Int J Med Inform - The Natural Hospital Environment: a Socio-Technical-Material perspective.

Tópicos

{ system(1050) medic(1026) inform(1018) }
{ ehr(2073) health(1662) electron(1139) }
{ framework(1458) process(801) describ(734) }
{ research(1085) discuss(1038) issu(1018) }
{ control(1307) perform(991) simul(935) }
{ howev(809) still(633) remain(590) }
{ implement(1333) system(1263) develop(1122) }
{ network(2748) neural(1063) input(814) }
{ care(1570) inform(1187) nurs(1089) }
{ case(1353) use(1143) diagnosi(1136) }
{ visual(1396) interact(850) tool(830) }
{ spatial(1525) area(1432) region(1030) }
{ use(2086) technolog(871) perceiv(783) }
{ can(774) often(719) complex(702) }
{ system(1976) rule(880) can(841) }
{ treatment(1704) effect(941) patient(846) }
{ model(3480) simul(1196) paramet(876) }
{ patient(2837) hospit(1953) medic(668) }
{ analysi(2126) use(1163) compon(1037) }
{ studi(2440) review(1878) systemat(933) }
{ studi(1119) effect(1106) posit(819) }
{ data(2317) use(1299) case(1017) }
{ can(981) present(881) function(850) }
{ survey(1388) particip(1329) question(1065) }
{ method(1969) cluster(1462) data(1082) }
{ featur(3375) classif(2383) classifi(1994) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ concept(1167) ontolog(924) domain(897) }
{ search(2224) databas(1162) retriev(909) }
{ medic(1828) order(1363) alert(1069) }
{ gene(2352) biolog(1181) express(1162) }
{ high(1669) rate(1365) level(1280) }
{ use(976) code(926) identifi(902) }
{ result(1111) use(1088) new(759) }
{ model(3404) distribut(989) bayesian(671) }
{ imag(1947) propos(1133) code(1026) }
{ data(1737) use(1416) pattern(1282) }
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{ bind(1733) structur(1185) ligand(1036) }
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{ extract(1171) text(1153) clinic(932) }
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{ model(2220) cell(1177) simul(1124) }
{ general(901) number(790) one(736) }
{ method(984) reconstruct(947) comput(926) }
{ featur(1941) imag(1645) propos(1176) }
{ data(3963) clinic(1234) research(1004) }
{ studi(1410) differ(1259) use(1210) }
{ risk(3053) factor(974) diseas(938) }
{ perform(999) metric(946) measur(919) }
{ import(1318) role(1303) understand(862) }
{ model(2341) predict(2261) use(1141) }
{ compound(1573) activ(1297) structur(1058) }
{ perform(1367) use(1326) method(1137) }
{ blood(1257) pressur(1144) flow(957) }
{ record(1888) medic(1808) patient(1693) }
{ health(3367) inform(1360) care(1135) }
{ monitor(1329) mobil(1314) devic(1160) }
{ state(1844) use(1261) util(961) }
{ research(1218) medic(880) student(794) }
{ model(2656) set(1616) predict(1553) }
{ age(1611) year(1155) adult(843) }
{ signal(2180) analysi(812) frequenc(800) }
{ cost(1906) reduc(1198) effect(832) }
{ group(2977) signific(1463) compar(1072) }
{ sampl(1606) size(1419) use(1276) }
{ data(3008) multipl(1320) sourc(1022) }
{ first(2504) two(1366) second(1323) }
{ intervent(3218) particip(2042) group(1664) }
{ activ(1138) subject(705) human(624) }
{ time(1939) patient(1703) rate(768) }
{ patient(1821) servic(1111) care(1106) }
{ health(1844) social(1437) communiti(874) }
{ structur(1116) can(940) graph(676) }
{ cancer(2502) breast(956) screen(824) }
{ use(1733) differ(960) four(931) }
{ drug(1928) target(777) effect(648) }
{ estim(2440) model(1874) function(577) }
{ decis(3086) make(1611) patient(1517) }
{ process(1125) use(805) approach(778) }
{ activ(1452) weight(1219) physic(1104) }
{ method(2212) result(1239) propos(1039) }
{ detect(2391) sensit(1101) algorithm(908) }

Resumo

JECTIVES: This paper introduces two concepts into analyses of information security and hospital-based information systems-- a Socio-Technical-Material theoretical framework and the Natural Hospital Environment.METHOD: The research is grounded in a review of pertinent literature with previously published Australian (Victoria) case study data to analyse the way clinicians work with privacy and security in their work. The analysis was sorted into thematic categories, providing the basis for the Natural Hospital Environment and Socio-Technical-Material framework theories discussed here.RESULTS: Natural Hospital Environments feature inadequate yet pervasive computer use, aural privacy shortcomings, shared workspace, meagre budgets, complex regulation that hinders training outcomes and out-dated infrastructure and are highly interruptive.DISCUSSION: Working collaboratively in many cases, participants found ways to avoid or misuse security tools, such as passwords or screensavers for patient care. Workgroup infrastructure was old, architecturally limited, haphazard in some instances, and was less useful than paper handover sheets to ensure the quality of patient care outcomes. Despite valiant efforts by some participants, they were unable to control factors influencing the privacy of patient health information in public hospital settings.CONCLUSION: Future improvements to hospital-based organisational frameworks for e-health can only be made when there is an improved understanding of the Socio-Technical-Material theoretical framework and Natural Hospital Environment contexts. Aspects within control of clinicians and administrators can be addressed directly although some others are beyond their control. An understanding and acknowledgement of these issues will benefit the management and planning of improved and secure hospital settings.

Resumo Limpo

jectiv paper introduc two concept analys inform secur hospitalbas inform system sociotechnicalmateri theoret framework natur hospit environmentmethod research ground review pertin literatur previous publish australian victoria case studi data analys way clinician work privaci secur work analysi sort themat categori provid basi natur hospit environ sociotechnicalmateri framework theori discuss hereresult natur hospit environ featur inadequ yet pervas comput use aural privaci shortcom share workspac meagr budget complex regul hinder train outcom outdat infrastructur high interruptivediscuss work collabor mani case particip found way avoid misus secur tool password screensav patient care workgroup infrastructur old architectur limit haphazard instanc less use paper handov sheet ensur qualiti patient care outcom despit valiant effort particip unabl control factor influenc privaci patient health inform public hospit settingsconclus futur improv hospitalbas organis framework ehealth can made improv understand sociotechnicalmateri theoret framework natur hospit environ context aspect within control clinician administr can address direct although other beyond control understand acknowledg issu will benefit manag plan improv secur hospit set

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