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Analysis of the quality of hospital information systems audit trails

Audit Trails (AT) are fundamental to information security in order to guarantee access traceability but can also be used to improve Health information System’s (HIS) quality namely to assess how they are used or misused. This paper aims at analysing the existence and quality of AT, describing scenarios in hospitals and making some recommendations to improve the quality of information.
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Poor quality of Hospital Information Systems audit trails.

Although IT governance practices (like ITIL, which recommends on the use of Audit Trails (AT) for proper service level management) are being introduced in many Hospitals to cope with increasing levels of information quality and safety requirements, the standard maturity levels of hospital IT departments is still not enough to reach the level of frequent use of AT.
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