Balancing Innovation and Safety in Digital Healthcare
Main Article Content
Keywords
Digital Health, Artificial Intelligence, Telemedicine, Cybersecurity Risks, Patient Safety, Healthcare innovation
Abstract
In an era of rapid digital transformation, patient safety is increasingly intertwined with technological advancements in healthcare. This article explores the dual nature of these innovations, where tools like telemedicine, artificial intelligence (AI), and electronic health records (EHRs) offer significant potential to enhance care delivery and introduce new risks such as algorithmic bias, cybersecurity threats, and challenges in minimizing patient risks. A balanced approach focusing on robust safety protocols and continuous learning is required to ensure technology enhancement without undermining patient safety. The paper aims to advance the discourse on integrating technology with patient-centric care, proposing future research and policy development strategies to sustain a high safety standard in an increasingly digital healthcare environment.
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References
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Crigger, E., Reinbold, K., Hanson, C., et al. Trustworthy augmented intelligence in health care. J Med Syst. 2022;46(2):12. https://doi.org/10.1007/s10916-021-01790-z.
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Klein, D.O., Rennenberg, R.J.M.W., Koopmans, R.P., et al. A systematic review of methods for medical record analysis to detect adverse events in hospitalized patients. J Patient Saf. 2021;17(8):e1234-e1240. https://doi.org/10.1097/PTS.0000000000000670.
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Vasudevan, A., Plombon, S., Piniella, N., et al. Effect of digital tools to promote hospital quality and safety on adverse events after discharge. J Am Med Inform Assoc. 2024;31(10):2304–2314. https://doi.org/10.1093/jamia/ocae176.
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Vikan, M., Haugen, A.S., Bjørnnes, A.K., et al. The association between patient safety culture and adverse events: a scoping review. BMC Health Serv Res. 2023;23(1):300. https://doi.org/10.1186/s12913-023-09332-8.
Hadjiat, Y. Healthcare inequity and digital health—a bridge for the divide, or further erosion of the chasm? PLoS Digit Health. 2023;2(6):e0000268. https://doi.org/10.1371/journal.pdig.0000268.
Eruchalu, C.N., Pichardo, M.S., Bharadwaj, M., et al. The expanding digital divide: digital health access inequities during the COVID-19 pandemic in New York City. J Urban Health. 2021;98(2):183–186. https://doi.org/10.1007/s11524-020-00508-9.
Spanakis, P., Peckham, E., Mathers, A., et al. The digital divide: amplifying health inequalities for people with severe mental illness in the time of COVID-19. Br J Psychiatry. 2021;219(4):529–531. https://doi.org/10.1192/bjp.2021.56.
Rodriguez, J.A., Betancourt, J.R., Sequist, T.D., et al. Differences in the use of telephone and video telemedicine visits during the COVID-19 pandemic. Am J Manag Care. 2021;27(1):21–26. https://doi.org/10.37765/ajmc.2021.88573.
Daniels, B., McGinnis, C., Topaz, L.S., et al. Bridging the digital health divide—patient experiences with mobile integrated health and facilitated telehealth by community-level indicators of health disparity. J Am Med Inform Assoc. 2024;31(4):875–883. https://doi.org/10.1093/jamia/ocae007.
Clare, C.A. Telehealth and the digital divide as a social determinant of health during the COVID-19 pandemic. Netw Model Anal Health Inform Bioinform. 2021;10(1):26. https://doi.org/10.1007/s13721-021-00300-y.
Jerjes, W. and Harding, D. Telemedicine in the post-COVID era: balancing accessibility, equity, and sustainability in primary healthcare. Front Digit Health. 2024;6:1432871. https://doi.org/10.3389/fdgth.2024.1432871.
Hollander, J.E. and Carr, B.G. Virtually perfect? Telemedicine for COVID-19. N Engl J Med. 2020;382(18):1679–1681. https://doi.org/10.1056/NEJMp2003539.
Bashshur, R., Doarn, C.R., Frenk, J.M., et al. Telemedicine and the COVID-19 pandemic, lessons for the future. Telemed J E Health. 2020;26(5):571–573. https://doi.org/10.1089/tmj.2020.29040.rb.
De Simone, S., Franco, M., Servillo, G., et al. Implementations and strategies of telehealth during COVID-19 outbreak: a systematic review. BMC Health Serv Res. 2022;22(1):833. https://doi.org/10.1186/s12913-022-08235-4.
Mee, P., Gussy, M., Huntley, P., et al. Digital exclusion as a barrier to accessing healthcare: a summary composite indicator and online tool to explore and quantify local differences in levels of exclusion. Univers Access Inf Soc. 2024. https://doi.org/10.1007/s10209-024-01148-5.
Paik, K.E., Hicklen, R., Kaggwa, F., et al. Digital determinants of health: health data poverty amplifies existing health disparities—a scoping review. PLOS Digit Health. 2023;2(10):e0000313. https://doi.org/10.1371/journal.pdig.0000313.
Bentley, S.V., Naughtin, C.K., McGrath, M.J., et al. The digital divide in action: how experiences of digital technology shape future relationships with artificial intelligence. AI Ethics. 2024;4(4):901–915. https://doi.org/10.1007/s43681-024-00452-3.
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Sharma, S., Singh, M., & Pradhan , K. B. Balancing Innovation and Safety in Digital Healthcare. Global Clinical Engineering Journal, 7(1), 5–16. https://doi.org/10.31354/globalce.v7i1.262
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Author Biographies
Shalini Sharma, Chitkara Business School, Chitkara University Punjab, Chandigarh-Patiala National Highway, Punjab-140401, India
Research Scholar, Chitkara Business School, Chitkara University Punjab, Chandigarh-Patiala National Highway, Punjab-140401, India
Maninder Singh, T A Pai Management Institute, Manipal Academy of Higher Education, Manipal, India Manipal, Karnataka-576104, India
Maninder Singh* (Corresponding Author, Second Author)
Assistant Professor
T A Pai Management Institute,
Manipal Academy of Higher Education, Manipal, India
Manipal, Karnataka-576104, India
Email - [email protected]
Keerti Bhusan Pradhan , Chitkara Business School, Chitkara University Punjab, Chandigarh-Patiala National Highway, Punjab-140401, India
Professor of Healthcare Management, Chitkara Business School, Chitkara University Punjab, Chandigarh-Patiala National Highway, Punjab- 140401, India
