Evidence map›Paper›PMID 23304277›Full record

ArticleAMIA ... Annual Symposium proceedings. AMIA Symposium2012

Auditing medical records accesses via healthcare interaction networks.

You Chen, Steve Nyemba, Bradley Malin

Abstract read
In one paragraph

Article in AMIA ... Annual Symposium proceedings. AMIA Symposium, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Inferring EHR Utilization Workflows through Audit Logs.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2022
    Article
  2. Article
  3. Identifying collaborative care teams through electronic medical record utilization patterns.Journal of the American Medical Informatics Association : JAMIA · 2017
    Article
  4. Article
  5. Learning Clinical Workflows to Identify Subgroups of Heart Failure Patients.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2016
    Article
  6. Article
  7. Article
  8. Biomedical data privacy: problems, perspectives, and recent advances.Journal of the American Medical Informatics Association : JAMIA · 2013
    Article
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

You ChenDept. of Biomedical Informatics, Vanderbilt University, Nashville, TN, USA.
Steve Nyemba
Bradley Malin

Funding

Automated Detection of Anomalous Accesses to Electronic Health RecordsR01LM010207 · NLM · VANDERBILT UNIVERSITY MEDICAL CENTER · PI MALIN, BRADLEY A. · 2009 to 2017
$2.4M
NLM NIH HHS R01 LM010207NLM NIH HHS R01-LM010207
6 · The paper itself

Abstract

Healthcare organizations are deploying increasingly complex clinical information systems to support patient care. Traditional information security practices (e.g., role-based access control) are embedded in enterprise-level systems, but are insufficient to ensure patient privacy. This is due, in part, to the dynamic nature of healthcare, which makes it difficult to predict which care providers need access to what and when. In this paper, we show that modeling operations at a higher level of granularity (e.g., the departmental level) are stable in the context of a relational network, which may enable more effective auditing strategies. We study three months of access logs from a large academic medical center to illustrate that departmental interaction networks exhibit certain invariants, such as the number, strength, and reciprocity of relationships. We further show that the relations extracted from the network can be leveraged to assess the extent to which a patient's care satisfies expected organizational behavior.

Indexed as

Health Facility AdministrationInterprofessional RelationsMedical Records Systems, ComputerizedModels, OrganizationalComputer SecurityConfidentialityHumansMedical Audit

Identifiers

PMID23304277
PMCPMC3540438

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.