Commencing in 2005 the Biosense program has attempted to aggregate clinical data into a central database or biosurveillance data directly from hospital systems. Circumventing local and state departments in many scenarios.
Costing in excess of $100 and running over several years, the system was conceived due to a previous inability to aggregate and analyse information at a national level.
The primary risks to the implementation of the system are: * Project: Patient’s privacy and security might not be “safe” as BioSense is government program therefore they could use some of this information for their own advantage. * Structure: System may not be able to spot that there is an epidemic problem in my hospital, it will show the problem on a wider scale. * Technology: Hospital must standardize its existing medical data in to BioSense format * Experience: Staff will need to be trained to be able work with the program.
In the health sector risk is managed at two overlapping levels: 1. Strategic/management level 2. Day-to-day staff/patient operational level.
A key tool to implementing the Clinical Governance and Risk Management Standards is the adoption of a national approach to risk management based on the Australia and New Zealand Risk Management Standards. Using this standard the project risks for BioSense could be seen as Description | Likelihood (0-5) | Impact (0-5) | Total | Mitigation | Misuse of the system at national level | 1 | 3 | 3 | Governance arrangements | System won 't spot issue at local level | 4 | 2 | 8 | Local Systems will provide this assurance | Data formatting and standards will need changing on local system | 5 | 4 | 20 | Training | Experience with using the system will be poor potentially leading to issues | 3 | 1 | 3 | Education prior to deployment |
The use of the BioSense Project is a voluntary undertaking and is not mandated at a national level. However many hospitals are
References: Hollnagel, E. (1993). Human Reliability Analysis: Context and Control. Computers and People Series, ed. B.R. Gaines and A. Monk, London: Academic Press. Internet Sources Website: www.prince2primer.com/project-progress-reporting/ Date visited: 28/1/2013 Time visited: 4:43pm Website: http://www.biosensemedical.com/ Date visited: 13/1/2013 Time visited: 9:30pm Books, Paper, Journals and Articles: The Management Information Systems – Managing the Digital Firm, Twelfth Edition, 2012, Loudon and Loudon