HIPAA and Human Error: The Role of Enhanced Situation Awareness in Protecting Health Information

HIPAA and Human Error: The Role of Enhanced Situation Awareness in Protecting Health Information
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HIPAA 和人为错误:增强态势感知在保护健康信息中的作用

DOI:
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发表时间:
2015
期刊:
Medical Data Privacy Handbook
影响因子:
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通讯作者:
D. Liginlal
D. Liginlal
中科院分区:
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文献类型:
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作者:
D. Liginlal

文献摘要

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一些当代研究已经确定人为错误是医疗保健组织隐私泄露的主要原因。在本章中,我们首先强调医疗保健组织因违反HIPAA隐私而产生的成本。然后,我们讨论了态势感知(SA)的概念及其与隐私保护的联系。情境意识代表了个体对周围环境中发生的事情的意识,以及他们对信息、事件和行动如何影响他们的目标和目的的理解。应用Endsley的三级SA框架可以帮助我们识别特定类型的SA错误,并构建SA错误引起的隐私泄露场景。使用从Endsley的工作中得出的SA错误分类,我们分析了21起违反HIPAA隐私的案例,其中民权办公室已达成解决协议。结果带来的焦点往往被忽视的情况下的隐私保护方面,并有助于更好地了解隐私泄露的潜在原因沿着与他们的相关影响,政策制定,系统设计和用户培训。
Several contemporary studies have identified human error as a major cause of privacy breaches in healthcare organizations. In this chapter, we first highlight the costs healthcare organizations incur from HIPAA privacy breaches. We then discuss the concept of situation awareness (SA) and its link with privacy protection. Situation awareness represents individuals’ awareness of what is happening in their surroundings and their understanding of how information, events, and actions affect their goals and objectives. Applying Endsley’s three-level SA framework helps us to identify specific types of SA errors and build scenarios of privacy breaches arising from SA errors. Using a taxonomy of SA errors derived from Endsley’s work, we analyzed the 21 cases of HIPAA privacy breaches in which the Office for Civil Rights has reached a resolution agreement. The results bring into focus the often neglected situational aspects of privacy protection and help to better understand the latent causes of privacy breaches along with their related implications for policy formulation, system design, and user training.