Persecution complex: I am getting one over electronic patient records!

2017 ◽  
Vol 8 (2) ◽  
pp. 78-81
Author(s):  
S Misra ◽  
F Dyer ◽  
Professor P Sandler
Keyword(s):  
Information Technology ◽  
Secondary Care ◽  
Patient Records ◽  
Electronic Patient Records ◽  
Plain Language ◽  
National Programme ◽  
Care Processes ◽  
Health And Social Care ◽  
The Impact ◽  
Blair Government

The electronic patient record (EPR) is a core organisational document in which integrated health and social care records and secondary care processes can be stored. EPR was the brain child of the NHS’ National Programme for Information Technology, under the Blair government. 1 Since then, attempts have been made to install EPR in secondary care – a typical example being the installation of specialist imaging systems in hospital trusts. 2 The primary aim of EPR was to make the NHS services efficient via digitised patient records that could be viewed, discussed and transferred electronically between clinicians and/or trusts. 1 , 3 Other anticipated uses of EPR were to provide easy patient access to services such as e-referrals and e-prescriptions, as well as appointment systems. 3 , 4 Here, we discuss EPR and information technology in plain language, and assess the impact of EPR on NHS secondary care orthodontic services.

The impact of electronic patient records on workflow in general practice

2007 ◽  
Vol 13 (2) ◽  
pp. 155-160 ◽  
Author(s):  
Matthew R. Cauldwell ◽  
Caroline E. Beattie ◽  
Benita M. Cox ◽  
William J. Denby ◽  
Jessica A. Ede-Golightly ◽  
...  
Keyword(s):  
General Practice ◽  
Patient Records ◽  
Electronic Patient Records ◽  
The Impact

Introducing Electronic Patient Records to Hospitals

2011 ◽  
pp. 128-146 ◽  
Author(s):  
Reima Suomi
Keyword(s):  
Information Technology ◽  
Customer Relationship Management ◽  
Relationship Management ◽  
Patient Data ◽  
Point Of View ◽  
Customer Relationship ◽  
Healthcare Industry ◽  
Patient Records ◽  
Electronic Patient Records ◽  
Technology Applications

Healthcare is on of the industries that is currently fast adopting information technology (IT) into use. Electronic patient records (EPRs) are at the hearth of healthcare information technology applications. However, patient data is seldom efficiently organized even within one organization, and when patient data is needed in applications covering several organizations, the situation becomes even more complicated. We draw some lessons on how EPR systems should look like from the customer relationship management literature point of view: After all, patients are the customers of healthcare institutions. As a guiding framework for this analysis we use the concepts developed by (Winter, Ammenwerth, et al,. 2001). Then we proceed to discuss how EPR systems diffuse in the healthcare industry and use the Internet standards adoption (ISA) model presented by (Hovav, Patnayakuni, et al., 2004) as a starting point. We apply this model to the diffusion of EPR systems in the healthcare industry. We found big differences between customer relationship management and EPRs management. Customer relationship management aims at long-term relationships and customer profitability, which are not strong goals for EPR systems. Our analysis too resulted to the conclusion that the practical innovation adoption bath for EPRs over paper-based patient records is that of adoption through coexistence.

Health, Digitalization, and Individual Empowerment

2017 ◽  
pp. 380-402
Author(s):  
Alena Lagumdzija ◽  
Velmarie King Swing
Keyword(s):  
Information Technology ◽  
Medical Staff ◽  
Information Access ◽  
School Staff ◽  
Patient Records ◽  
Digital Learning ◽  
Electronic Patient Records ◽  
Positive Health ◽  
Technical Improvement ◽  
Medical Health

Internet, eHealth and digitalization have opened information access for patients and medical health users. Digitalization provides an opportunity for telemedicine, storage of Electronic Patient Records (EPRs) and net communication for both medical staff and patients with access. Digitalization and technical improvement have increased the usage of Internet based technologies and telephones for positive health coaching and digital-learning applications for all medical users, school staff, and students. The effect of Information Technology on healthcare and medical services can be described as revolutionary. Increasingly, the utilization of digital equipment and medical technology are employed in patients' homes.

