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Del Mar College *

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1302

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Information Systems

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Apr 3, 2024

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docx

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3

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1. Sue is a respiratory therapist in the chronic obstructive pulmonary disorder clinic and enrolled in a master’s education program. She is interested in writing a paper on the factors that are associated with poor compliance with medical regimens and associated repeat hospitalization of chronic obstructive pulmonary disorder patients. She downloads patient information from the clinic database to a thumb drive that she later accesses on her home computer. Sue understands rules about privacy of information and believes that because she is a licensed health care professional and needs this information for a graduate school assignment, she is entitled to the information. Is Sue correct in her thinking? Describe why she is or is not correct. Sue is incorrect in her thinking. As a medical professional she is violating the patient’s privacy, which falls under HIPAA. It is illegal to access patient information without authorization from the patient. Sue ought to only utilize personal data about patients when it is required for her work function, even as a healthcare professional. Her need for accessing patient data without consent is not justified by her graduate school assignment. There may be security hazards when patient data is accessed and kept on a personal thumb drive. To avoid breaches or unwanted access, patient data should be transferred and maintained securely. 2. The employee education department of a large hospital system has been centralized; as a consequence, the educators are no longer assigned to one hospital but must now travel among all of the hospitals. They use their smartphones to interact and share data and information. What are the first steps you would take to secure these transactions? Describe why each step is necessary. My first step would be to encrypt every piece of information that is saved and transmitted on devices. Data on a smartphone is safeguarded by encryption, even in the event that it is lost or stolen. To protect the privacy of the data, this step is required. My second step would be to make use of end-to-end encrypted secure communication platforms or apps. This guarantees the confidentiality of information shared amongst nurse educators and prevents it from being intercepted during transmission. My third step would bet to gain access to private medical information and communication tools, impose comprehensive multi- factor authentication. In order to guard against illegal access to important systems and data, this step is essential. I would also provide training session for nurses on the best practices of cybersecurity, including smartphone use. Increasing user awareness is crucial to avert unintentional security breaches. 3. Research cloud computing in relation to health care. What are the major security and privacy challenges? Choose three and describe them in detail . Unauthorized Access and Data Breach One of the most pressing security issues is the possibility of data breaches and unlawful access to private healthcare data stored in the cloud. Healthcare institutions, which hold massive volumes of patient data such as health records, unique identifiers, and financial details, are prime targets for cybercriminals. A data breach can result in theft of identity, fraud, or the unlawful release of sensitive medical data. Data Residency and Compliance Healthcare data is frequently subject to stringent regulatory regulations and compliance standards, such as HIPAA in the United States and the GDPR in the European Union. When healthcare organizations employ cloud services, they must guarantee that patient data is in accordance with these standards, even if it is kept in data centers situated outside of their jurisdiction. The difficulty stems from differing privacy laws and the complexities of tracing data migration across nations. Cloud providers must provide solutions that enable healthcare businesses to designate data storage locations while adhering to data residency regulations. They must also create effective data audits and logging procedures for demonstrating adherence to regulatory agencies. Data Misuse and Insider Threats Insider threats are a big danger for healthcare environments in the cloud. These dangers may originate from workers, contractors, or business colleagues who have possession of sensitive patient information. Exploitation of this data may result in unlawful distributing, trading, or unlawful use of patient data. Insider threats can develop as a result of negligence, malevolent intent, or a lack of adequate training and awareness. Healthcare companies must undertake comprehensive training initiatives to educate personnel on data handling regulations, ethical norms, and the potential implications of data misuse. Ongoing
