessment for Health Care Information Technology

Cushman, Reid

doi:10.1136/jamia.1997.0040259

Cited by 17 publications

(4 citation statements)

References 3 publications

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“…The results of this study show suboptimal practices regarding data security and confidentiality among researchers from various health sectors. Similar results were previously reported where practices within healthcare environments fell short to expectations 15–17. In one incident, security failure lead to information exposure of 2 million patients in Central America including their full names, dates of birth, insurance information, disability status, and home addresses 18,19…”

Section: Discussionsupporting

confidence: 76%

<p>Patient Data Sharing and Confidentiality Practices of Researchers in Jordan</p>

Karasneh

Al‐Azzam

Alzoubi

et al. 2019

RMHP

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PurposeThe main focus of this study is to assess the knowledge and practices of healthcare practitioners regarding data sharing, security, and confidentiality, with a focus on the use of health data retrieved from electronic health records (EHRs) for research purposes.MethodsA descriptive, cross-sectional, questionnaire-based survey study was conducted across all academic institutions including all researchers in the medical field in Jordan. Personal and administrative practices in data sharing were assessed through collecting data from respondents.ResultsThe response rate was 22% with an average of 10.25 years of experience in publications. Almost 60% had published at least 1 to 3 studies using EHRs. The prevalence of researchers who “Always” used antivirus software and preserved patient’s information was 75.5% and 92.2%, respectively. However, other personal security and confidentiality measures were not satisfactory. Less than half of health data used in the research was “Always” anonymised or encrypted and only around 44.0% had “Always” used sensitive data with more specificity than normal data.ConclusionConfidentiality and data sharing practices of healthcare practitioners and researchers were generally less than optimal. Efforts from healthcare providers, health institutions, and lawmakers should be put in place to protect the security and confidentiality of electronic patient data.

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Section: Discussionsupporting

confidence: 76%

<p>Patient Data Sharing and Confidentiality Practices of Researchers in Jordan</p>

Karasneh

Al‐Azzam

Alzoubi

et al. 2019

RMHP

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“…If EMR use was determined to be associated with better compliance to clinical guidelines and decreased medical errors as determined by the process measures of the HQA, the practice should be more widespread. However, some have indicated that the cost of EMRs prevents many hospitals from using them (Burt & Hing, 2005;Cushman, 1997). Since the cost of EMR implementation is significant, it may not be cost effective to use such systems until clearer benefits are demonstrated in the area of quality.…”

Section: Implications and Conclusionmentioning

confidence: 99%

Do Hospitals With Electronic Medical Records (EMRs) Provide Higher Quality Care?

Kazley

Özcan

2008

Med Care Res Rev

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This study investigates how hospital electronic medical record (EMR) use influences quality performance. Data include nonfederal acute care hospitals in the United States. Sources of the data include the American Hospital Association, Hospital Quality Alliance, the Healthcare Information and Management Systems Society, and the Centers for Medicare and Medicaid Services case-mix index sets. The authors use a retrospective cross-sectional format with linear regression to assess the relationship between hospital EMR use and quality performance. Quality performance is measured using 10 process indicators related to 3 clinical conditions: acute myocardial infarction, congestive heart failure, and pneumonia. The authors also use a propensity score adjustment to control for possible selection bias. After this adjustment, the authors identify a positive significant relationship between EMR use and 4 of the 10 quality indicators. They conclude that there is limited evidence of the relationship between hospital EMR use and quality.

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“…Physicians in many countries do not understand the issues associated with, and need for, information security [8][9][10][11][12]. Poor recognition of potential security threats and defi ciency in awareness of the ethical dilemmas are apparent in the literature, together with a lack of awareness of legal ramifi cations of technologically related breaches of patient confi dentiality and privacy [13,14].…”

Section: Lack Of Conceptual Understanding Of Securitymentioning

confidence: 99%

When trust defies common security sense

Williams

2008

Health Informatics J

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Primary care medical practices fail to recognize the seriousness of security threats to their patient and practice information. This can be attributed to a lack of understanding of security concepts, underestimation of potential threats and the difficulty in configuration of security technology countermeasures. To appreciate the factors contributing to such problems, research into general practitioner security practice and perceptions of security was undertaken. The investigation focused on demographics, actual practice, issues and barriers, and practitioner perception. Poor implementation, lack of relevant knowledge and inconsistencies between principles and practice were identified as key themes. Also the results revealed an overwhelming reliance on trust in staff and in computer information systems. This clearly identified that both cultural and technical attributes contribute to the deficiencies in information security practice. The aim of this research is to understand user needs and problems when dealing with information security practice.

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Serious Technology Assessment for Health Care Information Technology

Cited by 17 publications

References 3 publications

<p>Patient Data Sharing and Confidentiality Practices of Researchers in Jordan</p>

<p>Patient Data Sharing and Confidentiality Practices of Researchers in Jordan</p>

Do Hospitals With Electronic Medical Records (EMRs) Provide Higher Quality Care?

When trust defies common security sense

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