![]() The 4 Safe Havens collaborating as part of the UK-wide Farr Institute were described by Lea et al and were found to have different processes, controls, and environments. ![]() ![]() Safe Havens are secure environments that have been widely used to support access to EHRs for research while protecting patient identity and privacy. Using EHR data in research is one such type of secondary use. Although the primary purpose of EHRs is to improve the direct care of patients, they also have some other purposes that are termed secondary use or reuse. The records can be generated in different settings (eg, primary care facilities, such as clinics and health care centers, and secondary care facilities, such as hospitals and emergency care centers). EHRs typically contain records of medical history, diagnoses, medications, allergies, immunizations, other treatments, and laboratory results. We conclude by identifying areas where efficiencies across the network can be made to meet the needs of population-level studies at scale.Įlectronic health records (EHRs) are routinely collected data that are generated when an individual receives care in a health care setting. This study provides a common definition of a Safe Haven and promotes a consistent understanding among the Scottish Safe Haven network and the clinical and academic research community. The results show how Safe Havens in Scotland have protected privacy while facilitating the reuse of the EHR data. An interview with each Safe Haven was conducted to understand their services in detail, as well as their commonalities. A set of processes related to EHR data and their delivery in Scotland have been discussed. In this paper, a perspective is provided on the state-of-the-art Scottish Safe Haven network, including its evolution, to define the key activities required to scale the Scottish Safe Haven network’s capability to facilitate research and health care improvement initiatives. For over a decade, Scotland has implemented and operationalized a system of Safe Havens, which provides secure analytics platforms for researchers to access linked, deidentified electronic health records (EHRs) while managing the risk of unauthorized reidentification.
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