Risks and Crises for Healthcare Providers: The Impact of Cloud Computing

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Abstract

We analyze risks and crises for healthcare providers and discuss the impact of cloud computing in such scenarios. The analysis is conducted in a holistic way, taking into account organizational and human aspects, clinical, IT-related, and utilities-related risks as well as incorporating the view of the overall risk management.

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Most cited references 29

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Use of electronic health records in U.S. hospitals.

Ashish Jha, Catherine M DesRoches, Eric G Campbell … (2009)

Despite a consensus that the use of health information technology should lead to more efficient, safer, and higher-quality care, there are no reliable estimates of the prevalence of adoption of electronic health records in U.S. hospitals. We surveyed all acute care hospitals that are members of the American Hospital Association for the presence of specific electronic-record functionalities. Using a definition of electronic health records based on expert consensus, we determined the proportion of hospitals that had such systems in their clinical areas. We also examined the relationship of adoption of electronic health records to specific hospital characteristics and factors that were reported to be barriers to or facilitators of adoption. On the basis of responses from 63.1% of hospitals surveyed, only 1.5% of U.S. hospitals have a comprehensive electronic-records system (i.e., present in all clinical units), and an additional 7.6% have a basic system (i.e., present in at least one clinical unit). Computerized provider-order entry for medications has been implemented in only 17% of hospitals. Larger hospitals, those located in urban areas, and teaching hospitals were more likely to have electronic-records systems. Respondents cited capital requirements and high maintenance costs as the primary barriers to implementation, although hospitals with electronic-records systems were less likely to cite these barriers than hospitals without such systems. The very low levels of adoption of electronic health records in U.S. hospitals suggest that policymakers face substantial obstacles to the achievement of health care performance goals that depend on health information technology. A policy strategy focused on financial support, interoperability, and training of technical support staff may be necessary to spur adoption of electronic-records systems in U.S. hospitals. 2009 Massachusetts Medical Society

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Incidents relating to the intra-hospital transfer of critically ill patients. An analysis of the reports submitted to the Australian Incident Monitoring Study in Intensive Care.

Ursula Beckmann, Donna M Gillies, Sean Berenholtz … (2004)

Transportation of critically ill patients within the hospital poses important risks. We sought to identify causes, outcomes and contributing factors associated with intra-hospital transport. Cross-sectional case review. Incident reports submitted to the Australian Incident Monitoring Study in Intensive Care (AIMS-ICU). Between 1993 and 1999, 176 reports were submitted describing 191 incidents. Seventy-five reports (39%) identified equipment problems, relating prominently to battery/power supply, transport ventilator and monitor function, access to patient elevators and intubation equipment. Hundred sixteen reports (61%) identified patient/staff management issues including poor communication, inadequate monitoring, incorrect set-up of equipment, artificial airway malpositioning and incorrect positioning of patients. Serious adverse outcomes occurred in 55 reports (31%) including major physiological derangement (15%), patient/relative dissatisfaction (7%), prolonged hospital stay (4%), physical/psychological injury (3%) and death (2%). Of 900 contributing factors identified, 46% were system-based and 54% human-based. Communication problems, inadequate protocols, in-servicing/training and equipment were prominent equipment-related incidents. Errors of problem recognition and judgement, failure to follow protocols, inadequate patient preparation, haste and inattention were common management-related incidents. Rechecking the patient and equipment, skilled assistance and prior experience were important factors limiting harm. Intra-hospital transport poses an important risk to ICU patients. The adequate provision of highly qualified staff, specially designed and well maintained equipment, as well as continuous monitoring are essential to avoid/mitigate these incidents. Professional societies and local units should adopt guidelines/protocols for intra-hospital transportation. Monitoring of incidents should aid in the continuous improvement in patient safety.

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What it will take to achieve the as-yet-unfulfilled promises of health information technology.

Roland S. G. Jones, Arthur Kellermann (2012)

A team of RAND Corporation researchers projected in 2005 that rapid adoption of health information technology (IT) could save the United States more than $81 billion annually. Seven years later the empirical data on the technology's impact on health care efficiency and safety are mixed, and annual health care expenditures in the United States have grown by $800 billion. In our view, the disappointing performance of health IT to date can be largely attributed to several factors: sluggish adoption of health IT systems, coupled with the choice of systems that are neither interoperable nor easy to use; and the failure of health care providers and institutions to reengineer care processes to reap the full benefits of health IT. We believe that the original promise of health IT can be met if the systems are redesigned to address these flaws by creating more-standardized systems that are easier to use, are truly interoperable, and afford patients more access to and control over their health data. Providers must do their part by reengineering care processes to take full advantage of efficiencies offered by health IT, in the context of redesigned payment models that favor value over volume.

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Journal

Journal ID (nlm-ta): ScientificWorldJournal

Journal ID (iso-abbrev): ScientificWorldJournal

Journal ID (publisher-id): TSWJ

Title: The Scientific World Journal

Publisher: Hindawi Publishing Corporation

ISSN (Electronic): 1537-744X

Publication date Collection: 2014

Publication date (Electronic): 20 February 2014

Volume: 2014

Electronic Location Identifier: 524659

Affiliations

SRH Hochschule Berlin, 10587 Berlin, Germany

Author notes

*Michael Draheim: michael.draheim@ 123456srh-hochschule-berlin.de

Academic Editors: R. Colomo-Palacios, M. Niedermayer, and V. Stantchev

Author information

Michael Draheim http://orcid.org/0000-0001-9415-4489

Franz Hessel http://orcid.org/0000-0002-5645-0153

Article

DOI: 10.1155/2014/524659

PMC ID: 3951059

SO-VID: 12681cfc-96f8-4821-9528-61dc5814e6f1

License:

This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Risks and Crises for Healthcare Providers: The Impact of Cloud Computing

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Abstract

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Blockchain in Healthcare Today

Most cited references 29

Use of electronic health records in U.S. hospitals.

Incidents relating to the intra-hospital transfer of critically ill patients. An analysis of the reports submitted to the Australian Incident Monitoring Study in Intensive Care.

What it will take to achieve the as-yet-unfulfilled promises of health information technology.

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