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KMID : 1100520170230030176
Healthcare Informatics Research
2017 Volume.23 No. 3 p.176 ~ p.182
Prevalence of Sharing Access Credentials in Electronic Medical Records
Hassidim Ayal

Korach Tzfania
Shreberk-Hassidim Rony
Uzefovsky Florina
Ayal Shahar
Ariely Dan
Abstract
Objectives: Confidentiality of health information is an important aspect of the physician patient relationship. The use of digital medical records has made data much more accessible. To prevent data leakage, many countries have created regulationsregarding medical data accessibility. These regulations require a unique user ID for each medical staff member, and this must be protected by a password, which should be kept undisclosed by all means.

Methods: We performed a four-question GoogleForms-based survey of medical staff. In the survey, each participant was asked if he/she ever obtained the password of another medical staff member. Then, we asked how many times such an episode occurred and the reason for it.

Results: A total of299 surveys were gathered. The responses showed that 220 (73.6%) participants reported that they had obtained the password of another medical staff member. Only 171 (57.2%) estimated how many time it happened, with an average estimation of 4.75episodes. All the residents that took part in the study (45, 15%) had obtained the password of another medical staff member, while only 57.5% (38/66) of the nurses reported this.

Conclusions: The use of unique user IDs and passwords to defend theprivacy of medical data is a common requirement in medical organizations. Unfortunately, the use of passwords is doomed because medical staff members share their passwords with one another. Strict regulations requiring each staff member tohave it¡¯s a unique user ID might lead to password sharing and to a decrease in data safety.
KEYWORD
Electronic Medical Records, Personal Health Records, Confidentiality, Health Insurance Portability and Accountability Act, Medical Legislation
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