27 May 2024
09:00 Doctoral defense IC3 Auditorium
Theme
Addressing Patient Safety in the Healthcare Industry: The Healthcare Information Technology Security Maturity Model
Student
Luiz Aparecido Virginio Junior
Advisor / Teacher
Julio Cesar dos Reis
Brief summary
Electronic Health Record Systems (S-RES) can lead to unintended consequences for stakeholders when healthcare organizations develop, use, or implement them inappropriately. In this context, the literature lacks comprehensive models that address Health Information Technology (IT) and patient safety. Existing studies have demonstrated that the Electronic Medical Record Adoption Model (EMRAM), Joint Commission International (JCI) accreditation program and Safety Assurance Factors for EHR Resilience (SAFER) Guides can be used in a complementary way to help healthcare organizations increase data security. IT in health. This doctoral thesis develops the innovative Health IT Security Maturity Model (HITSMM), which is a maturity model composed of a comprehensive list of requirements resulting from the appropriate and systematic combination of EMRAM, JCI and SAFER Guides assessments. This research comprised three main phases: (1) Requirements Mapping, (2) HITSMM Development and (3) HITSMM Application and Evaluation. In the first phase, we originally developed two comprehensive mappings: one aligning JCI standards with the EMRAM framework and another mapping EMRAM to the SAFER Guides. These mappings were used to support the development of HITSMM. To this end, our study carried out the following activities: requirements analysis, removal of duplicates, grouping of requirements, definition of categories, definition of maturity stages and evaluation by domain experts. HITSMM is made up of 138 requirements grouped into twelve categories and seven stages. Requirements are cumulative throughout the stages. This study conducted a real-world case study application and evaluation of HITSMM in two prominent Brazilian hospitals. We conclude that the organization and requirements codified by HITSMM address relevant aspects of patient safety related to Health IT specified by JCI, EMRAM and SAFER Guides. Healthcare organizations can use HITSMM as a guide to continually improve patient safety related to Health IT.
Examination Board
Headlines:
| Julio Cesar dos Reis | IC / UNICAMP |
| Renato Marcos Endrizzi Sabbatini | FCM / UNICAMP |
| Ivan Luiz Marques Ricarte | FT / UNICAMP |
| Magdala de Araujo Novaes | NUTES/UFPE |
| Juliana Pereira de Souza Zinader | INF/UFG |
Substitutes:
| Cecília Mary Fischer Rubira | IC / UNICAMP |
| Paula Rejane Beserra Diniz | NUTES/UFPE |
| Marcos Renato da Silveira | LIST/Luxembourg |