Local Sociotechnical System Development in the NHS National Programme for Information Technology

2007 ◽  
Vol 22 (3) ◽  
pp. 257-264 ◽  
Author(s):  
Ken Eason
Keyword(s):  
Information Technology ◽  
System Development ◽  
Systems Design ◽  
Electronic Systems ◽  
Design Work ◽  
National Programme ◽  
Sociotechnical System ◽  
Sociotechnical Systems Design ◽  
The Impact

The National Programme for Information Technology is implementing standard electronic healthcare systems across the National Health Service Trusts in England. This paper reports the responses of the Trusts and their healthcare teams to the applications in the programme as they are being implemented. It concludes that, on the basis of the data available, it is likely that the emergent behaviour of healthcare staff will serve to minimise the impact of the systems. The paper looks at the opportunities within the programme to undertake local sociotechnical system design to help staff exploit the opportunities of the new electronic systems. It concludes that there are opportunities and offers one case study example in a Mental Health Trust. However, it concludes that there are many aspects of the technical systems themselves and also of the approach to implementation, that limit the opportunities for local sociotechnical systems design work.

PP38 Rates of recording different aspects of patients’ social history on ambulance electronic patient records – a service evaluation

2021 ◽  
Vol 38 (9) ◽  
pp. A16.1-A16
Author(s):  
Chloé R Barley ◽  
Imogen M Gunson
Keyword(s):  
Social History ◽  
Median Number ◽  
Service Evaluation ◽  
Patient Records ◽  
Completion Rates ◽  
Electronic Patient Records ◽  
Minimal Impact ◽  
History Data ◽  
Qualitative Work ◽  
The Impact

BackgroundUnderstanding the impact of a patient’s social history forms part of medical assessments and wider NHS data collection. To date, there has been little work examining the extent of social history recording by ambulance clinicians. The aim of this service evaluation is to examine how frequently staff complete social history fields on electronic patient records and to identify patterns in completion rate when comparing categories of call, localities of crew, conveyance or non-conveyance, and individual fields of social history data.MethodA retrospective review of one NHS ambulance trust’s electronic patient records (attended 01/01/2019 – 31/12/2019) was conducted. 10% of the records were analysed due to software limitations (n = 134434 adult cases).ResultsVery few cases (<0.05%) had every field completed, with 28.6% of all cases having no fields completed at all. In 45% of cases, between 8 and 11 fields were completed. The mean number of fields completed per case was 5.79 and the median number was 7.‘Mobility’ and ‘Home circumstances’ were the most frequently completed and ‘Sexual Orientation’ and ‘Language’ were the least.Category of call appears to have minimal impact on completion rates. Localities and specialists had more variation, ranging from 21.3% to 49.9% with no fields completed at all.ConclusionSocial history documentation is very infrequently fully completed by frontline ambulance crews within this service. The majority of cases have a partially complete social history however, due to software limitations, it is unknown whether the same fields are consistently completed throughout these cases.Further research, including qualitative work, is recommended to understand the low rate of recording of social history data and how this information is used by ambulance staff.

scholarly journals EP.WE.555Impact of COVID 19 on Renal access surgery

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Abdallah Abdelwahed ◽  
Raghvinder Gambhir ◽  
Hiren Mistry ◽  
Fatima de'figededu ◽  
Domenico Valenti ◽  
...  
Keyword(s):  
Surgical Intervention ◽  
Recovery Phase ◽  
Day Surgery ◽  
Patient Records ◽  
Electronic Patient Records ◽  
Time Period ◽  
Independent Sector ◽  
The Impact ◽  
Access Surgery ◽  
Radiological Intervention

