Current Developments in Electronic Health Records

Pfeuffer, Nils; Penndorf, Peter; Hoffmann, Wolfgang; Berg, Neeltje van den

doi:10.1016/b978-0-12-801238-3.11662-9

Cited by 3 publications

(9 citation statements)

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“…The findings of this research align with those of Pfeuffer et al (2020), as both studies identified similar categories of vulnerabilities, including insufficient access control, external threats, and non-compliance with regulations [13]. However, Pfeuffer et al concentrated on the security aspects of implementing a national EMR system, while this study provides a comprehensive review of 25 recent publications on EMR security from 2020-2023.…”

Section: Comparison Of Key Findings With Previous Studiessupporting

confidence: 83%

“…Past studies have reported that network authentication, identity verification, and authorization of EMR access by providers are essential to improve patient privacy [12], [13]. Based on policies in Thailand, public health services must keep patient information private.…”

Section: Lack Of Access Controls and Patient Privacymentioning

confidence: 99%

“…Vulnerabilities in centralized and decentralized architectures were the second most common category, with 13 references highlighting concerns about centralized systems. Existing research shows limited studies comprehensively evaluate integrated Electronic Health Record (EHR) deployment across diverse healthcare providers [13]. Many EHR systems employ a centralized structure, consolidating the entire patient database for storage on a single central server [23], [24].…”

Section: Centralized and Decentralized Architecturementioning

confidence: 99%

“…Challenges that hinder effective data sharing include system incompatibility, concerns about data privacy, and the need for standardized protocols across organizations. However, the exchange of patient data between health organizations still encounters various technical and operational challenges [13]. One of the main challenges is managing patient privacy, considering that data needs to be shared with various related parties such as hospitals, clinics, insurance companies, and other agencies [27].…”

Section: Interoperability and Data Sharingmentioning

confidence: 99%

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Uncovering Security Vulnerabilities in Electronic Medical Record Systems: A Comprehensive Review of Threats and Recommendations for Enhancement

Wijayanti,

Ujianto,

Rianto

2024

J. Ilm. Tek. Elektro Komput. Dan Inform

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Cybersecurity is a critical concern for healthcare organizations in the digital era, as patient data privacy faces significant risks from numerous vulnerabilities. Given the escalating cyberattacks in healthcare, understanding EMR system vulnerabilities has become imperative. This study aimed to find the main weaknesses in Electronic Health Record (EHR) systems and suggest proven methods to improve security and keep patient information private. Utilizing a cross-sectional analysis, we assessed the effectiveness of current security protocols against identified threats. We systematically reviewed 25 recent, high-quality articles (from 2020 to 2023) on EMR vulnerabilities, selected based on their relevance and the efficacy of their proposed solutions. Our analysis revealed that system architecture flaws and credential misuse represented the most significant threats, with hacking incidents most frequently targeting these weaknesses. The analysis identified six key threat categories to EMR security: compromised access, system architecture flaws, data sharing challenges, hacking, credential misuse, and non-compliance with regulations. This framework introduced a multi-layered defense strategy, unique in incorporating both technical and behavioral security measures. The study provided a novel framework combining technological and management safeguards, offering a fresh perspective on modern EMR vulnerabilities. The detailed threat categorization gave healthcare organizations a strategic basis for improved security planning and resource allocation. The actionable insights from this study could greatly enhance EMR security protocols in healthcare settings, potentially reducing data breaches and improving patient trust. Further research was warranted to test the effectiveness of the proposed framework across various healthcare environments.

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Section: Comparison Of Key Findings With Previous Studiessupporting

confidence: 83%

Section: Lack Of Access Controls and Patient Privacymentioning

confidence: 99%

Section: Centralized and Decentralized Architecturementioning

confidence: 99%

Section: Interoperability and Data Sharingmentioning

confidence: 99%

See 2 more Smart Citations

Uncovering Security Vulnerabilities in Electronic Medical Record Systems: A Comprehensive Review of Threats and Recommendations for Enhancement

Wijayanti,

Ujianto,

Rianto

2024

J. Ilm. Tek. Elektro Komput. Dan Inform

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“…Albeit standards to maintain optimal interoperability with EHRs have been defined, achieving a satisfactory level of integration remains a demanding task ( 34 , 35 ). Pfeuffer et al ( 36 ) claim that interoperability, security, privacy, low acceptance by physicians, and issues alike constitute the main obstacles to implementing an EHR.…”

Section: Introductionmentioning

confidence: 99%

Electronic health records in Brazil: Prospects and technological challenges

Fernandes

Barros

Henriques

et al. 2022

Front. Public Health

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Electronic Health Records (EHR) are critical tools for advancing digital health worldwide. In Brazil, EHR development must follow specific standards, laws, and guidelines that contribute to implementing beneficial resources for population health monitoring. This paper presents an audit of the main approaches used for EHR development in Brazil, thus highlighting prospects, challenges, and existing gaps in the field. We applied a systematic review protocol to search for articles published from 2011 to 2021 in seven databases (Science Direct, Web of Science, PubMed, Springer, IEEE Xplore, ACM Digital Library, and SciELO). Subsequently, we analyzed 14 articles that met the inclusion and quality criteria and answered our research questions. According to this analysis, 78.58% (11) of the articles state that interoperability between systems is essential for improving patient care. Moreover, many resources are being designed and deployed to achieve this communication between EHRs and other healthcare systems in the Brazilian landscape. Besides interoperability, the articles report other considerable elements: (i) the need for increased security with the deployment of permission resources for viewing patient data, (ii) the absence of accurate data for testing EHRs, and (iii) the relevance of defining a methodology for EHR development. Our review provides an overview of EHR development in Brazil and discusses current gaps, innovative approaches, and technological solutions that could potentially address the related challenges. Lastly, our study also addresses primary elements that could contribute to relevant components of EHR development in the context of Brazil's public health system.Systematic review registration: PROSPERO, identifier CRD42021233219, https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42021233219.

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