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Implementing security in computer based patient records clinical experiences

K R Iversen1, V Heimly, T I Lundgren

  • 1Norwegian Centre for Medical Informatics (KITH), Medisinsk Teknisk Senter, 7005 Trondheim, Norway.

Medinfo. MEDINFO
|January 1, 1995
PubMed
Summary

Transitioning from paper to computer-based patient records (CPRs) in Norwegian hospitals enhances patient safety and privacy. Properly designed CPR systems offer effective tools for healthcare personnel while meeting strict security demands.

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Area of Science:

  • Health Informatics
  • Medical Record Management
  • Patient Safety

Background:

  • Organizational changes in Norwegian hospitals prioritize patient safety.
  • Shift from department-based to hospital-wide paper patient records increases accessibility but raises privacy concerns.
  • Non-medical staff access to comprehensive patient information poses security risks.

Purpose of the Study:

  • To explore the potential of computer-based patient records (CPRs) as a solution to privacy and security challenges.
  • To investigate the joint design considerations for CPR systems, focusing on security, privacy, effectiveness, and user-friendliness.
  • To evaluate the feasibility of implementing CPRs that meet both clinical utility and stringent privacy requirements.

Main Methods:

  • Analysis of organizational changes and record management practices in Norwegian hospitals.

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  • Review of clinical experiences and implementation of CPR systems.
  • Assessment of security, privacy, effectiveness, and user-friendliness aspects in CPR design.

    • Main Results:

    • Computer-based patient records (CPRs) can effectively address the paradox of accessibility versus privacy.
    • Joint focus on security, privacy, effectiveness, and user-friendliness from the outset is crucial for successful CPR design.
    • Clinical experiences demonstrate the possibility of creating useful CPR tools for healthcare personnel (HCP) that comply with privacy regulations.

    Conclusions:

    • Computer-based patient records (CPRs) offer a viable solution for enhancing patient safety and privacy in healthcare settings.
    • Successful CPR implementation requires a holistic design approach integrating technical and user-centric considerations.
    • Norwegian clinical experiences validate the development of secure and effective CPR systems for healthcare personnel (HCP).