Assessing downtime management best practices for clinical safety in health IT systems
Downtime is a period of time that an IT system is not available, or only partially available, due to planned maintenance or an unplanned incident. In health care, downtime has an increased ability downtime to disrupt service delivery and pose risks to patient safety increases as digitisation of electronic records, formularies, order entry, results reporting, decisions support and other elements of clinical care and documentation.
The aim of this review was to assess policies and procedures for managing the availability of the My Health Record system for healthcare providers and consumers. It focussed on three critical areas:
- ED investigation, access to the SHS to view information such as medications prescribed, vaccination status and test results
- Access to the SHS by the ED in-coming patient team to assist clinical handover for patient admission
- At discharge, upload of ED-generated Discharge Summaries.