Application of a health information technology safety maturity model in brazilian hospitals
DOI:
https://doi.org/10.59681/2175-4411.v16.iEspecial.2024.1283Keywords:
Maturity Model, Patient Safety, Healthcare Information TechnologyAbstract
Objective: This study presents the application of the Healthcare Information Technology Security Maturity Model (HITSMM) in two Brazilian hospitals. Method: Through virtual meetings and interviews with hospital leaders, we assessed each hospital's adherence to the HITSMM requirements. These requirements align with specific maturity stages, allowing us to determine the current level of healthcare IT security maturity of each hospital. After the interviews, hospital leaders responded to a questionnaire evaluating the HITSMM and their perception of its impact on patient safety. Results: While both hospitals have Electronic Medical Record Adoption Model (EMRAM) Stage 6 certification, our assessment placed them in Stage 2 within the HITSMM framework. This discrepancy highlights the HITSMM's ability to assess security aspects not addressed by EMRAM. Conclusion: This work highlights the potential of using HITSMM as a new tool to improve healthcare IT security.
References
B. Chaudhry, “Systematic Review: Impact of Health Information Technology on Quality, Efficiency, and Costs of Medical Care,” Ann. Intern. Med., vol. 144, no. 10, p. 742, May 2006.
Myers RB, Jones SL, Sittig DF. Review of reported clinical information system adverse events in US food and drug administration databases. Appl Clin Inform. 2011;2(1):63–74.
Koppel R, Metlay JP, Cohen A, Abaluck B, Localio AR, Kimmel SE, et al. Role of computerized physician order entry systems in facilitating medication errors. J Am Med Assoc [Internet]. 2005 Mar 9 [cited 2014 Dec 11];293(10):1197–203. Available from: http://archpsyc.jamanetwork.com/article.aspx?articleid=200498
Johnson CW. Politics and patient safety don’t mix: understanding the failure of large-scale software procurement in healthcare. IET Conf Proc [Internet]. 2009;33(1).
Harrison MI, Koppel R, Bar-Lev S. Unintended Consequences of Information Technologies in Health Care - An Interactive Sociothecnical Analysis. J Am Med Informatics Assoc. 2007;542–9.
L. A. Virginio and I. L. M. Ricarte. Identification of Patient Safety Risks Associated with Electronic Health Records: A Software Quality Perspective. Stud. Health Technol. Inform, V. 216, p. 55–9, 2015.
Magrabi F, Liaw ST, Arachi D, Runciman W, Coiera E, Kidd MR. Identifying patient safety problems associated with information technology in general practice: an analysis of incident reports. BMJ Qual Saf [Internet]. 2015;(November):bmjqs-2015-004323. Available from: http://qualitysafety.bmj.com/lookup/doi/10.1136/bmjqs-2015-004323
Magrabi F, Baker M, Sinha I, Ong M-S, Harrison S, Kidd MR, et al. Clinical safety of England’s national programme for IT: A retrospective analysis of all reported safety events 2005 to 2011. Int J Med Inform [Internet]. 2015;84(3):198–206. Available from: http://linkinghub.elsevier.com/retrieve/pii/S1386505614002482
Sittig DF, Ash JS, Singh H. The SAFER guides: Empowering organizations to improve the safety and effectiveness of electronic health records. Am J Manag Care. 2014;20(5):418–23.
th International Congress on Image and Signal Processing, BioMedical Engineering and Informatics, CISP-BMEI 2019. 2019.
Virginio L., Dos Reis, J. C. Health IT and Patient Safety: Finding Relations Between EMRAM and SAFER Guides. o XVII Congresso Brasileiro de Informática em Saúde, CBIS 2020. 2020.
Virginio L., Dos Reis, J. C. Improving Patient Safety Maturity in Healthcare Organizations Using Information Technology. Submitted to an international jornal
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