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Next-Generation Capabilities in Trusted Research Environments: Interview Study.


ABSTRACT:

Background

A Trusted Research Environment (TRE; also known as a Safe Haven) is an environment supported by trained staff and agreed processes (principles and standards), providing access to data for research while protecting patient confidentiality. Accessing sensitive data without compromising the privacy and security of the data is a complex process.

Objective

This paper presents the security measures, administrative procedures, and technical approaches adopted by TREs.

Methods

We contacted 73 TRE operators, 22 (30%) of whom, in the United Kingdom and internationally, agreed to be interviewed remotely under a nondisclosure agreement and to complete a questionnaire about their TRE.

Results

We observed many similar processes and standards that TREs follow to adhere to the Seven Safes principles. The security processes and TRE capabilities for supporting observational studies using classical statistical methods were mature, and the requirements were well understood. However, we identified limitations in the security measures and capabilities of TREs to support "next-generation" requirements such as wide ranges of data types, ability to develop artificial intelligence algorithms and software within the environment, handling of big data, and timely import and export of data.

Conclusions

We found a lack of software or other automation tools to support the community and limited knowledge of how to meet the next-generation requirements from the research community. Disclosure control for exporting artificial intelligence algorithms and software was found to be particularly challenging, and there is a clear need for additional controls to support this capability within TREs.

SUBMITTER: Kavianpour S 

PROVIDER: S-EPMC9533202 | biostudies-literature | 2022 Sep

REPOSITORIES: biostudies-literature

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Next-Generation Capabilities in Trusted Research Environments: Interview Study.

Kavianpour Sanaz S   Sutherland James J   Mansouri-Benssassi Esma E   Coull Natalie N   Jefferson Emily E  

Journal of medical Internet research 20220920 9


<h4>Background</h4>A Trusted Research Environment (TRE; also known as a Safe Haven) is an environment supported by trained staff and agreed processes (principles and standards), providing access to data for research while protecting patient confidentiality. Accessing sensitive data without compromising the privacy and security of the data is a complex process.<h4>Objective</h4>This paper presents the security measures, administrative procedures, and technical approaches adopted by TREs.<h4>Metho  ...[more]

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