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At least 1,405 records · Page 78Linked to original sources
PubMed2001

Enhanced security services for enabling pan-European healthcare networks.

Establishing the Shared Care environment, communication and co-operation between healthcare establishments involved must be provided in a trustworthy way. This challenge is even more important for health networks using the Internet. In that context, services assuring both communication security and application security must be provided. Especially in the e-health environment, additionally to identity-related services certifying data or properties of principals, trustworthiness or authorisation for objects, components and functions must be established by Trusted Third Parties (TTP). Within the European Commission's Information Society Technologies (IST) Programme, the HARP project provides the "HARP Cross-Security Platform (HCSP)" needed in the open Web environment of pan-European networks. The solutions are under implementation and evaluation in the German ONCONET enabling a trustworthy framework for both health professionals and patients as well as supporting clinical studies.

Computer Security↗
PubMedDate not supplied

Computerized databases: privacy issues in the development of the nursing minimum data set.

Nursing leaders promoting the development and use of computerized databases such as the Nursing Minimum Data Set (NMDS) have not adequately addressed the complex ethical issues involved with computerized information systems. The purpose of this article is to describe the privacy issues involved with the NMDS. Moral considerations and principles guiding resolution of ethical issues concerning violations of patient privacy are discussed. A paradigm case is used to demonstrate the significance of privacy violations in computerized databases. Two security systems currently being considered in other disciplines are included for their relevance to the development of the NMDS. The broader implications concerning the impact of technology on preservation of human dignity and the quality of life are addressed.

Biomedical Research↗
PubMed1996

Will the Internet supplant community health networks?

As issues of security, accountability and access are resolved, the Internet will act as the central infrastructure for a global as well as a community health information network. It will help nurses extend their services to the community and to educate specific patient populations.

Community Health Services↗
PubMed2003

Strategies for complying with the HIPAA security rule.

In response to the HIPAA privacy and security rules, organizations are taking steps to set up and clean up access controls, and explore possible changes to audit controls and termination procedures. They are facing the practical issues of implementing security policies that are compliant, efficient to administer, and not disruptive to users. Organizations are also setting up new users' system access according to role-based schemes and examining the ways they are terminating access for departing employees.

California↗
PubMed2005

[Role of standardization in health care system computerization].

Standardization system includes development, publishing and promotion of standards, as well as their use in practice. Products, services and processes in a variety of human activities should be standardized. The goal of standardization is to achieve a high security level, a high quality, usefulness and effectiveness as well as limitation of variability, ensuring compatibility and replacement (of products), and to eliminate technical problems in the international exchange of people, work, products and services. The leading areas/objects of standardization in medical informatics are electronic health record, classification in health care, communication and message exchange as well as data security and protection of the whole health information system. Technical Committee for Standardization in Medical Informatics (TC215) has so far accepted fifteen standards and prestandards. The affiliate HL7 Croatia works on localization of communication standard HL7 and adaptation to the Croatian requirements.

Computer Security↗
PubMed2004

3 keys to security.

It's not enough for CEOs and their executive staff to endorse privacy and safety as a general concept. Leaders have to be actively involved in finding the tools and procedures that protect information from prying eyes and keep patients and the physical campus safe. And just buying the latest technology solution is not sufficient.

Access to Information↗
PubMed2003

Delivering primary care in prison: the need to improve health information.

BACKGROUND: Electronic patient records and access to electronic information resources are the cornerstones of delivery of modern primary care, and they will be necessary to deliver effective evidence-based patient care, provide needs-driven health care, assist research and improve quality of services. However, prison health needs assessments carried out in the South East region suggested that modern information technology was lacking in prison primary care. This is despite the fact that the principle of 'equivalence of care' has been guiding the recent prison healthcare reforms in response to concerns about quality of prison healthcare services. METHODS: We visited all four male adult prisons in the Thames Valley area and conducted one-to-one semi-structured interviews with healthcare staff to investigate the information available to them, the quality and uses of the data, and their current information systems. We also ran a workshop with prison healthcare managers and other healthcare staff from prisons in the Thames Valley area. RESULTS: Primary care staff in prisons record almost all clinical data on paper and do not have access to electronic clinical records nor to the internet. The main perceived barriers to implementing health information technology in prisons were concerns about potential breaches of security and discipline in prisons, anxiety about data security and a culture that gives low priority to health in prisons. CONCLUSIONS: To provide 'equivalence of care' for prisoners, primary care trusts need to implement full electronic clinical records in prisons and ensure staff have access to resources on the internet.

Adult↗
PubMed1997

A formal, mathematics oriented method for identifying security risks in information systems.

IT security presently lacks the benefits of physics where certain unifying grand principles can be applied. The aim of the method is to provide a technology independent method of identifying components of a system in general, and of information systems in particular. The need for the proposed method is derived from ad hoc character of theories used in the present formal security textbooks. None of these can give the user any guarantee of completeness. The new method is scientifically derived as a method, presented, explained and applied to several interesting topics in the field of health care information systems. Some simple mathematical formulae can be introduced.

Computer Security↗
PubMed2005

Interoperability and HealthGRID.

OBJECTIVES: GRID technology, with initiatives like the GGF, will have the potential to allow both competition and interoperability not only among applications and toolkits, but also among implementations of key services. The pyramid of eHealth interoperability should be achieved from standards in communication and data security, storage and processing, to the policy initiatives, including organizational protocols, financing procedures, and legal framework. The open challenges for GRID use in clinical fields illustrate the potential of the combination of grid technologies with medical routine into a wider interoperable framework. METHODS: The Telemedicine Alliance is a consortium (ESA, WHO and ITU), initiated in 2002, in building a vision for the provision of eHealth to European citizens by 2010. After a survey with more that 50 interviews of experts, interoperability was identified as the main showstopper to eHealth implementation. RESULTS: There are already several groups and organizations contributing to standardization. TM-Alliance is supporting the "e-Health Standardization Coordination Group" (eHSCG). CONCLUSIONS: It is now, in the design and development phase of GRID technology in Health, the right moment to act with the aim of achieving an interoperable and open framework. The Health area should benefit from the initiatives started at the GGF in terms of global architecture and services definitions, as well as from the security and other web services applications developed under the Internet umbrella. There is a risk that existing important results of the standardization efforts in this area are not taken up simply because they are not always known.

