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Biomedical Informatics pp 329–353Cite as

Ethics in Biomedical and Health Informatics: Users, Standards, and Outcomes

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References

  • Alpert, S. A. (1998). Health care information: Access, confidentiality, and good practice. In K. W. Goodman (Ed.), Ethics, computing, and medicine: Informatics and the transformation of health care (pp. 75–101). Cambridge: Cambridge University Press.

    Google Scholar 

  • Anderson, J. G., & Aydin, C. E. (1994). Overview: Theoretical perspectives and methodologies for the evaluation of health care information systems. In J. G. Anderson, C. E. Aydin, & S. J. Jay (Eds.), Evaluating health care information systems: Methods and applications (pp. 346–354). Thousand Oaks: Sage.

    Google Scholar 

  • Anderson, J. G., & Aydin, C. E. (1998). Evaluating medical information systems: Social contexts and ethical challenges. In K. W. Goodman (Ed.), Ethics, computing, and medicine: Informatics and the transformation of health care (pp. 57–74). Cambridge: Cambridge University Press.

    Google Scholar 

  • Atreya, R. V., Smith, J. C., McCoy, A. B., Malin, B., & Miller, R. A. (2013). Reducing patient re-identification risk for laboratory results within research datasets. Journal of the American Medical Informatics Association: JAMIA, 20, 95–101.

    Article  PubMed  Google Scholar 

  • Benitez, K., & Malin, B. (2010). Evaluating re-identification risks with respect to the HIPAA privacy rule. Journal of the American Medical Informatics Association: JAMIA, 17, 169–177.

    Article  PubMed  Google Scholar 

  • Blumenthal, D. (2010). Launching HITECH. The New England Journal of Medicine, 362(5), 382–385.

    Article  PubMed  CAS  Google Scholar 

  • Brody, B. A. (1989). The ethics of using ICU scoring systems in individual patient management. Problems in Critical Care, 3, 662–670.

    Google Scholar 

  • Classen, D. C., Avery, A. J., & Bates, D. W. (2007). Evaluation and certification of computerized provider order entry systems. Journal of the American Medical Informatics Association: JAMIA, 14(1), 48–55.

    Article  PubMed  Google Scholar 

  • Curran, W. J., Stearns, B., & Kaplan, H. (1969). Privacy, confidentiality, and other legal considerations in the establishment of a centralized health-data system. The New England Journal of Medicine, 281, 241–248.

    Article  PubMed  CAS  Google Scholar 

  • Cushman, R., Froomkin, M. A., Cava, A., Abril, P., & Goodman, K. W. (2010). Ethical, legal and social issues for personal health records and applications. Journal of Biomedical Informatics, 43, S51–S55.

    Article  PubMed  Google Scholar 

  • de Dombal, F. T. (1987). Ethical considerations concerning computers in medicine in the 1980s. Journal of Medical Ethics, 13, 179–184.

    Article  PubMed  Google Scholar 

  • Duda, R. O., & Shortliffe, E. H. (1983). Expert systems research. Science, 220, 261–268.

    Article  PubMed  CAS  Google Scholar 

  • FDA (U.S. Food and Drug Administration). (2011). Infusion pump software safety research at FDA. Retrieval 1 Aug 2012: http://www.fda.gov/MedicalDevices/ProductsandMedicalProcedures/GeneralHospitalDevicesandSupplies/InfusionPumps/ucm202511.htm

  • Friedman, C. P. (2009). A “fundamental theorem” of biomedical informatics. Journal of the American Medical Informatics Association: JAMIA, 16(2), 169–170.

    Article  PubMed  Google Scholar 

  • Geissbuhler, A. J., & Miller, R. A. (1997). Desiderata for product labeling of medical expert systems. International Journal of Medical Informatics, 47(3), 153–163.

    Article  PubMed  CAS  Google Scholar 

  • Glaser, J. (2010). HITECH lays the foundation for more ambitious outcomes-based reimbursement. The American Journal of Managed Care, 16(12), SP19–SP23.

    PubMed  Google Scholar 

  • Goodman, K. W. (1996). Ethics, genomics and information retrieval. Computers in Biology and Medicine, 26, 223–229.

    Article  PubMed  CAS  Google Scholar 

  • Goodman, K. W. (1998b). Outcomes, futility, and health policy research. In K. W. Goodman (Ed.), Ethics, computing, and medicine: Informatics and the transformation of health care (pp. 116–138). Cambridge: Cambridge University Press.

    Google Scholar 

  • Goodman, K. W., & Cava, A. (2008). Bioethics, business ethics, and science: Bioinformatics and the future of healthcare. Cambridge Quarterly of Healthcare Ethics, 17(4), 361–372.

    Article  PubMed  Google Scholar 

  • Goodman, K. W., Berner, E. S., Dente, M. A., Kaplan, B., Koppel, R., Rucker, D., Sands, D. Z., & Winkelstein, P. (2010). Challenges in ethics, safety, best practices, and oversight regarding HIT vendors, their customers, and patients. Journal of the American Medical Informatics Association: JAMIA, 18(1), 77–81.

