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由于软件安全补丁而导致的软件功能问题,医疗保健中的运营中断:一个案例报告.

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医疗信息技术 (HIT) 中的软件安全补丁可以破坏患者监控. 本研究分析了一起事件,提出更安全的补丁策略,提高医疗保健质量和患者安全.

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科学领域:

  • 医疗信息学 医疗信息学
  • 临床工程 临床工程
  • 信息安全 信息安全

背景情况:

  • 医疗信息技术 (HIT) 系统提供了好处,但面临着部署的挑战.
  • 远程测量患者监控工作流程特别容易受到中断的影响.
  • 软件安全补丁可能会对临床操作和患者监测产生负面影响.

研究的目的:

  • 分析医疗保健环境中涉及软件安全补丁的事件.
  • 确定与软件更新相关的中断的根本原因.
  • 制定预防和纠正HIT补丁产生的问题的策略.

主要方法:

  • 使用归纳和演方法进行定性分析.
  • 审查事件报告,以了解事件的"什么"和"为什么".
  • 系统方法和补丁过程的社会技术分析.

主要成果:

  • 事件是由于安全补丁引起的软件功能问题,导致了明显的后果,但没有伤害患者.
  • 计划不足,培训不足,应急计划不足和系统配置不佳是导致的因素.
  • 开发了15个预防和纠正策略,分为补丁部署,操作员培训,应急规划和系统通信.

结论:

  • 软件安全补丁需要仔细规划和执行,以保持医疗保健质量和患者安全.
  • 实施拟议的策略可以最大限度地减少与HIT相关的事件,并加强补丁管理.
  • 需要进一步研究与软件安全补丁相关的一般HIT问题.