Computer Security↗
PubMed2001

Paperless practice -- electronic medical records at Island Health.

A computerised general medical practice using electronic medical records is described. Issues including security, confidentiality, shared access to records, use of knowledge bases and decision support are discussed. The practice has electronic data interchange links with local hospitals and health authorities. The practice has demonstrated increased clinical effectiveness, improved primary care team working and cost savings on administrative and clerical tasks.

Computer Security↗
PubMed2005

MPEG-21 as an access control tool for the National Health Service Care Records Service.

Since the launch of the National Health Service (NHS) Care Records Service with plans to share patient information across England, there has been an emphasis on the need for manageable access control methods. MPEG-21 is a structured file format which includes an Intellectual Property Management and Protection (IPMP) function using XML to present all digitally stored items in the patient record. Using DICreator software, patient records consisting of written text, audio-recordings, non-X-ray digital imaging and video sequences were linked up successfully. Audio records were created using Talk-Back 2002 to standardize and optimize recording quality. The recorded reports were then linked and archived using iTunes. A key was used each time the file was displayed to secure access to confidential patient data. The building of the correct file structure could be monitored during the entire creation of the file. The results demonstrated the ability to ensure secure access of the MPEG-21 file by both health-care professionals and patients by use of different keys and a specific MPEG-21 browser. The study also showed that the enabling of IPMP will provide accurate audit trails to authenticate appropriate access to medical information.

Computer Security↗
PubMed2003

Security, safety and quality in Health Information Systems.

The issues of Safety and Security are closely intertwined in Health information Systems. The paper explores the development of interest in these issues and looks to the next steps in the development of Safety standards. These efforts are compatible with the wider activities aimed at avoiding "adverse incidents" in the delivery of Healthcare.

Computer Security↗
PubMed2005

A model-driven approach for the german health telematics architectural framework and the related security infrastructure.

Shared care concepts such as managed care and continuity of care are based on extended communication and co-operation either between different health professionals, or between them and the patient. Health information systems and their components, which are very different in their structure, their behaviour, the respective data, and their semantics as well as regarding implementation details used in different environments for different purposes, have to provide intelligent interoperability. Therefore, flexibility, portability, and future-orientation must be guaranteed using the newest development of model driven architecture. The ongoing work for the German health telematics platform based on an architectural framework and a security infrastructure is described in some detail. This concept of future-proof health information networks with virtual Electronic Health Records as core application starts with multifunctional Electronic Health Cards. It fits into developments currently performed by many other developed countries in Europe and beyond.

Communication↗
PubMed2006

EHR in the perspective of security, integrity and ethics.

Success stories of modern applications in healthcare and welfare, like the electronic health record, are always linked to end user awareness, confidence, and acceptance. Reports and surveys have given proof of these dependencies. Knowing about existing and emerging concerns and weaknesses right in advance allows to taking actions on an ethical, social, and societal level. This paper gives a review of specific observations regarding security, privacy, authentication, integrity and ethical aspects when operating an electronic health record (EHR) system in a hospital, an open care department and in a wider community of the health care sector. A reference is given to existing and emerging international standards related to the aforementioned aspects.

Authorship↗
PubMed1994

The need for a security policy in health care institutions.

Because of the increasing role of information technology in health care more attention is needed for security. Legal, technical/organisational and social measures are needed. Based on general principles a high level security policy needs to be formulated for each institution. Based on such policy measures can be selected and implemented. The need for a high level policy is emphasized; as an example the high level policy developed within the AIM SEISMED project is briefly described.

Computer Security↗
PubMed2003

Law and standards faced to market rules in health information security.

This paper presents the main differences existing in the elaboration process of law and standard and analyses their potential conflicts. It also describes the respective force of law and standards in three main areas: legal threat versus financial threat, conflict versus cooperation and finally their respective position faced to oligarchic power.

Compensation and Redress↗
PubMed1999

Virtual microscopy and public-key cryptography for Internet telepathology.

The Internet is a potentially inexpensive, widely available medium for telepathology, but there are concerns about its reliability and security. Using a digital camera, 41 photomicrographs of transbronchial biopsies, at x 100 optical magnification, were captured and digitized at 2700 x 3400 pixel, 24 bit/pixel resolution. The image files were saved in JPEG format at medium compression, attached to text files with patient information, encrypted for security in the S/MIME format using a digital signature and digital envelope, and transmitted by email. Received email files were decrypted automatically and the images viewed with standard software. Telepathology diagnoses were compared with original interpretations. The images averaged 810 kByte in size. The encryption and decryption did not cause significant delays in overall transmission time and, together with transmission, did not produce noticeable image degradation. The received image files could be viewed in a manner that simulated light microscopy. There was agreement between telepathology and original diagnoses in 92% of the cases. All the discrepancies were due to inadequate area selection because the pathological features of interest were present in histological levels other than those photographed. The use of high-resolution digital photomicrography, the Internet and public-key cryptography offers an effective and relatively inexpensive method of telepathology consultation. The method is best suited for the diagnosis of small biopsy specimens that require the transmission of only a few digital images that represent the majority of the biopsy materials.

Bronchi↗