Unintended Negative Consequences of IT Implementations in Healthcare

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    The Why of Abandonment: Effects of Team Diversity and Leadership Type on the Disbandment and Stagnation of Online Medical Teams
    ( 2020-01-07) Li, Jiaying ; Wu, Hong ; Deng, Zhaohua
    Medical teams (MTs) online could provide more comprehensive and rapid services to patients through the collaboration among physicians. Numerous doctors have participated, but parts of MTs disband or stagnate after a period, so this pressing issue is in need of relief through exploring the reasons. Effects of team diversity, leadership types and their interaction on the team disbandment and stagnation were studied. This study comprehensively examined a sample of 1,071 MTs online, the total MTs on January 10, 2018, and we crawled the data from a leading OHC in China. Logistic regression was utilized. Results revealed team state would be influenced by team diversity and its interaction with leadership type, so the combination pairwise of the leadership and team diversity could reduce the abandonment possibility. Implications in theory and practice about the dealing with the abandonment crisis in online health community, and limitations are discussed.
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    Creating a Standardized Risk Assessment Framework Library for Healthcare Information Technology
    ( 2020-01-07) Schmeelk, Suzanna
    Data breaches are occurring at an unprecedented rate. In February 2019 alone, over a million individuals were reported to the United States government as having been involved in a breach of their medical data by healthcare entities. Although many organizations have some policies, procedures and risk management components in place, few (if any) organizations are centrally connecting legal requirements, penetration tests, policies and procedures into a standardized and consistent methodology for further analysis and auditing. This research produces a new open source risk management standardized library coordinating the aforementioned risk management components. The new library is applied to an open source vulnerable web-application example to emphasize the benefits from the adoption of such a public standardized risk assessment library.
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    Measuring Cyber Security Awareness within Groups of Medical Professionals in Poland
    ( 2020-01-07) Hyla, Tomasz ; Fabisiak, Luiza
    The goal of this study is to measure the cyber security awareness of medical professionals in Poland, i.e. to verify whether healthcare specialists have knowledge and understanding of basic cyber security threats. This survey was based on the cyber security recommendations from the European Union Agency for Network and Information Security and the U.S. Department of Health and Human Services. The survey consisted of 23 single and multiple-choice questions divided into four parts. The results categorized the respondents and measured the level of cyber security awareness. Among the 620 persons invited to participate in the survey, 300 (48.39%) responded and answered all of the questions. The results show a an unsatisfactory level of knowledge regarding information security in Poland. The main conclusion drawn from the survey is that the quality of cyber security training among medical professionals should be improved and frequency of the trainings should be increased.
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    Points of Failure: A Systematic Review of information-flow using Medication Use Cases
    ( 2020-01-07) Hermon, Rebecca ; Williams , Professor Patricia
    Background: Medication errors pose a significant problem in the clinical environment, causing adverse events which impact patient safety. Problem: The introduction of electronic information and clinical systems have reduced medication errors but have also been identified as creating new types of errors. Method: Using the previously developed Hermon model, this research aimed to identify and understand medication errors due to clinical information-flow in the Australian General Practice (primary care) setting. The research used existing general practice medication error report cases from the Threat to Patient Safety (TAPS) Study to map against the Hermon model, and validated this mapping through consultations with general practitioners. Findings: The findings informed the refinement of the Hermon Model, and assisted in identifying medication errors points of information-flow failure in general practice information-flow. Impact: This study has significance to improve patient safety and inform the development of general practice desktop systems through identification and understanding of information-flow points of failure which result in medication errors.
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    Demigods of Technology Use – How Beating the Overconfidence Bias Can Prevent Medical Errors
    ( 2020-01-07) Oschinsky, Frederike Marie ; Müller, Marius ; Niehaves, Bjoern
    The healthcare domain faces considerable challenges due to the digitization of medical processes and routines. Information technologies are designed to enable physicians to treat more patients and to increase service quality and patient safety. Despite acknowledging the rapid digital transformation of healthcare, research often neglects whether physicians are actually able to effectively decide which technology to use in which setting and whether their technology use thus effectively enhances quality and safety. Literature on cognitive biases already looked broadly at related errors in judgment and action and questioned rational behavior. Nevertheless, overconfidence, being one of the most common cognitive biases, has barely been linked to the accurate adoption and use of technology by physicians. Against this background, this research-in-progress paper proposes a framework for conducting a mixed-methods study based on the particularities of overconfidence in healthcare. We invite future research to compare our approach with established theoretical frameworks in IS research.