scholarly journals Ensuring the Safety of Health Information Systems: Using Heuristics for Patient Safety

2009 ◽  
Vol 12 (sp) ◽  
pp. 49-54 ◽  
Author(s):  
Christopher Carvalho ◽  
Elizabeth Borycki ◽  
Andre Kushniruk
2017 ◽  
Vol 9 (1) ◽  
pp. 6 ◽  
Author(s):  
Eija Hautamäki ◽  
Ulla-Mari Kinnunen ◽  
Sari Palojoki

Health information systems contain usability issues that cause use errors, which may pose a risk to patient safety. The aim of this study was to identify what kind of usability issues in information systems cause use errors that lead to patient safety incidents. Patient safety incidents reported into an incident reporting system in a Finnish hospital district during the year 2014 (n=2500) were analyzed from the perspectives of usability and use errors. An inductive content analysis was carried out in order to gather information about the usability issues that may have led to a use error, thus causing patient safety incidents. The results showed that the main usability issues are the distribution of information into multiple views, identification problems with the selected patient, and basic daily tasks' reliance on users' memory. The results show that the relationship between usability, use errors, and patient safety should be understood and considered in the health information system design.


Author(s):  
Felipe Mejia Medina ◽  
Zenaida Cucaita Vergara ◽  
Ruben Dario Castro Acuña ◽  
Jair Tellez

Patient safety is one of the most important challenges facing healthcare organizations in the world. Patient safety programs aim to avoid the events caused to the patient during their care, through strategies aimed at guaranteeing infection control, safe use of medications, equipment, clinical practice and environment. However, errors in health care are often due to weak information systems and their causes can be corrected by identifying the incidents and events presented during the care. Each country must have solid and reliable health information systems (HIS) to generate its own data, in order to monitor the different health programs and thus report on their management. In many countries, SISs are weak, incomplete and fragmented, with problems related to infrastructure, interoperability, connectivity, lack of training and availability to health care personnel. The objective of this study was to conduct a rapid systematic review of the literature about the experiences reported by users or health professionals with the Health Information Systems of Patient Safety Programs (PSP). 98 articles were identified in the Medline database, of which 5 articles with a qualitative approach were included. The results showed problems with the definition of concepts related to patient safety, fear of professionals to report events or incidents, reluctance to use SIS due to interoperability or communication problems. The qualitative studies related to HIS of the PSP are scarce and the publications found have been carried out in countries such as Iran, Taiwan, Austria, Spain and the Netherlands.


2012 ◽  
Vol 21 (01) ◽  
pp. 56-64 ◽  
Author(s):  
F. M. S. Househ ◽  
A. W. Kushniruk ◽  
C. Nohr ◽  
H. Takeda ◽  
E. M. Borycki

SummaryThe objectives of this paper are to explore issues and perspectives from four regions of the world where health information systems are contributing to patient empowerment and influencing patient safety.Members of the IMIA Working Group for Health Information Systems Safety came together to explore global issues at the intersection of health information systems safety, patient empowerment and patient safety. The group carried out a review and synthesis of the empirical and grey literature in four different regions/countries of the world that have differing health information system safety priorities.Regions/countries from differing parts of the world are developing: (1) high quality, safe information for individuals to use in their health related decision making, (2) patient portals and testing them for their safety, (3) methods for identifying unsafe health information system features and functions, and (4) ways of engaging citizens in identifying unsafe features and functions of health information systems.Internationally, there has been a rise in the number of health information systems and technologies that are being developed to support patient care. The amount of health information available on the World Wide Web (WWW), and the use of mobile phone software to support consumer health behaviours and self-management of chronic illnesses has also grown. The use of some of these health informationsystems and technologies has helped citizens to improve their health status (e.g. patient portals, mobile phones). However, the safety of these systems and technologies has come into question. As a result, there is a need to refine these systems and ensure theirsafetywhentheyareusedbypatientsandtheirfamilies.


1998 ◽  
Vol 37 (04/05) ◽  
pp. 518-526 ◽  
Author(s):  
D. Sauquet ◽  
M.-C. Jaulent ◽  
E. Zapletal ◽  
M. Lavril ◽  
P. Degoulet

AbstractRapid development of community health information networks raises the issue of semantic interoperability between distributed and heterogeneous systems. Indeed, operational health information systems originate from heterogeneous teams of independent developers and have to cooperate in order to exchange data and services. A good cooperation is based on a good understanding of the messages exchanged between the systems. The main issue of semantic interoperability is to ensure that the exchange is not only possible but also meaningful. The main objective of this paper is to analyze semantic interoperability from a software engineering point of view. It describes the principles for the design of a semantic mediator (SM) in the framework of a distributed object manager (DOM). The mediator is itself a component that should allow the exchange of messages independently of languages and platforms. The functional architecture of such a SM is detailed. These principles have been partly applied in the context of the HEllOS object-oriented software engineering environment. The resulting service components are presented with their current state of achievement.


1979 ◽  
Vol 18 (04) ◽  
pp. 214-222
Author(s):  
K. Sauter

The problems encountered in achieving data security within computer-supported information systems increased with the development of modern computer systems. The threats are manifold and have to be met by an appropriate set of hardware precautions, organizational procedures and software measures which are the topic of this paper. Design principles and software construction rules are treated first, since the security power of a system is considerably determined by its proper design. A number of software techniques presented may support security mechanisms ranging from user identification and authentication to access control, auditing and threat monitoring. Encryption is a powerful tool for protecting data during physical storage and transmission as well.Since an increasing number of health information systems with information-integrating functions are database-supported, the main issues and terms of database systems and their specific security aspects are summarized in the appendix.


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