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Area of Science:

  • Health Informatics
  • Information Systems Management
  • Healthcare Operations

Background:

  • Information system downtime is a universal challenge in healthcare.
  • Unavailability of critical data during downtime necessitates alternative solutions.
  • Planned and unplanned downtimes disrupt essential healthcare services.

Purpose of the Study:

  • To conduct a scoping review of hospital strategies for managing information system downtime.
  • To identify and categorize common coping mechanisms employed by healthcare institutions.
  • To provide insights into effective downtime management in healthcare settings.

Main Methods:

  • A scoping review methodology was employed.
  • A systematic search was conducted to identify relevant literature.
  • A total of 13 papers were included in the final analysis.

Main Results:

  • Three primary coping strategies were identified: 1) Increasing communication, 2) Analog fallback, and 3) Restricted redundant systems.
  • The majority of identified coping mechanisms focused on enhancing communication and utilizing analog fallback procedures.
  • Significant variation exists in the implementation of downtime strategies across different healthcare institutions.

Conclusions:

  • Healthcare institutions must develop tailored strategies to manage information system downtime effectively.
  • Emphasis on communication and analog methods highlights their current importance in downtime management.
  • Further research may be needed to explore the efficacy and integration of restricted redundant systems.