| 1. |
- Skyvell Nilsson, Maria, 1961-, et al.
(författare)
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Professional culture, information security and healthcare quality : an interview study of physicians' and nurses' perspectives on value conflicts in the use of electronic medical records
- 2018
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Ingår i: Safety in health. - : BioMed Central. - 2056-5917. ; 4
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Tidskriftsartikel (refereegranskat)abstract
- Digital healthcare information systems impose new demands on healthcare professionals, and information security rules may induce stressful value conflicts, which the professional culture may help professionals to handle.The aim of the study was to elucidate physicians' and registered nurses' shared professional assumptions and values, grounded in their professional cultures, and how these assumptions and values explain and guide healthcare professionals' handling of value conflicts involving rules regulating the use of electronic medical records.Methods Healthcare professionals in five organisations in two Swedish healthcare regions were interviewed.Results The study identified ensuring the patients' physical health and well-being as the overarching value and a shared basic assumption among physicians and registered nurses. A range of essential professional and organisational values were identified to help attain this goal. In value conflicts, different values were weighted in relation to each other and to the electronic information security rules.Conclusions The results can be used to guide effective design and implementation of electronic medical records and information security regulations in healthcare.
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| 2. |
- Söderström, Eva, et al.
(författare)
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Standardisation as a Means to Improve Information Security in Process-Oriented Distributed Healthcare
- 2008
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Ingår i: Proceedings (ed) Kai Jacobs and Eva Söderström. Presented at the 13 th European Academy for Standardization (EURAS), 2008-06-16-17, Skövde Sweden.. - Aachen : Mainz. - 1437-8396. - 3861308096 ; 2008:ABI Band 40, s. 233-243
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Konferensbidrag (refereegranskat)abstract
- Regardless of who we are, where we are, and when we get sick, we expect the healthcare sectors to take care of us. And we expect it to treat us with respect. Not the least, this concerns treating our personal information with care. However, the reality is that most healthcare institutions work separately, and that the flow of patient information therefore is less than optimal. This paper aims to investigate how current standards map against the concept of information security, and how process-orientation can be used in conjunction with standards to create secure information flows in healthcare. It does so by describing information security and process-orientation, and investigates how standards for information security apply in a process-oriented, distributed healthcare sector. The result shows that a dual focus is needed, on document and process standardisation, and that healthcare is facing great challenges in order to make this work.
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| 3. |
- Söderström, Eva, et al.
(författare)
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Standards for information security and processes in healthcare
- 2009
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Ingår i: Journal of Systems and Information Technology. - : Emerald Group Publishing Limited. - 1328-7265 .- 1758-8847. ; 11:3, s. 295-308
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Tidskriftsartikel (refereegranskat)abstract
- Abstract Purpose – Regardless of who or where we are and when we get sick, we expect healthcare to make us well and to handle us and our information with care and respect. Today, most healthcare institutions work separately, making the flow of patient information sub-optimal and the use of common standards practically unheard of. The purpose of this paper is to emphasise the use for standards to improve information security in process-oriented distributed healthcare. Design/methodology/approach – The paper introduces a real-life case which is analysed to highlight how and where standards can and should be used in order to improve information security in process-oriented distributed healthcare. Findings – In total, 11 flaws or problems in information security and process-orientation are identified. From these, six changes are suggested which address how information is handled, and how organizational routines should be standardized. Research limitations/implications – The case setting is Swedish healthcare, but problems can be shared across international borders. The purpose is to highlight the issues at hand. Practical implications – If suggested changes are implemented, healthcare processes will be more streamlined and focused on patients. Routines will be standardized and uncertainties thus removed in terms of how to act in certain situations. Originality/value – Healthcare and academia has yet to address both document and process issues concerning standardization in distributed healthcare. There are also few actual cases from a patient perspective. This paper provides lessons learned from a real-life case, where results may impact how standardization is addressed in healthcare organizations.
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| 4. |
- Eriksson, Nomie, 1955
(författare)
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Implementation of an Electronic Patient’s Record in Process Oriented Healthcare
- 2008
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Ingår i: The 3rd Nordic Workshop on Health Management and Organization. Between Public and Private, 4-5 december Uppsala. Sub-theme 3: Making professional work transparent..
