¿Cómo puede el personal sanitario acceder de forma segura a las historias clínicas electrónicas?

Healthcare staff can securely access electronic health records (EHRs) by implementing several measures: 1. **Role-Based Access Control:** Grant access based on job roles and responsibilities. This ensures that staff members only have access to the information necessary for their specific duties. 2. **Strong Authentication:** Enforce strong password policies and implement multi-factor authentication (MFA) to verify the identity of users before granting access to EHR systems. 3. **Encryption:** Use encryption techniques to protect data both in transit and at rest. This prevents unauthorized access to patient information even if there's a security breach. 4. Access Logs and Monitoring.

Electronic health records can be secured for safe access by staff in various ways: 1. Segregation of roles: The accessibility to EHRs should be segregated based on the duties of staff and the level of access can be based on the segregation. For example, the level of access for receptionist can be less than the assistant working in the surgery. 2. Super-admin user: The doctor or chief surgeon can be provided with super-admin role to monitor the overall use of the EHR system, with the ability to view all the activities and disable the access of any staff if any malicious activity is found. 3. Consolidated reportAll the activities in a patient's EHR such as who have accessed which record can be tracked and reported regularly.

Improving compliance with EHR can be achieved by setting realistic expectations and providing adequate training to all who will be involved in patient care.

Consulter le dossier d’un patient pour prodiguer des soins ou le faire par curiosité ne revient pas à la même chose. Un médecin qui ne fait plus partie du cercle de soins du patient, n'a pas besoin de connaître ses renseignements médicaux. C’est là que réside souvent la confusion. Des médecins et autres professionnels de la santé peuvent accéder aux renseignements personnels sur la santé des patients pour prodiguer des soins. Au Canada, l'accès à ces renseignements par des personnes non autorisées, constitue une atteinte à la vie privée pouvant mener à une enquête du commissaire à la protection de la vie privée, ou une plainte auprès du collège des médecins.

In my view EHR records to be viewed, firstly we need to understand the laws, regulations for the same. Secondly to under the framework by EHR is implemented. Thirdly based on necessary approvals by Health authorities and with right stakeholder access such information can be accessed with prior permission from certifying authorities -govt, heath board, hospital authority, doctor authority.

In India NITI Aayog is exploring implementation of blockchain in healthcare and technology domain in order to fight the problem of counterfeit drugs. This will not only not only ease drug supply chain but also help authorities to enforce penalties on wrong doers.

Perhaps biometric authentication is the best way forward as it offers fast access, ease of use and eliminates the repetitive tasks and sometimes time consuming procedures of complex password combinations, regular changes, and multifactor authentication. Coupling of these biometric access requirements on the end user side with blockchain encryption on the server will provide strong security with easy and fast usage.

Multi-Factor Authentication seems to be the most logical starting point. MFA adds an extra layer of security by asking users to provide multiple forms of identification before gaining access to patient data. Usually a combination of something the user knows (A Password), and something the user has (a RFID token, perhaps on their badge, A hospital issued smart device, or something similar). Combining two methods, while adding a small amount of time to clinicians workflow, would go a long way towards securing patient data.

With Privacy and confidentiality being the pillar stones in securing patients/family personal information and medical history; it would be disingenuous to claim that strong authentication and encryption to prevent unprofessional or malicious access to patients records and data. Access to such information by medical odontology is permitted only to medical doctors and other licenced nurses. Bridge of this code of conduct without consent is also bridge of professional responsibility and accountability with professional implication as well as legal implication.

Based on authorized protocol access procedures such information can be accessed through prior permissions from authorities, Health. Multiple authentication can be enabled to protect the access controls.

Implementing stringent access control and audit policies serves as a digital fortress for EHRs. Clearly defining user privileges aligns with regulatory requirements and safeguards sensitive data. However, balancing accessibility with security remains a challenge, requiring constant refinement to adapt to evolving threats.

In the UK, organisations handling health data are obligated to comply with the General Data Protection Regulation (GDPR). Having a designated Data Protection Officer is essential for ensuring compliance and guiding the organisation in secure data handling practices. DPOs play a crucial role in identifying and mitigating risks associated with EHR access. This includes overseeing security measures, conducting regular risk assessments, and ensuring that the organisation follows best practices in data protection. DPOs can contribute to staff education on data protection, privacy laws, and the ethical considerations of EHR access. This helps create a culture of responsibility and awareness within healthcare organisations.

Levels of access is the key. Al the software used should be able to make reports on what each users are doing, so when you do an audit, you can search for an individual history.

Developing and implementing a policy and procedure regarding EHR user access control and identifying users who are allowed to access EHRs, with a regular audit to monitor compliance of staff and users to policies and procedure and to monitor for any breaches in the rules and regulations.

Policies, procedures to be enforced for access controls to safeguard data. Post enforcing policies necessary audit trials are required to be enabled to sustain the procedure in place for any Healthcare organization, in order to be complaince in nature

Do not assume it is common knowledge to follow security practices such as not sharing logins, minimizing reused passwords, refrain from discussing patient information, etc. What may seem like common sense to you is not at all common for others, especially those staff new to healthcare. The trainings and compliance sessions are numerous, and they still are not enough to ensure compliance and safe guards are met. Stay vigilant!

Establishing this culture is akin to planting seeds—it takes time, care, and persistence to see the vibrant security-conscious team blossom. Empowering staff as guardians through regular training is paramount. In my organization, the impact of EHR security training initiatives was transformative, leading to a noteworthy drop in security incidents. However, it's essential to acknowledge potential challenges. Some staff may resist additional training due to time constraints. Overcoming complacency requires making training engaging and directly relevant to daily tasks. It's an ongoing journey that demands creativity in delivery methods and consistent reinforcement.

Periodic trainings are must for successful functioning of EHR applications. Accordingly trainings can be delivered to ensure and support neccessary activities takes place in right manner by better use of technologies.

All the time people should be updated on the policies regarding the use of information. This has been a very dynamic process in al the world, so it is changing on daily basis.

I my experience, educating staff with laboratory practices concerning, place standards of responsibility and documentation (not all at once, making all these easily accessible to staff, and physically , reaching out to staff for their questions or concerns, allowing input from staff on how to make the process better.

All Healthcare software not only should be very secure, but is very important it also is user friendly. One of the reasons people start being secure lazy is that the sistem is not friendly.

Better tools and software solutions can be implemented for EHR to be ethical in use. Technologies advancement can provide better insights and actionable datasets to determine outcomes for the patients.

Technology and tools can be overbearing for healthcare professional that deal with patients and lives whole their life. Alas, starting with the basic understanding of tools and technology form the beginning of career journey can be facilitating.

In the UK, the landscape of healthcare is evolving towards greater patient empowerment. With patients gaining access to their primary care records, it is crucial to invest in comprehensive patient education initiatives. Educating patients on the importance of securely accessing electronic health records (EHRs) ensures they comprehend the sensitive nature of their health information and the significance of maintaining confidentiality.

The central philosophy of HC staff training in securely accessing EHRs and whole system implementation should be that there is no difference between accessing HC staff member own EHR and any patient's EHR. Same level of security (on the high side) balanced with ease of use, including remote use.