{"id":"https://openalex.org/W2402522582","doi":"https://doi.org/10.3233/978-1-61499-488-6-215","title":"Workarounds to Computer Access in Healthcare Organizations: You Want My Password or a Dead Patient?","display_name":"Workarounds to Computer Access in Healthcare Organizations: You Want My Password or a Dead Patient?","publication_year":2015,"publication_date":"2015-01-01","ids":{"openalex":"https://openalex.org/W2402522582","doi":"https://doi.org/10.3233/978-1-61499-488-6-215","mag":"2402522582","pmid":"https://pubmed.ncbi.nlm.nih.gov/25676976"},"language":"en","primary_location":{"id":"doi:10.3233/978-1-61499-488-6-215","is_oa":false,"landing_page_url":"https://doi.org/10.3233/978-1-61499-488-6-215","pdf_url":null,"source":{"id":"https://openalex.org/S4210179765","display_name":"Studies in health technology and informatics","issn_l":"0926-9630","issn":["0926-9630","1879-8365"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310318577","host_organization_name":"IOS Press","host_organization_lineage":["https://openalex.org/P4310318577"],"host_organization_lineage_names":["IOS Press"],"type":"book series"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Studies in Health Technology and Informatics","raw_type":"book-chapter"},"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5067363466","display_name":"Ross Koppel","orcid":"https://orcid.org/0000-0002-8235-9900"},"institutions":[{"id":"https://openalex.org/I36788626","display_name":"California University of Pennsylvania","ror":"https://ror.org/01spssf70","country_code":"US","type":"education","lineage":["https://openalex.org/I36788626"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Koppel Ross","raw_affiliation_strings":["University of Pennsylvania"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Pennsylvania","institution_ids":["https://openalex.org/I36788626"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5102885109","display_name":"Sean W. Smith","orcid":"https://orcid.org/0000-0001-5995-574X"},"institutions":[{"id":"https://openalex.org/I107672454","display_name":"Dartmouth College","ror":"https://ror.org/049s0rh22","country_code":"US","type":"education","lineage":["https://openalex.org/I107672454"]},{"id":"https://openalex.org/I4210166639","display_name":"Dartmouth Hospital","ror":"https://ror.org/02j3qj605","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I4210166639"]}],"countries":["GB","US"],"is_corresponding":false,"raw_author_name":"Smith Sean","raw_affiliation_strings":["Dartmouth College"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Dartmouth College","institution_ids":["https://openalex.org/I4210166639","https://openalex.org/I107672454"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5030853797","display_name":"Jim Blythe","orcid":null},"institutions":[{"id":"https://openalex.org/I1174212","display_name":"University of Southern California","ror":"https://ror.org/03taz7m60","country_code":"US","type":"education","lineage":["https://openalex.org/I1174212"]},{"id":"https://openalex.org/I2800817003","display_name":"California Southern University","ror":"https://ror.org/058zz0t50","country_code":"US","type":"education","lineage":["https://openalex.org/I2800817003"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Blythe Jim","raw_affiliation_strings":["University of Southern California"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Southern California","institution_ids":["https://openalex.org/I2800817003","https://openalex.org/I1174212"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5043673881","display_name":"Vijay Kothari","orcid":null},"institutions":[{"id":"https://openalex.org/I107672454","display_name":"Dartmouth College","ror":"https://ror.org/049s0rh22","country_code":"US","type":"education","lineage":["https://openalex.org/I107672454"]},{"id":"https://openalex.org/I4210166639","display_name":"Dartmouth Hospital","ror":"https://ror.org/02j3qj605","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I4210166639"]}],"countries":["GB","US"],"is_corresponding":false,"raw_author_name":"Kothari Vijay","raw_affiliation_strings":["Dartmouth College"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Dartmouth College","institution_ids":["https://openalex.org/I4210166639","https://openalex.org/I107672454"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":4,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":8.0021,"has_fulltext":false,"cited_by_count":56,"citation_normalized_percentile":{"value":0.97783791,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":90,"max":99},"biblio":{"volume":"208","issue":null,"first_page":"215","last_page":"20"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11800","display_name":"User