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Know who accessed which patient record

Prove every access. Spot misuse early. Keep patient data on European soil. Guardsix Governance for Healthcare gives hospital IT and compliance teams the visibility, reporting and audit trails healthcare regulators expect — without adding a click to a clinician's day.

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You're expected to see everything with only a few hands

Monitoring, investigating, responding often without 24/7 staff or a dedicated security personnel.

The pressure keeps rising

More threats. More regulations. More expectations from leadership. For small teams, this isn’t a sprint, it’s a never-ending marathon.

Europe adds another layer of responsibility: sovereignty

Where data lives. Who controls it. How it is governed. In Europe, these are mandates, not preferences.

Patient-record access is now an audit question

Across Europe, the bar for patient-data accountability keeps rising. GDPR. NIS2. National rules like Sweden's Patient Data Act. UK data protection and Caldicott guidance. All of them expect you to prove who opened which record, why, and how that access was reviewed.

For a lean hospital IT and compliance team, that turns every audit, investigation and access review into a manual evidence hunt — weeks of work to answer a question that should take an hour.

The evidence sits in five places at once.

Every record access leaves a trace — but those traces live across EHR systems, identity providers, application logs and departmental workflows. No one team sees the full picture.

So the work becomes manual. Pull a report here. Reconcile records there. Chase IT for the missing piece. Reviews run slow, context goes missing, and audit prep takes far longer than it should.

Access reviews still happen in spreadsheets.

Most access reviews live outside any controlled system. Reports are exported, emailed, marked up in spreadsheets, passed between teams — with no consistent record of what changed, who reviewed it, or what was decided.

Which creates a second problem. Even when the access evidence is solid, the review itself may not be defensible. The trail from "this happened" to "we reviewed it and signed it off" needs to live inside the system, not in someone's inbox.

If you can't control the evidence, you can't defend the outcome.

Visibility is only half the job. Accountability also depends on where the evidence lives, who can reach it, and how it is governed. When access data or review workflows sit inside someone else's cloud, accountability becomes harder to prove.

For a healthcare provider, that's a sovereignty problem as much as a compliance one. You need to control the trail of evidence — not borrow it.

Turn access activity into evidence

Access control should not depend on manual reviews, disconnected logs, or ad hoc reporting. It requires a consistent way to collect, structure, and review access activity and use it as evidence.

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Govern access with confidence

Sensitive data access creates accountability across security, compliance, and business teams. Guardsix transforms raw access events into a controlled, auditable system of record. Every access decision, review, and report is built on the same structured data, making access control repeatable, defensible, and scalable.

See who accessed what

Track access to sensitive records, systems, and data sources with clear timelines and structured audit trails.

Prove policy alignment

Give auditors the evidence they need to show that access followed internal rules, regulatory requirements, and data privacy laws.

Explain access with ease

Respond to record requests with a few short clicks. Share access control reports with users, patients, and authorities on demand.

Keep evidence under control

Run governance workflows in a controlled environment that supports sovereign deployment needs and customer-owned access decisions.

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How Guardsix supports access control

Your IT, compliance and audit teams need a controlled way to review every patient-record access, demonstrate accountability, and act on what they find. We built it first for healthcare — the same model applies to any regulated environment where access has to be visible, explainable and defensible.

Authentication and authorisation

Control who can see the trail. Role-based permissions let your compliance and audit teams do their work without standing admin rights — and without sharing reports over email. Every reviewer sees only what their role allows.

Configurable to your environment

Watch the records that matter most. Choose which systems, data sets and access patterns Guardsix monitors most closely. Your team's attention lands on the records and behaviours that carry the most regulatory and clinical risk — not on noise.

Search and reports

Answer access questions in minutes, not weeks. Search every access event, generate structured reports, and pull audit-ready evidence views without going log-by-log. Whoever asks — your DPO, your auditor, a department head — gets the same answer, fast.  

Automated audit readiness

Keep a defensible record of every review. Reviewers comment, approve and escalate in-browser — and every action is preserved alongside the evidence. Prove who reviewed which access, what they decided, and how it maps to GDPR, NIS2, DORA and national healthcare rules.  

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Ready to achieve more?

Let’s stand together and strengthen your defence.
Trusted by the organisations who guard Europe’s critical infrastructure