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Konferensbidrag (refereegranskat)abstract
- This article will offer a pathway for understanding recent changes and improvements in organizing and managing healthcare such as the flows of secure information about patients in healthcare. When patients visit healthcare providers they expect the personnel to have a patient centered view and to be informed what has happened in every unit they visited (Lindberg 2002, Eriksson 2007). I will discuss that this concerns a process-oriented organization and documented patient’s information treated with security. However, the reality is that most healthcare institutions like private healthcare and public healthcare work as traditional organizations (Scott et al 2000) and use paper based records, and as a consequence the flow of information is not optimal (Åhlfeldt 2008). Documentation takes personnel an increasing working time, crowding out the personnel’s time with patients. Still, documentation is necessary to give patients the best healthcare and make visible the personnel’s work. When improvements are accepted it becomes a condition for the strategizing healthcare organization, to emerge coordinating healthcare activities into a process-oriented healthcare with secure information. This study aims to investigate how the implementation of an electronic patient’s record manages information security and if process-oriented healthcare supports the flows of information. By describing process-orientation in healthcare, documents and questionnaires focus on the changes in personnel group’s opinions when an electronic patient’s record is implemented in a process organized hospital department. The personnel’s opinion compares between monitoring tools as paper based records and data based records. The study shows that to provide patients with opportunity for the best healthcare with the right information at the right time, and to protect sensitive patient information from distribution to unauthorized persons, increasing with an electronic patient record. The study also shows that process orientation particularly supports the flows of secure information. Thus, the personnel’s opinion support implementation of the new electronic patient’s record, they have a lack of knowledge to identify patient’s information as ongoing information without unnecessary repeating and commonly continue to double document about the patients. The study highlights high-quality education as protection against undesired changes in information security. I am argued that it is difficult to successfully manage implementations in the healthcare even when the organizations structures mostly support the improvements. Patient’s information transfer between healthcare personnel and organizational boarders need standardizations such as process-oriented organisation and an electronic patient record. The healthcare is facing great challenges in order to manage personnel’s way of working.
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| 5. |
- Söderström, Eva, et al.
(författare)
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Trusting digitized patient-related information: The need for a new approach
- 2011
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Ingår i: In Furnell and Clarke (eds.), Proceedings of the 5th International Symposium on Human Aspects of Information Security and Assurance (HAISA), London, 2011. - : Plymouth Center for Security, Comunications & Network Research, University of Plymouth. - 9781841022840 ; , s. 119-129
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Konferensbidrag (refereegranskat)abstract
- Trust is receiving increasing attention nowadays, particularly since new technology enables communication and collaboration like it has never been seen before. However, trust is a fuzzy concept that needs further examination and attention from multiple levels. For example, security is very important from a user’s point of view in trusting that technology will function in accordance with the user’s intended and requested function. This paper reviews the concept of patient safety, which thus far has been discussed and defined from a narrow technical perspective. We demonstrate that it is much more complex, and that it is not primarily the technical issues that are problematic, but rather the cultural, process-related and personnel issues. Our results point to a need for a new approach, which takes the patients’ view of healthcare and the patient-related digital information as its focus. The discussion is made from a Swedish perspective, but the issues are international. The needs for information and knowledge in healthcare are obvious. Without clear definitions of concepts and roles, a good information flow or process cannot be designed. Our discussion shows that trusted digital patient information gives an opportunity for a patient-focused healthcare. Multidimensional trust must be addressed on all levels; organization, person and technology. More empirical research into trust in digital patient-related information is necessary, to develop a model for patient safety from a trust perspective that encompasses all levels of trust.
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| 6. |
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| 7. |
- Iqbal, Sarfraz, 1979-, et al.
(författare)
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Exploring Smart Watch Ecosystem Value Co-creation Experience : A Qualitative Case Study
- 2022
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Ingår i: The Eighth International Conference on Smart Portable, Wearable, Implantableand Disability-oriented Devices and Systems. - : International Academy, Research and Industry Association (IARIA). - 9781612089638 ; , s. 1-7
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Konferensbidrag (refereegranskat)abstract
- Internet of Things (IoT) is a technology paradigm comprising physical objects such as smart watches embedded with sensors, software, and networking technologies that are used to connect and exchange data with other devices such as smart phones and systems over the Internet. Smart watches and other wearables are emerging at a rapid speed, and they have engaged the users in redefining their interaction with mobile and pervasive technologies by creating an ecosystem of relevant devices. This research work focused on the issue of value co-creation and better understanding of smart watch consumer’s adoption and appropriation process which can highlight the factors motivating or demotivating the consumers to use the smart watches to achieve different objectives. Through a qualitative research method, empirical data was collected by observation, written questionnaire, and interviews. Using a thematic analysis scheme, the following four themes were generated from the collected data: (1) Getting motivated and maintaining motivation, (2) Usefulness – value-in-use and value-in context, (3) Technical issues with smart watch resources, and (4) Information security and privacy concerns about smart technologies.