Authentication and Security Systems","score":0.9991000294685364,"subfield":{"id":"https://openalex.org/subfields/1710","display_name":"Information Systems"},"field":{"id":"https://openalex.org/fields/17","display_name":"Computer Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},"topics":[{"id":"https://openalex.org/T11800","display_name":"User Authentication and Security Systems","score":0.9991000294685364,"subfield":{"id":"https://openalex.org/subfields/1710","display_name":"Information Systems"},"field":{"id":"https://openalex.org/fields/17","display_name":"Computer Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.9783999919891357,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11504","display_name":"Advanced Authentication Protocols Security","score":0.9553999900817871,"subfield":{"id":"https://openalex.org/subfields/1705","display_name":"Computer Networks and Communications"},"field":{"id":"https://openalex.org/fields/17","display_name":"Computer Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/workaround","display_name":"Workaround","score":0.9891905784606934},{"id":"https://openalex.org/keywords/password","display_name":"Password","score":0.8208378553390503},{"id":"https://openalex.org/keywords/health-care","display_name":"Health care","score":0.532745361328125},{"id":"https://openalex.org/keywords/computer-science","display_name":"Computer science","score":0.4762054681777954},{"id":"https://openalex.org/keywords/computer-security","display_name":"Computer security","score":0.4368193447589874},{"id":"https://openalex.org/keywords/internet-privacy","display_name":"Internet privacy","score":0.41047656536102295},{"id":"https://openalex.org/keywords/business","display_name":"Business","score":0.36382898688316345},{"id":"https://openalex.org/keywords/political-science","display_name":"Political science","score":0.16398939490318298},{"id":"https://openalex.org/keywords/operating-system","display_name":"Operating system","score":0.08217114210128784},{"id":"https://openalex.org/keywords/law","display_name":"Law","score":0.06609931588172913}],"concepts":[{"id":"https://openalex.org/C194541083","wikidata":"https://www.wikidata.org/wiki/Q457174","display_name":"Workaround","level":2,"score":0.9891905784606934},{"id":"https://openalex.org/C109297577","wikidata":"https://www.wikidata.org/wiki/Q161157","display_name":"Password","level":2,"score":0.8208378553390503},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.532745361328125},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.4762054681777954},{"id":"https://openalex.org/C38652104","wikidata":"https://www.wikidata.org/wiki/Q3510521","display_name":"Computer security","level":1,"score":0.4368193447589874},{"id":"https://openalex.org/C108827166","wikidata":"https://www.wikidata.org/wiki/Q175975","display_name":"Internet privacy","level":1,"score":0.41047656536102295},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.36382898688316345},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.16398939490318298},{"id":"https://openalex.org/C111919701","wikidata":"https://www.wikidata.org/wiki/Q9135","display_name":"Operating system","level":1,"score":0.08217114210128784},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.06609931588172913}],"mesh":[{"descriptor_ui":"D001291","descriptor_name":"Attitude of Health Personnel","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D001291","descriptor_name":"Attitude of Health Personnel","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D001291","descriptor_name":"Attitude of Health Personnel","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D001292","descriptor_name":"Attitude to Computers","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D001292","descriptor_name":"Attitude to Computers","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D001292","descriptor_name":"Attitude to Computers","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007407","descriptor_name":"Interviews as Topic","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007407","descriptor_name":"Interviews as Topic","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007407","descriptor_name":"Interviews as Topic","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016494","descriptor_name":"Computer Security","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D016494","descriptor_name":"Computer Security","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D016494","descriptor_name":"Computer