Abstract Aims To assess the impact of COVID -19 on renal access surgery. Methods Electronic patient records and renal ware were accessed to obtain data of all renal access activity during the COVID period. Results There as a shutdown of all elective activity which affected the renal access surgery as well. No new Arterio venous fistulas (AVFs) were created in the time period 14 March to 05th May 2020. No pre-fistula mapping scans were performed. All new starters started with a tunneled dialysis line. In the recovery phase special theatre sessions were asked for and procedures carried out in Day surgery and in independent sector (n-18). A total of 203 new AVF’s were created compared to 272 the year before a fall of 25%. There were 48 patients admitted with blocked access, 70% of whom underwent radiological intervention compared to 52% in 2019. Surgical intervention was offered to just 4% compared to 25% in 2019. The number of access abandoned was 27% in 2020 vs 19% in 2019. Conclusion COVID-19 adversely affected the renal access population and none of the British Renal access surgery targets were met for 2020.

Health, Digitalization, and Individual Empowerment

2017 ◽  
pp. 1-23
Author(s):  
Alena Lagumdzija ◽  
Velmarie King Swing
Keyword(s):  
Information Technology ◽  
Medical Staff ◽  
Information Access ◽  
School Staff ◽  
Patient Records ◽  
Digital Learning ◽  
Electronic Patient Records ◽  
Positive Health ◽  
Technical Improvement ◽  
Medical Health

Internet, eHealth and digitalization have opened information access for patients and medical health users. Digitalization provides an opportunity for telemedicine, storage of Electronic Patient Records (EPRs) and net communication for both medical staff and patients with access. Digitalization and technical improvement have increased the usage of Internet based technologies and telephones for positive health coaching and digital-learning applications for all medical users, school staff, and students. The effect of Information Technology on healthcare and medical services can be described as revolutionary. Increasingly, the utilization of digital equipment and medical technology are employed in patients' homes.

PP20 A retrospective service evaluation of the presentation of anaphylaxis to a UK ambulance service

2019 ◽  
Vol 36 (10) ◽  
pp. e9.2-e9
Author(s):  
Nicholas Groom ◽  
Sarah Taylor ◽  
Ed England ◽  
Helen Pocock ◽  
Charles D Deakin
Keyword(s):  
Service Evaluation ◽  
Ambulance Service ◽  
Small Scale ◽  
Patient Records ◽  
Electronic Patient Records ◽  
Self Administration ◽  
Patient Demographics ◽  
The Mean ◽  
The Impact ◽  
To Receive

BackgroundThere is a lack of data relating to frequency and presentation of anaphylaxis to the ambulance service in England. Little research exists relating to the patients’ self-treatment of anaphylaxis and there is an absence of evidence to evaluate the impact of self-administered adrenaline, there is a need to describe this patient group to evaluate any potential to develop their care.MethodsRetrospective data were collected from the electronic patient records of a single NHS ambulance service serving a population of approximately four million. Records between 1stApril 2017 and 31st March 2018 were included where a diagnosis of anaphylaxis was recorded. Gender, age, incident location, allergy history, were summarised to identify any trends in presentation. The frequency of patient self-administration, as well as ambulance administration, of adrenaline was also included for analysis to determine any correlation.Results326 records were included in the analysis. The mean, median and modal patient ages were 34, 29 and 20 respectively. Patient ages ranged from six months to 95 years. Patients were 65% female, 35% male and 59% of incidents occurred at home. 76% of patients reported having a known allergy with food being the most common allergen (44%). Peak times for calling 999 were midday and 6pm. 35% of patients had self-administered adrenaline. 52% received ambulance-administered adrenaline. The doses of self-administered adrenaline ranged from 0–3 doses and ambulance administered adrenaline ranged from 0–8 doses. Patients who self-administered adrenaline were less likely to receive further adrenaline from the ambulance service. No correlation was found between the number of self-administered doses and ambulance administered doses.ConclusionPatient demographics such as age, gender and allergies were consistent with two previous small-scale studies. This study suggests that early self-administration of adrenaline is beneficial. Opportunities for improvements in data recording as well as patient education were identified.

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