J Am Med Inform Assoc - Challenges in ethics, safety, best practices, and oversight regarding HIT vendors, their customers, and patients: a report of an AMIA special task force.

Tópicos

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{ medic(1828) order(1363) alert(1069) }
{ care(1570) inform(1187) nurs(1089) }
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{ model(2220) cell(1177) simul(1124) }
{ system(1976) rule(880) can(841) }
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{ data(1714) softwar(1251) tool(1186) }
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{ system(1050) medic(1026) inform(1018) }
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{ implement(1333) system(1263) develop(1122) }
{ data(1737) use(1416) pattern(1282) }
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{ framework(1458) process(801) describ(734) }
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{ state(1844) use(1261) util(961) }
{ age(1611) year(1155) adult(843) }
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{ group(2977) signific(1463) compar(1072) }
{ sampl(1606) size(1419) use(1276) }
{ data(3008) multipl(1320) sourc(1022) }
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{ patient(1821) servic(1111) care(1106) }
{ use(2086) technolog(871) perceiv(783) }
{ can(981) present(881) function(850) }
{ structur(1116) can(940) graph(676) }
{ high(1669) rate(1365) level(1280) }
{ cancer(2502) breast(956) screen(824) }
{ use(1733) differ(960) four(931) }
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{ survey(1388) particip(1329) question(1065) }
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{ decis(3086) make(1611) patient(1517) }
{ process(1125) use(805) approach(778) }
{ activ(1452) weight(1219) physic(1104) }
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{ detect(2391) sensit(1101) algorithm(908) }

Resumo

The current commercial health information technology (HIT) arena encompasses a number of competing firms that provide electronic health applications to hospitals, clinical practices, and other healthcare-related entities. Such applications collect, store, and analyze patient information. Some vendors incorporate contract language whereby purchasers of HIT systems, such as hospitals and clinics, must indemnify vendors for malpractice or personal injury claims, even if those events are not caused or fostered by the purchasers. Some vendors require contract clauses that force HIT system purchasers to adopt vendor-defined policies that prevent the disclosure of errors, bugs, design flaws, and other HIT-software-related hazards. To address this issue, the AMIA Board of Directors appointed a Task Force to provide an analysis and insights. Task Force findings and recommendations include: patient safety should trump all other values; corporate concerns about liability and intellectual property ownership may be valid but should not over-ride all other considerations; transparency and a commitment to patient safety should govern vendor contracts; institutions are duty-bound to provide ethics education to purchasers and users, and should commit publicly to standards of corporate conduct; and vendors, system purchasers, and users should encourage and assist in each others' efforts to adopt best practices. Finally, the HIT community should re-examine whether and how regulation of electronic health applications could foster improved care, public health, and patient safety.

Resumo Limpo

current commerci health inform technolog hit arena encompass number compet firm provid electron health applic hospit clinic practic healthcarerel entiti applic collect store analyz patient inform vendor incorpor contract languag wherebi purchas hit system hospit clinic must indemnifi vendor malpractic person injuri claim even event caus foster purchas vendor requir contract claus forc hit system purchas adopt vendordefin polici prevent disclosur error bug design flaw hitsoftwarerel hazard address issu amia board director appoint task forc provid analysi insight task forc find recommend includ patient safeti trump valu corpor concern liabil intellectu properti ownership may valid overrid consider transpar commit patient safeti govern vendor contract institut dutybound provid ethic educ purchas user commit public standard corpor conduct vendor system purchas user encourag assist other effort adopt best practic final hit communiti reexamin whether regul electron health applic foster improv care public health patient safeti

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