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| 8. |
- Johansson, David, et al.
(författare)
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Information Technology and Medical Technology Personnel's Perception Regarding Segmentation of Medical Devices : A Focus Group Study
- 2020
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Ingår i: Healthcare. - : MDPI AG. - 2227-9032. ; 8:1
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Tidskriftsartikel (refereegranskat)abstract
- Objective: Segmentation is one way of improving data protection. The aim of this study was to investigate Information Technology (IT) and Medical Technology (MT) personnel's perception in relation to ongoing segmentation of medical devices and IT infrastructure in the healthcare sector. Methods: Focus group interviews with 9 IT and 9 MT personnel in a county council in southern Sweden were conducted. The interviews focused on two areas: Positive expectations and misgivings. Digital recordings were transcribed verbatim and analyzed using qualitative content analysis. Results: Responses related to 2 main areas: Information security and implementation of segmentation. Informants stated that network segmentation would increase the overall level of cybersecurity for medical devices, addressing both insider and outsider threats. However, it would also increase the need for administration and the need for knowledge of the communication patterns of medical devices from the manufacturer's perspective. Conclusion: IT and MT personnel in a county council in southern Sweden believed that segmentation would increase cybersecurity but also increase administration and resource needs, which are important opinions to take into consideration. The present study can be used as a model for others to increase awareness of opinions of healthcare organizations.
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| 9. |
- Raman, Sudha R., et al.
(författare)
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Leveraging electronic health records for clinical research
- 2018
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Ingår i: American Heart Journal. - : Elsevier. - 0002-8703 .- 1097-6744. ; 202, s. 13-19
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Tidskriftsartikel (refereegranskat)abstract
- Electronic health records (EHRs) can be a major tool in the quest to decrease costs and timelines of clinical trial research, generate better evidence for clinical decision making, and advance health care. Over the past decade, EHRs have increasingly offered opportunities to speed up, streamline, and enhance clinical research. EHRs offer a wide range of possible uses in clinical trials, including assisting with prestudy feasibility assessment, patient recruitment, and data capture in care delivery. To fully appreciate these opportunities, health care stakeholders must come together to face critical challenges in leveraging EHR data, including data quality/completeness, information security, stakeholder engagement, and increasing the scale of research infrastructure and related governance. Leaders from academia, government, industry, and professional societies representing patient, provider, researcher, industry, and regulator perspectives convened the Leveraging EHR for Clinical Research Now! Think Tank in Washington, DC (February 18-19, 2016), to identify barriers to using EHRs in clinical research and to generate potential solutions. Think tank members identified a broad range of issues surrounding the use of EHRs in research and proposed a variety of solutions. Recognizing the challenges, the participants identified the urgent need to look more deeply at previous efforts to use these data, share lessons learned, and develop a multidisciplinary agenda for best practices for using EHRs in clinical research. We report the proceedings from this think tank meeting in the following paper. (C) 2018 Elsevier Inc. All rights reserved.
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| 10. |
- Lindqvist, Anna-Karin, et al.
(författare)
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One should really be more worried about too little physical activity than injuries while walking or cycling to school. Parents’ perception of risk concerning active school transportation.
- 2023
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Ingår i: Journal of Transport and Health. - : Elsevier. - 2214-1405 .- 2214-1405. ; 29
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Tidskriftsartikel (refereegranskat)abstract
- IntroductionActive school transportation (AST) can be a powerful strategy to promote physical activity and improve children's health. Parents' perceptions of traffic risks are an important factor in their decision concerning their child's transport mode to school and addressing discordances between the percieved risks and actual incidents might contribute to promote children's AST. This study adopted a game originally designed for the context of information security to resonate with the context of Swedish AST and the aim of the study was to describe parent's experience of playing the game.MethodsA qualitative approach was chosen and data was collected using focus groups with 16 parents for totally 29 children aged 7–12. The collected data were analyzed using qualitative content analysis.ResultsThe results formed one main theme “Playing promotes parents' awareness and consideration of active school transportation” and three subthemes; “Fast, fun, and functional; Experiences from playing the game” showing that the parents perceived the game to be fun, easy, and time efficient to play. “Then and now. Own childhood experience vs being a parent” showing that parents' perception of risk can sometimes be barriers to their children's opportunity to use AST. “Personal perceptions vs statistical risk” showing that playing the game addressed the discordance between the parents' perceived risks and actual incidents, as well as promoted parents' awareness and consideration of AST.ConclusionsIncluding an intervention component such as a game for parents and using schools as the arena for implementing projects promoting AST to improve children's physical activity levels, might be a fruitful avenue.
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