    Article  PubMed  Google Scholar 

  • Hartzband, P., & Groopman, J. (2008). Off the record—avoiding the pitfalls of going electronic. The New England Journal of Medicine, 358(16), 1656–1658.

    Article  PubMed  CAS  Google Scholar 

  • Health Information Technology for Economic and Clinical Health (HITECH) Act, Title XIII of Division A and Title IV of Division B of the American Recovery and Reinvestment Act of 2009 (ARRA).(2009).

    Google Scholar 

  • Holroyd-Leduc, J. M., Lorenzetti, D., Straus, S. E., Sykes, L., & Quan, H. (2011). The impact of the electronic medical record on structure, process and outcomes within primary care: A systematic review of the evidence. Journal of the American Medical Informatics Association: JAMIA, 18, 732–737.

    Article  PubMed  Google Scholar 

  • Kaplan, B., & Harris-Salamone, K. D. (2009). Health IT success and failure: Recommendations from literature and an AMIA workshop. Journal of the American Medical Informatics Association: JAMIA, 16, 291–299.

    Article  PubMed  Google Scholar 

  • Knaus, W. A., Wagner, D. P., & Lynn, J. (1991). Short-term mortality predictions for critically ill hospitalized adults: Science and ethics. Science, 254, 389–394.

    Article  PubMed  CAS  Google Scholar 

  • Koppel, R., & Kreda, D. (2009). Health care information technology vendors’ “hold harmless” clause: Implications for patients and clinicians. Journal of the American Medical Association, 301, 1276–1278.

    Article  PubMed  CAS  Google Scholar 

  • Kuperman, G. J., & Gibson, R. F. (2003). Computer physician order entry: Benefits, costs, and issues. Annals of Internal Medicine, 139(1), 31–39.

    Article  PubMed  Google Scholar 

  • Lane, W. A. (1936, November). What the mouth reveals. New Health, 11, 34–35.

    Google Scholar 

  • Macklin, R. (1992). Privacy and control of genetic information. In G. J. Annas & S. Elias (Eds.), Gene mapping: Using law and ethics as guides (pp. 157–172). New York: Oxford University Press.

    Google Scholar 

  • Majchrowski, B. (2010). Medical software’s increasing impact on healthcare and technology management. Biomedical Instrumentation and Technology, 44(1), 70–74.

    Article  PubMed  Google Scholar 

  • Malin, B., & Sweeney, L. (2004). How (not) to protect genomic data privacy in a distributed network: Using trail re-identification to evaluate and design anonymity protection systems. Journal of Biomedical Informatics, 37, 179–192.

    Article  PubMed  Google Scholar 

  • Malin, B., Loukides, G., Benitez, K., & Clayton, E. W. (2011). Identifiability in biobanks: Models, measures, and mitigation strategies. Human Genetics, 130, 383–392.

    Article  PubMed  CAS  Google Scholar 

  • McNeer, J. F., Wallace, A. G., Wagner, G. S., Starmer, C. F., & Rosati, R. A. (1975). The course of acute myocardial infarction: Feasibility of early discharge of the uncomplicated patient. Circulation, 51, 410–413.

    Article  PubMed  CAS  Google Scholar 

  • Miller, R. A. (1989). Legal issues related to medical decision support systems. International Journal of Clinical Monitoring and Computing, 6, 75–80.

    Article  PubMed  CAS  Google Scholar 

  • Miller, R. A. (1990). Why the standard view is standard: People, not machines, understand patients’ problems. The Journal of Medicine and Philosophy, 15, 581–591.

    Article  PubMed  CAS  Google Scholar 

  • Miller, R. A. (1997). Predictive models for primary caregivers: Risky business? Annals of Internal Medicine, 127(7), 565–567.

    Article  PubMed  CAS  Google Scholar 

  • Miller, R. A., & Gardner, R. M. (1997a). Summary recommendations for the responsible monitoring and regulation of clinical software systems. Annals of Internal Medicine, 127(9), 842–845.

    Article  PubMed  CAS  Google Scholar 

  • Miller, R. A., & Gardner, R. M. (1997b). Recommendations for responsible monitoring and regulation of clinical software systems. Journal of the American Medical Informatics Association: JAMIA, 4, 442–457.

    Article  PubMed  CAS  Google Scholar 

  • Miller, R. A., & Goodman, K. W. (1998). Ethical challenges in the use of decision-support software in clinical practice. In K. W. Goodman (Ed.), Ethics, computing, and medicine: Informatics and the transformation of health care (pp. 102–115). Cambridge: Cambridge University Press.

    Google Scholar 

  • Miller, R. A., & Miller, S. M. (2007). Legal and regulatory issues related to the use of clinical software in health care delivery. In R. A. Greenes (Ed.), Clinical decision support: The road ahead (pp. 423–444). Boston: Elsevier.

