Medication safety messages for patients via the web portal: The MedCheck intervention

Weingart, Saul N.; Hamrick, Hope E.; Tutkus, Sharon; Carbo, Alexander R.; Sands, Daniel Z.; Tess, Anjala; Davis, Roger B.; Bates, David W.; Phillips, Russell S.

doi:10.1016/j.ijmedinf.2007.04.007

Cited by 49 publications

(32 citation statements)

References 13 publications

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“…Evidence from four studies reported that patients wanted direct communication with their clinician96–98 while evidence from three studies suggested that clinicians preferred support staff to filter messages 70 90 99. Patients satisfaction also improved if clinicians responded in a timely manner to their requests (10 studies) 37 65 71 82 92 96 100–103…”

Section: Resultsmentioning

confidence: 99%

Patients’ online access to their electronic health records and linked online services: a systematic interpretative review

et al. 2014

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ObjectivesTo investigate the effect of providing patients online access to their electronic health record (EHR) and linked transactional services on the provision, quality and safety of healthcare. The objectives are also to identify and understand: barriers and facilitators for providing online access to their records and services for primary care workers; and their association with organisational/IT system issues.SettingPrimary care.ParticipantsA total of 143 studies were included. 17 were experimental in design and subject to risk of bias assessment, which is reported in a separate paper. Detailed inclusion and exclusion criteria have also been published elsewhere in the protocol.Primary and secondary outcome measuresOur primary outcome measure was change in quality or safety as a result of implementation or utilisation of online records/transactional services.ResultsNo studies reported changes in health outcomes; though eight detected medication errors and seven reported improved uptake of preventative care. Professional concerns over privacy were reported in 14 studies. 18 studies reported concern over potential increased workload; with some showing an increase workload in email or online messaging; telephone contact remaining unchanged, and face-to face contact staying the same or falling. Owing to heterogeneity in reporting overall workload change was hard to predict. 10 studies reported how online access offered convenience, primarily for more advantaged patients, who were largely highly satisfied with the process when clinician responses were prompt.ConclusionsPatient online access and services offer increased convenience and satisfaction. However, professionals were concerned about impact on workload and risk to privacy. Studies correcting medication errors may improve patient safety. There may need to be a redesign of the business process to engage health professionals in online access and of the EHR to make it friendlier and provide equity of access to a wider group of patients.A1. Systematic review registration numberPROSPERO CRD42012003091.

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Section: Resultsmentioning

confidence: 99%

Patients’ online access to their electronic health records and linked online services: a systematic interpretative review

et al. 2014

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“…Second, we limited our review to nontailored interventions that can be proactively put into practice by patients. For example, we did not include studies of individualized safety messages (Weingart et al, 2008) or the involvement of patients in adverse event reporting (Pereles, Romonko, Murzyn, & Hogan, 1996;Wasson, MacKenzie, & Hall, 2007), but some of these studies may provide results indirectly relevant to the current analysis. Third, our study may have been conducted prematurely, as many of the large-scale campaigns have been released in the recent past and evaluations may be underway (Byrd & Thompson, 2008).…”

Section: Discussionmentioning

confidence: 99%

Review: Engaging Patients as Vigilant Partners in Safety

2009

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Several initiatives promote patient involvement in error prevention, but little is known about its feasibility and effectiveness. A systematic review was conducted on the evidence of patients' attitudes toward engagement in error prevention and the effectiveness of efforts to increase patient participation. Database searches yielded 3,840 candidate articles, of which 21 studies fulfilled the inclusion criteria. Patients share a positive attitude about engaging in their safety at a general level, but their intentions and actual behaviors vary considerably. Studies applied theories of planned behavior and indicate that self-efficacy, preventability of incidents, and effectiveness of actions seem to be central to patients' intention to engage in error prevention. Rigorous evaluations of major educational campaigns are lacking. Interventions embedded within clinical settings have been effective to some extent. Evidence suggests that involvement in safety may be successful if interventions promote complex behavioral change and are sensitively implemented in health care settings.

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“…There are many techniques has been developed to secure browsers for data transfer [26]. Applications such as MedCheck [27] are needed on the smartphones for PoC applications. For developing embedded secure web servers, an architecture similar to Sizzle platform is required in securing PoC web servers [28].…”

Section: Cross-site Scriptingmentioning

confidence: 99%

Security Framework for Managing Data Security within Point of Care Tests

Tulasidas¹,

Mackay²,

Hudson³

et al. 2017

JSEA

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Point of Care (PoC) devices and systems can be categorized into three broad classes (CAT 1, CAT 2, and CAT 3) based on the context of operation and usage. In this paper, the categories are defined to address certain usage models of the PoC device. PoC devices that are used for PoC testing and diagnostic applications are defined CAT 1 devices; PoC devices that are used for patient monitoring are defined as CAT 2 devices (PoCM); PoC devices that are used for as interfacing with other devices are defined as CAT 3 devices (PoCI). The PoCI devices provide an interface gateway for collecting and aggregating data from other medical devices. In all categories, data security is an important aspect. This paper presents a security framework concept, which is applicable for all of the classes of PoC operation. It outlines the concepts and security framework for preventing security challenges in unauthorized access to data, unintended data flow, and data tampering during communication between system entities, the user, and the PoC system. The security framework includes secure layering of basic PoC system architecture, protection of PoC devices in the context of application and network. Developing the security framework is taken into account of a thread model of the PoC system. A proposal for a low-level protocol is discussed. This protocol is independent of communications technologies, and it is elaborated in relation to providing security. An algorithm that can be used to overcome the threat challenges has been shown using the elements in the protocol. The paper further discusses the vulnerability scanning process for the PoC system interconnected network. The paper also presents a four-step process of authentication and authorization framework for providing the security for the PoC system. Finally, the paper concludes with the machine to machine (M2M) security viewpoint and discusses the key stakeholders within an actual deployment of the PoC system and its security challenges.

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Medication safety messages for patients via the web portal: The MedCheck intervention

Cited by 49 publications

References 13 publications

Patients’ online access to their electronic health records and linked online services: a systematic interpretative review

Patients’ online access to their electronic health records and linked online services: a systematic interpretative review

Review: Engaging Patients as Vigilant Partners in Safety

Security Framework for Managing Data Security within Point of Care Tests

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