E-health safety governance

E-health safety governance

Centre for health informatics

Research Stream: Patient Safety Informatics

Governance written in clouds, in the sky

Project member/contact

Associate Professor Farah Magrabi
T: +612 9850 2429
E: farah.magrabi@mq.edu.au

Project main description

Historically e-health or clinical software systems have not been subject to regulation – unlike software embedded in medical devices (an ECG system, for example). Moreover, little evidence is available to shape regulations and governance strategies for e-health. The goals of this research are to investigate models for the governance of e-health.

With colleagues from the UK, the US and Europe, we led a comparative review of the safety governance for e-health in six countries – Australia, the US, England, Canada, Denmark and The Netherlands. The review examined a broad range of national initiatives including guidelines, standards, certification, regulation and incident monitoring, and found significant gaps in the safety governance of e-health. We have also worked with the Australian Commission on Safety and Quality in Health Care to review the international evidence about the monitoring of, and response to, critical incidents associated with e-health.


  1. Magrabi F, Aarts J, Nohr C, Baker M, Harrison S, Pelayo S, et al. A comparative review of patient safety initiatives for national health information technology. Int J Med Inform. 2013;82(5):e139-48.
  2. Coiera E, Aarts J, Kulikowski C. The dangerous decade. J Am Med Inform Assoc. 2012;19(1):2-5.
  3. Coiera EW, Kidd MR, Haikerwal MC. A call for national e-health clinical safety governance. Med J Aust. 2012;196(7):430-1.

Project sponsors

Macquarie University

Related projects

Project status


Centres related to this project

Centre for Health Informatics

Content owner: Australian Institute of Health Innovation Last updated: 22 Jun 2020 1:39pm

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