Evaluation of a proximity card authentication system for health care settings.

Background: Multiple users access computer workstations in busy clinical settings, requiring many logins throughout the day as users switch from one computer to another. This can lead to workflow inefficiencies as well as security concerns resulting from users sharing login sessions to save time. Pr...

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Publicado en:International Journal of Medical Informatics Vol. 92; pp. 1 - 8
Autores principales: Fontaine, Jacqueline, Zheng, Kai, Van De Ven, Cosmas, Li, Huiyang, Hiner, James, Mitchell, Kathy, Gendler, Stephen, Hanauer, David A.
Formato: Journal Article
Publicado: Elsevier B.V. Aug2016
Acceso en línea:Ver este registro en EBSCOhost
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      jtl: International Journal of Medical Informatics
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      dt: Aug2016
      vid: 92
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      pub: Elsevier B.V.
      place: New York, New York
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        NLM27318066
        10.1016/j.ijmedinf.2016.04.015
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        116188291
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        atl: Evaluation of a proximity card authentication system for health care settings.
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        au:
          Fontaine, Jacqueline
          Zheng, Kai
          Van De Ven, Cosmas
          Li, Huiyang
          Hiner, James
          Mitchell, Kathy
          Gendler, Stephen
          Hanauer, David A.
        affil: School of Information, University of Michigan, Ann Arbor, MI, USA
      sug:
        subj:
          Hospital Information Systems
          Data Security Equipment and Supplies
          User-Computer Interface
          Attitude of Health Personnel
          Privacy and Confidentiality
          Computer Terminals
          Impact of Events Scale
          Scales
      ab: Background: Multiple users access computer workstations in busy clinical settings, requiring many logins throughout the day as users switch from one computer to another. This can lead to workflow inefficiencies as well as security concerns resulting from users sharing login sessions to save time. Proximity cards and readers have the potential to improve efficiency and security by allowing users to access clinical workstations simply by bringing the card near the reader, without the need for manual entry of a username and password.Objectives: To assess the perceived impact of proximity cards and readers for rapid user authentication to clinical workstations in the setting of an existing electronic health record with single sign-on software already installed.Methods: Questionnaires were administered to clinical faculty and staff five months before and three months after the installation of proximity card readers in an inpatient birthing center and an outpatient obstetrics clinic. Open-ended feedback was also collected and qualitatively analyzed.Results: There were 71 and 33 responses to the pre- and post-implementation surveys, respectively. There was a significant increase in the perceived speed of login with the proximity cards, and a significant decrease in the self-reported occurrence of shared login sessions between users. Feedback regarding the system was mostly positive, although several caveats were noted, including minimal benefit when used with an obstetric application that did not support single sign-on.Conclusions: Proximity cards and readers, along with single sign-on software, have the potential to enhance workflow efficiency by allowing for faster login times and diminish security concerns by reducing shared logins on clinical workstations. The positive feedback was used by our health system leadership to support the expanded implementation of the proximity card readers throughout the clinical setting.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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