On the Use of XML in Medical Imaging Web-Based Applications

The rapid growth of digital technology in medical fields over recent years has increased the need for applications able to manage patient medical records, imaging data, and chart information. Web-based applications are implemented with the purpose to link digital databases, storage and transmission protocols, management of large volumes of data and security concepts, allowing the possibility to read, analyze, and even diagnose remotely from the medical center where the information was acquired. The objective of this paper is to analyze the use of the Extensible Markup Language (XML) language in web-based applications that aid in diagnosis or treatment of patients, considering how this protocol allows indexing and exchanging the huge amount of information associated with each medical case. The purpose of this paper is to point out the main advantages and drawbacks of the XML technology in order to provide key ideas for future web-based applicationsPeer ReviewedPostprint (author's final draft

A Qualitative Exploration of the Security Practices of Registered Nurses

Increased breach occurrences in healthcare cause concern for health information as reported by the Federal Government. Significant effort, regulations, and safeguards are in place to protect the systems used in the healthcare industry. Employee handling of security remains an area of vulnerability related to security protocols. The unified theory of acceptance and usage of technology (UTAUT) served as the model for this qualitative exploratory study with the purpose of understanding registered nurse (RN) perceptions and lived experiences related to IT security. Face-to-face interviews were conducted with 20 participants from the Three Rivers Chapter American Association Critical Care Nurses. Transcribed data were analyzed with a priori codes aligned to the constructs of UTAUT and emergent themes. The emergent themes from the RNs\u27 lived experiences revealed perceptions of IT security mishandling, including walking away from the computer without log-off, and sharing of accounts through single sign on authenticated badges. Strategic planning for the organizational IT security may be strengthened due to the insight about the RNs\u27 workflow related to IT security. Understanding employee perceptions, expressed intentions, and self-reported behaviors to IT security allows for the ability as managers to apply that knowledge to IT security systems, access methods, and implement procedures that will provide for increased organizational IT security and increased patient confidence. The social change from this work may provide contributions to the development of IT infrastructure systems for healthcare helping to create and maintain continued access to and availability of electronic medical records and data for increasing numbers of people who need health maintenance and care