surveillance of user activity, both inside and outside the business, can aid in detecting suspicious behavior and mitigating potential insider threats. Strong data access restrictions and segregation of roles can also help to minimize the breadth of potential misuse. 4. What is the difference between a virus and a worm? A virus is a malware that affixes itself to a trustworthy software. For it to spread, users are required to take action. A worm is a type of malware that operates independently and spreads by attaching itself onto other files or programs. 5. How do viruses and worms damage computer systems? In order to infect your system, applications called viruses and worms are injected into it. Computer systems can become infected with viruses that alter data in files, delete files, or harm applications. And by consuming a computer's resources, these infections can propagate quickly. They use the security software's vulnerabilities as an opening to introduce viruses and worms and interfere with the computer system. 6. What do you perceive as the current obstacles to redesigning work flow within your clinical/non- clinical settings? Healthcare professionals' resistance to change is one of the main challenges. Because they frequently follow set procedures, personnel could be hesitant to implement new workflows. Effective change management techniques, transparent communication, and staff involvement in the redesign process are necessary to overcome this reluctance and guarantee that their concerns are taken into consideration. Other obstacles include proper knowledge in data privacy and security, compliance to ensure everything is up to par, and budget constraints. 7. What are the implications for health care professional education as the EHR becomes the standard for caring for patients? EHR system proficiency is required of healthcare workers. This entails being able to use clinical decision- making tools, input and access patient data, and navigate the software. To guarantee competency, EHR training should be incorporated into educational programs. Since EHR systems manage sensitive patient data, healthcare providers need to be knowledgeable with patient privacy and data security laws. Cybersecurity best practices and HIPAA compliance should be covered in training. In the medical field, proper documentation is essential. Professionals must receive education on how to record patient data completely and precisely in electronic health records (EHRs) and share that data with colleagues in an efficient manner. The ethical ramifications of using electronic health records (EHRs) should be understood by healthcare practitioners. These include concerns about data access, informed permission, and the appropriate use of patient data. 8. Describe a current technology that you use (or have seen being used) in patient care that would benefit from human factors engineering concepts. What are some ways this technology should be improved? Healthcare administrators and providers are examples of end users that should be considered during the design process of EHR systems. This entails carrying out user research, getting input, and integrating medical experts into the design phase. It's critical to comprehend their preferences, difficulties, and work processes. Watching people engage with the EHR system is part of the usability testing process. Developers can improve the user experience by adjusting the user interface, navigation, and other components when users struggle or become frustrated. To comprehend the workflow that medical professionals follow when utilizing the EHR, task analyses are carried out by HFE specialists. Through job decomposition, designers may optimize each phase and make sure the system flows naturally with the way healthcare providers work.
The educational process for new users is taken into account by human factors engineers. EHR systems must to include extensive training courses and readily available resources for support. Because intuitive design saves time and effort during training, medical professionals can quickly become accustomed to the system. 9. What are the current patient (or non-patient) safety characteristics of your organizational culture? Identify at least three aspects of your culture that need to be changed with regard to safety and suggest strategies for change. We have a blame-free environment where instead of receiving a reprimand, we discuss the error as an organization and give constructive criticism or improve such error. Three aspects that I feel need to changed are teamwork, medication errors, and patient identification. Managers consistently reduce risk by emphasizing that the company is a single team that must collaborate and support one another in order to be successful and remain secure. Lack of teamwork leads to poor communication and thus safety concerns. Medication errors might result in serious adverse effects. As a result, adopting a thorough medication, history, and reconciliation process during the treatment transition has become of increasing significance. Patient education can help minimize these errors. Patient identification is critical in healthcare. When rooming a patient or speaking with them on the phone, it is always vital to verify the patient's identity using numerous indicators to ensure that they are the correct person. Without accurate identification, they may receive the incorrect treatment and care plan, which can have catastrophic repercussions. 10. Think about an encounter you have had with a professional who did not want to collaborate or share. What could you have done differently? My coworker and I worked together to phone patients about their test findings and pathology reports. We both agreed to share the number of patients who needed to be phoned so that we got everything done faster and by lunchtime. Around 11 a.m., I finished my set of calls and checked in with my coworker to see if she needed help finishing her side of the task, but she never called anyone since she was "busy". There were no patients booked that morning, so there was plenty of time to accomplish the assignment. She said she'd finish the list by the end of the day, so I left it alone. Toward the conclusion of the workday, she revealed that she had forgotten to call anyone. The next day, I arrived at work early and performed the task. I didn't discuss the situation with anyone, but I was irritated that I had to do it alone. Something I would have done differently is informed management about the situation to see if someone else could have assisted me rather than taking on the entire responsibility myself.
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