donors.mrcb.org.uk/for-old-crimes-sake-chase.php Furthermore, three of computer companies did not complete the questionnaires, therefore, the final number of participants was Data was collected by a self-developed questionnaire which was made using the results of a systematic review on security and privacy in electronic health records 13 and expert consensus.
As part of the Information Security Reading Room. . environment, and identified your industry's practices for due care. It is the responsibility of people who create and use the . that are very territorial and operate within distinct district, city, county, when it comes to computer networks and the Internet. both from the ABA and in California, impose duties on attorneys to protect client towns, it seems that everyone has a smart phone in hand. Legal Ethics and Data Security: Our Individual and Collective Obligation to Protect .. of this change, and the new affirmative duty of care for securing client.
This questionnaire had two parts. The first part was related to demographic information of the participants comprising age, gender, academic discipline, educational degree, years in practice.
Also, an open question was included at the end of the questionnaire. Each level on the scale was assigned a value starting at 1 third preference and ended to 3 first preference on the other. Due to high number of questions in security requirements, only the result of questions which were at the first priorities of the both experts, were considered. The content validity of the questionnaire was confirmed by five specialists two medical informaticians and three health information management.
Data analysis was performed by descriptive analytical statistics.
To analysis the data, SPSS software version 18 was used. Although, the Mann-Whitney Test could not be performed on empty variables of Table 2. The last question that appeared on the section of security requirements of the questionnaire were open-ended and allowed for qualitative analysis. Open-ended comments about this final question were reviewed independently by two authors for descriptive reporting of the comments. The relative frequencies of main priorities of information technology experts in hospitals and computer companies for nurse authentication in EHR documentation.
The relative frequencies of main priorities of information technology experts in hospitals and computer companies for the levels of information security protection. The relative frequencies of main priorities of information technology experts in hospitals and computer companies for security requirements.
The mean of working experiences for information technology experts in hospitals and experts in computer companies were 5. According to levels of information security protection Table 3 , administrative and logical controls were also reported as the most important security levels by the experts in both groups. Period security update In this research, the independent t-test was utilized to compare the mean scores of participating groups.
Similarly, in another studies, user name and password were considered as a standard mechanism for limitation of access to important information of patients and also a working electronic signing process in the HIS 20 , 22 - Although, in today world of technology, the use of biometrics identification techniques including fingerprint, iris scanning, voice and face recognition systems have been increased to identify individuals and control access Although all the level are important but administrative control can have the most effect in the decrease of the staff errors in data integrity The administrative and logical controls were also emphasized as important levels of information security in present study.
Moreover, high point were assigned to the administrative dimension in information security based on viewpoint of more information technology managers of hospital studied in Iran The more comprehensive functions in EHR needs a more complex access control management model Similarly, it was proved in Timmerman research that access control and audit trials are necessary to be a part of overall security program Although in the present study, the both experts had not the same view about access control in the levels of information security protection. The experts of computer companies believed that access control has most priority, but hospital information technology experts believed that it has least priority among these levels.
It is recommended that for final decision, both specialists group take a deep discussion to make best decision considering all aspects of nursing electronic information protection. California department of public health has prepared information systems security requirements, some of the most important requirements, including conducting the periodic review of system security, establishing a process to review logs for unauthorized access to the system, encrypting confidential information, displaying the warning about unauthorized use of confidential information and providing role based access for authentication Considering security measures to protect unauthorized access to electronic information was stated as main priorities for security requirements by the participant experts of this investigation.
Also, according to the study of Harman and et al, implementing security measures sufficient to reduce the risks of impermissible access to electronic protected health information by unauthorized users to a reasonable and appropriate level The necessity of having a written policy about all accesses to the health information was emphasized by Farzandipour and et al This research proved that all experts believed as a high priority that some defined policies are needed for legal access to EHR.
In addition, according to the study of Park and et al, hospitals can approach information security from feasible security requirements such as policy and regulation making. Also, it is necessary to reflect on the requirements of varied interests such as medical staff, medical consumers and other institutions for information security In the answer of open questions, two computer companies suggested other security requirements including: Likewise, these important security topics were mentioned in other studies as security requirements and policies 31 - Due to importance of health information, specially nursing information and the worry of nursing electronic information security, it is recommended to use the expert points of view in designing the national EHR system SEPAS.
In short, the experts had similar views about the levels of information security protection and security requirements regardless of their work place. Therefore, utilizing especially similar views of participants can help in designing the system and prompting nursing electronic documentation. Nursing documentation system contains the patient care information supported with realization of appropriate security requirements. Finally, education and clear guidelines about systems security issues are important to nurses during the implementation of the system.
The knowledge of security should enhance permanently by education, consultation and function of staffs. Also, the establishment of the new field of nursing informatics is recommended to define effective strategy for improving electronic nursing documentation in collaboration with SEPAS stakeholders. This new discipline can manage the nursing information with least security damage according to the progress of information technology. Mahnaz Samadbeik participated in design and writing the manuscript. Zahra Gorzin participated in original idea, design and data collection.
Masomeh Khoshkam and Massoud Roudbari helped in statistical analysis and writing the manuscript. Authors thank all experts who participated in this study; these experts spent considerable time and effort and thus made the results possible.
National Center for Biotechnology Information , U. Journal List Acta Inform Med v.
Published online Feb Received Dec 21; Accepted Feb Table 1 Participants by field of study. Open in a separate window. Table 2 The relative frequencies of main priorities of information technology experts in hospitals and computer companies for nurse authentication in EHR documentation. Table 3 The relative frequencies of main priorities of information technology experts in hospitals and computer companies for the levels of information security protection. Table 4 The relative frequencies of main priorities of information technology experts in hospitals and computer companies for security requirements.
Acknowledgements Mahnaz Samadbeik participated in design and writing the manuscript. Effects of a computer-based nursing documentation system on the quality of nursing documentation. Ellingsen G, Munkvold G.
Infrastructural arrangements for integrated care: Int J Integr Care. A meta-study of the essentials of quality nursing documentation. Int J Nurs Pract. Williams F, Boren SA. The role of the electronic medical record EMR in care delivery development in developing countries: N Engl J Med. Conrad D, Schneider JS. Evaluation of electronic nursing documentation - nursing process model and standardized terminologies as keys to visible and transparent nursing.
The key to the scam is that the criminals obtain valid email credentials of a legitimate party to a transaction — usually one of the law firms. They then use this valid email account to send false or altered payment instructions to the other party. The receiving party is fooled because the source of the email is trusted.
The emails pass normal spam and junk email filters for the same reason. For example, a currently active scam involves sending what appears to be a legitimate email inquiry from a new client asking for pricing information. When you respond, they ask more questions, and send you a link to download documents relevant to the inquiry. The link requires you to enter your email credentials in order to access the documents.
If you do so, you have just given the criminals your valid email login credentials. Firstly, all practitioners must take the measures they can to ensure their email account is secure — and stays secure. Recognise that legitimate sites do not request your email credentials. Warn your staff of the risk — including your junior support staff.
Any valid email from your firm can be used to work this scam. The scam relies upon the goodwill and trust that exists between legal practitioners. While we continue to have faith in our fellow lawyers, we need to keep in mind that their email accounts are being targeted too, and may have been hacked. Funds transfers to bank accounts are the target of this scam.
When the sums involved are large, some extra security precautions are warranted to verify the banking details you have been provided. This can be as simple as telephoning the other law firm or client as the case may be and verifying with them the bank account details you have been sent.