Security","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D017132","descriptor_name":"Workplace","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017132","descriptor_name":"Workplace","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017132","descriptor_name":"Workplace","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017144","descriptor_name":"Focus Groups","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017144","descriptor_name":"Focus Groups","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017144","descriptor_name":"Focus Groups","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.3233/978-1-61499-488-6-215","is_oa":false,"landing_page_url":"https://doi.org/10.3233/978-1-61499-488-6-215","pdf_url":null,"source":{"id":"https://openalex.org/S4210179765","display_name":"Studies in health technology and informatics","issn_l":"0926-9630","issn":["0926-9630","1879-8365"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310318577","host_organization_name":"IOS Press","host_organization_lineage":["https://openalex.org/P4310318577"],"host_organization_lineage_names":["IOS Press"],"type":"book series"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Studies in Health Technology and Informatics","raw_type":"book-chapter"},{"id":"pmid:25676976","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/25676976","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Studies in health technology and informatics","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":15,"referenced_works":["https://openalex.org/W1921097329","https://openalex.org/W1980644015","https://openalex.org/W2042720915","https://openalex.org/W2045591401","https://openalex.org/W2067707015","https://openalex.org/W2085105383","https://openalex.org/W2115643540","https://openalex.org/W2138642551","https://openalex.org/W2150341374","https://openalex.org/W2154724067","https://openalex.org/W2156805610","https://openalex.org/W2159732534","https://openalex.org/W2162190913","https://openalex.org/W2888035653","https://openalex.org/W4285719527"],"related_works":["https://openalex.org/W4381612620","https://openalex.org/W2950380533","https://openalex.org/W2998499456","https://openalex.org/W2893207040","https://openalex.org/W1840516357","https://openalex.org/W3127868735","https://openalex.org/W2753986652","https://openalex.org/W4387616455","https://openalex.org/W971576836","https://openalex.org/W107495730"],"abstract_inverted_index":{"Workarounds":[0],"to":[1,28,60,125,162],"computer":[2,31,38,130],"access":[3,32],"in":[4,82],"healthcare":[5,29],"are":[6,97],"sufficiently":[7],"common":[8],"that":[9,25],"they":[10,137],"often":[11],"go":[12],"unnoticed.":[13],"Clinicians":[14],"focus":[15,58],"on":[16],"patient":[17],"care,":[18],"not":[19,34,154],"cybersecurity.":[20],"We":[21,104,132,139],"argue":[22],"and":[23,43,56,64,102,107,114,122,170],"demonstrate":[24],"understanding":[26],"workarounds":[27],"workers'":[30],"requires":[33],"only":[35],"analyses":[36],"of":[37,53,70,79,111,129,142],"rules,":[39],"but":[40,158],"also":[41,133],"interviews":[42,106],"observations":[44,108],"with":[45,109,115],"clinicians.":[46],"In":[47],"addition,":[48],"we":[49,151],"illustrate":[50],"the":[51,71,83,91,94,98,167],"value":[52],"shadowing":[54],"clinicians":[55,135,150],"conducing":[57],"groups":[59],"understand":[61],"their":[62,127,164],"motivations":[63],"tradeoffs":[65],"for":[66],"circumvention.":[67],"Ethnographic":[68],"investigation":[69],"medical":[72,112],"workplace":[73],"emerges":[74],"as":[75,136],"a":[76],"critical":[77],"method":[78],"research":[80],"because":[81],"inevitable":[84],"conflict":[85],"between":[86],"even":[87],"well-intended":[88],"people":[89,95],"versus":[90],"machines,":[92],"it's":[93],"who":[96],"more":[99],"creative,":[100],"flexible,":[101],"motivated.":[103],"conducted":[105],"hundreds":[110],"workers":[113,124,144],"19":[116],"cybersecurity":[117],"experts,":[118],"CIOs,":[119],"CMIOs,":[120],"CTO,":[121],"IT":[123],"obtain":[126],"perceptions":[128],"security.":[131],"shadowed":[134],"worked.":[138],"present":[140],"dozens":[141],"ways":[143],"ingeniously":[145],"circumvent":[146],"security":[147,168],"rules.":[148],"The":[149],"studied":[152],"were":[153],"\"black":[155],"hat\"":[156],"hackers,":[157],"just":[159],"professionals":[160],"seeking":[161],"accomplish":[163],"work":[165],"despite":[166],"technologies":[169],"regulations.":[171]},"counts_by_year":[{"year":2025,"cited_by_count":3},{"year":2024,"cited_by_count":2},{"year":2022,"cited_by_count":8},{"year":2021,"cited_by_count":10},{"year":2020,"cited_by_count":9},{"year":2019,"cited_by_count":10},{"year":2018,"cited_by_count":7},{"year":2017,"cited_by_count":4},{"year":2016,"cited_by_count":2},{"year":2015,"cited_by_count":1}],"updated_date":"2026-06-11T09:08:48.828518","created_date":"2025-10-10T00:00:00"}
