Structure of Governmental Oversight of Quality in Healthcare

2015 ◽  
Author(s):  
Sandra Johnson
Keyword(s):  
Quality In Healthcare

Assessing HIPAA Compliance of Open Source Electronic Health Record Applications

2021 ◽  
Vol 15 (2) ◽  
pp. 181-195
Author(s):  
Hossain Shahriar ◽  
Hisham M. Haddad ◽  
Maryam Farhadi
Keyword(s):  
Electronic Health Record ◽  
Open Source ◽  
Medical Decision ◽  
Patient Treatment ◽  
Health Record ◽  
Technical Requirements ◽  
Patient Health ◽  
Treatment Plans ◽  
Electronic Health ◽  
Quality In Healthcare

Electronic health record (EHR) applications are digital versions of paper-based patient health information. EHR applications are increasingly being adopted in many countries. They have resulted in improved quality in healthcare, convenient access to histories of patient medication and clinic visits, easier follow up of patient treatment plans, and precise medical decision-making process. The goal of this paper is to identify HIPAA technical requirements, evaluate two open source EHR applications (OpenEMR and OpenClinic) for security vulnerabilities using two open-source scanner tools (RIPS and PHP VulnHunter), and map the identified vulnerabilities to HIPAA technical requirements.

scholarly journals Improving quality in healthcare - current trends and innovations

2012 ◽  
Vol 20 (3) ◽  
pp. 299-301 ◽  
Author(s):  
Martha A. Riehle ◽  
Kristiina Hyrkas
Keyword(s):  
Current Trends ◽  
Quality In Healthcare

scholarly journals Managing alarm systems for quality and safety in the hospital setting

2018 ◽  
Vol 7 (3) ◽  
pp. e000202 ◽  
Author(s):  
Tita Alissa Bach ◽  
Lars-Martin Berglund ◽  
Eva Turk
Keyword(s):  
Machine Learning ◽  
Literature Review ◽  
Grey Literature ◽  
Hospital Setting ◽  
Integrated Approach ◽  
Clinical Environment ◽  
Alarm Systems ◽  
Literature Reviews ◽  
Technical Factors ◽  
Quality In Healthcare

ObjectiveTo provide an overview of documented studies and initiatives that demonstrate efforts to manage and improve alarm systems for quality in healthcare by human, organisational and technical factors.MethodsA literature review, a grey literature review, interviews and a review of alarm-related standards (IEC 60601-1-8, IEC 62366-1:2015 and ANSI/Advancement of Medical Instrumentation HE 75:2009/2013) were conducted. Qualitative analysis was conducted to identify common themes of improvement elements in the literature and grey literature reviews, interviews and the review of alarm-related standards.Results21 articles and 7 publications on alarm quality improvement work were included in the literature and grey literature reviews, in which 10 themes of improvement elements were identified. The 10 themes were categorised into human factors (alarm training and education, multidisciplinary teamwork, alarm safety culture), organisational factors (alarm protocols and standard procedures, alarm assessment and evaluation, alarm inventory and prioritisation, and sharing and learning) and technical factors (machine learning, alarm configuration and alarm design). 26 clinicians were interviewed. 9 of the 10 themes were identified from the interview responses. The review of the standards identified 3 of the 10 themes. The study findings are also presented in a step-by-step guide to optimise implementation of the improvement elements for healthcare organisations.ConclusionsImproving alarm safety can be achieved by incorporating human, organisational and technical factors in an integrated approach. There is still a gap between alarm-related standards and how the standards are translated into practice, especially in a clinical environment that uses multiple alarming medical devices from different manufacturers. Standardisation across devices and manufacturers and the use of machine learning in improving alarm safety should be discussed in future collaboration between alarm manufacturers, end users and regulators.

High Quantity But Limited Quality in Healthcare Applications Intended for HIV-Infected Patients

2014 ◽  
Vol 20 (8) ◽  
pp. 729-735 ◽  
Author(s):  
María de las Aguas Robustillo Cortés ◽  
María Rosa Cantudo Cuenca ◽  
Ramón Morillo Verdugo ◽  
Elena Calvo Cidoncha
Keyword(s):  
Healthcare Applications ◽  
Quality In Healthcare

scholarly journals The care and keeping of clinicians in quality improvement

2020 ◽  
Vol 32 (7) ◽  
pp. 480-485
Author(s):  
Ulfat Shaikh ◽  
Peter Lachman ◽  
Andrew J Padovani ◽  
SiobhÁn E McCarthy
Keyword(s):  
Professional Development ◽  
Quality Improvement ◽  
Organizational Support ◽  
Self Efficacy ◽  
Business Case ◽  
Theoretical Frameworks ◽  
Training Time ◽  
Implementation Challenges ◽  
Personal Strengths ◽  
Quality In Healthcare

Abstract Objective Although frontline clinicians are crucial in implementing and spreading innovations, their engagement in quality improvement remains suboptimal. Our goal was to identify facilitators and barriers to the development and engagement of clinicians in quality improvement. Design A 25-item questionnaire informed by theoretical frameworks was developed, tested and disseminated by email. Settings Members and fellows of the International Society for Quality in Healthcare. Participants 1010 eligible participants (380 fellows and 647 members). Interventions None. Main Outcome Measures Self-efficacy and effectiveness in conducting and leading quality improvement activities. Results We received 212 responses from 50 countries, a response rate of 21%. Dedicated time for quality improvement, mentorship and coaching and a professional quality improvement network were significantly related to higher self-efficacy. Factors enhancing effectiveness were dedicated time for quality improvement, multidisciplinary improvement teams, professional development in quality improvement, ability to select areas for improvement and organizational values and culture. Inadequate time, mentorship, organizational support and access to professional development resources were key barriers. Personal strengths contributing to effectiveness were the ability to identify problems that need to be fixed, reflecting on and learning from experiences and facilitating sharing of ideas. Key quality improvement implementation challenges were adopting new payment models, demonstrating the business case for quality and safety and building a culture of accountability and transparency. Conclusions Our findings highlight areas that organizations and professional development programs should focus on to promote clinician development and engagement in quality improvement. Barriers related to training, time, mentorship, organizational support and implementation must be concurrently addressed to augment the effectiveness of other approaches.

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