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Security in hospital information systems

B Barber1, D Garwood, P Skerman

  • 1NHS Management Executive, Security and Data Protection Program, UK.

International Journal of Bio-Medical Computing
|April 1, 1995
PubMed
Summary
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The study examines if Health Information Systems (HIS) require safety-critical or medical device standards due to evolving functionalities. It highlights the urgent need for robust HIS security standards to ensure patient safety and data integrity.

Area of Science:

  • Health Informatics
  • Information Security
  • Medical Device Regulation

Background:

  • The integration of Health Information Systems (HIS) into patient care is increasing.
  • Systems boundaries are becoming less defined, with enhanced and integrated functionalities.
  • The use of patient information within HIS is growing significantly.

Purpose of the Study:

  • To evaluate whether Health Information Systems (HIS) should be classified as safety-critical systems or medical devices.
  • To determine the appropriate testing and regulatory standards for HIS.
  • To address the need for enhanced security standards for HIS.

Main Methods:

  • Literature review linking activities of IMIA WG4 and IMIA WG10.
  • Analysis of the evolving nature and functionality of HIS.

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  • Discussion of regulatory and security implications.

    • Main Results:

    • Fading system boundaries and increased functionality of HIS raise critical questions about their classification.
    • The current regulatory landscape may not adequately address the complexities of modern HIS.
    • There is a clear and immediate need for established security standards for HIS.

    Conclusions:

    • HIS require careful consideration regarding their classification as safety-critical systems or medical devices.
    • Existing frameworks may need revision to accommodate the integrated nature of HIS.
    • The development and implementation of specific security standards for HIS are paramount.