    Chapter  Google Scholar 

  • Miller, R. A., Schaffner, K. F., & Meisel, A. (1985). Ethical and legal issues related to the use of computer programs in clinical medicine. Annals of Internal Medicine, 102, 529–536.

    Article  PubMed  CAS  Google Scholar 

  • National Research Council. (1997). For the record: Protecting electronic health information. Washington, D.C.: National Academy Press.

    Google Scholar 

  • Palfrey, J., Gasser, U. (2010). Born digital: Understanding the first generation of digital natives. New York: Basic Books; Robertson, J. (2011). Insulin pumps, monitors vulnerable to hacking. Retrieval 15 Aug 2011: http://www.ap.org/

  • Robertson, J. (2011, August 4). Insulin pumps, monitors vulnerable to hacking. Associated Press via various media, e.g., The Washington Times. Retrieval 1 Aug 2012: http://www.washingtontimes.com/news/2011/aug/4/insulin-pumps-monitors-vulnerable-to-hacking/?page=all

  • Shih, S.C., McCullough, C.M., Wang, J.J., Singer, J., & Parsons, A.S. (2011). Health information systems in small practices. Improving the delivery of clinical preventive services. American Journal of Preventive Medicine, (6), 603–609.

    Google Scholar 

  • Shortliffe, E. H. (1993). Doctors, patients, and computers: Will information technology dehumanize health-care delivery? Proceedings of the American Philosophical Society, 137(3), 390–398.

    PubMed  Google Scholar 

  • Shortliffe, E. H. (1994). Dehumanization of patient care. Are computers the problem or the solution? Journal of the American Medical Informatics Association: JAMIA, 1, 76–78.

    Article  PubMed  CAS  Google Scholar 

  • Sittig, D. F., Krall, M., Kaalaas-Sittig, J., & Ash, J. S. (2005). Emotional aspects of computer-based provider order entry: A qualitative study. Journal of the American Medical Informatics Association: JAMIA, 12(5), 561–567.

    Article  PubMed  Google Scholar 

  • Sweeney, L. (1997). Weaving technology and policy together to maintain confidentiality. The Journal of Law, Medicine & Ethics, 25, 98–110.

    Article  CAS  Google Scholar 

  • Szolovits, P., & Pauker, S. G. (1979). Computers and clinical decision making: Whether, how much, and for whom? Proceedings of the IEEE, 67, 1224–1226.

    Article  Google Scholar 

  • Tamersoy, A., Loukides, G., Nergiz, M. E., Saygin, Y., & Malin, B. (2012). Anonymization of longitudinal electronic medical records. IEEE Transactions on Information Technology in Biomedicine, 16, 413–423.

    Article  PubMed  Google Scholar 

  • Tysyer, D.A. (1997). Database legal protection. Bitlaw. Retrieval 1 Aug 2012: http://www.bitlaw.com/copyright/database.html

  • Wright, A., Sittig, D. F., Ash, J. S., Sharma, S., Pang, J. E., & Middleton, B. (2009). Clinical decision support capabilities of commercially-available clinical information systems. Journal of the American Medical Informatics Association: JAMIA, 16(5), 637–644.

    Article  PubMed  Google Scholar 

  • Youngner, S. J. (1988). Who defines futility? Journal of the American Medical Association, 260, 2094–2095.

    Article  PubMed  CAS  Google Scholar 

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Author information

Authors and Affiliations

  1. University of Miami Bioethics Program, 1400 NW 10th Ave., Suite 916 (M-825), Miami, 33136, FL, USA

    Kenneth W. Goodman PhD

  2. Department of Medicine, University of Miami, 1400 NW 10th Ave, NW, Suite 912, Miami, 33136, FL, USA

    Reid Cushman PhD

  3. Department of Biomedical Informatics, Vanderbilt University Medical Center, 2209 Garland Avenue, B003C Eskind Biomedical Library, Nashville, 37232-8340, TN, USA

    Randolph A. Miller MD

Authors
  1. Kenneth W. Goodman PhD
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  2. Reid Cushman PhD
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  3. Randolph A. Miller MD
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Corresponding author

Correspondence to Kenneth W. Goodman PhD .

Editor information

Editors and Affiliations

  1. Departments of Biomedical Informatics at Columbia University and Arizona State University, New York, New York, USA

    Edward H. Shortliffe

  2. Bethesda, Maryland, USA

    James J. Cimino

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Goodman, K.W., Cushman, R., Miller, R.A. (2014). Ethics in Biomedical and Health Informatics: Users, Standards, and Outcomes. In: Shortliffe, E., Cimino, J. (eds) Biomedical Informatics. Springer, London. https://doi.org/10.1007/978-1-4471-4474-8_10

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  • DOI: https://doi.org/10.1007/978-1-4471-4474-8_10

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