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Category: EPR

Paper v Electronic in maternity shared care

28 March, 2014 (11:53) | EPR, hand held records, Maternents, maternity care, Midwifery, Paper Records | By: Helga Perry

An interesting systematic review has recently been published by a group of Australian authors: HAWLEY, G et al. In a maternity shared-care environment, what do we know about the paper hand-held and electronic health record: a systematic literature review. BMC Pregnancy Childbirth. 2014; 14: 52   The authors noted “a surprising gap in knowledge surrounding data […]

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Still missing the point

23 January, 2014 (09:56) | Datasets, EPR, Maternents, maternity care, National Programmes, perinatal data, secondary data | By: Helga Perry

So a new maternity data set is due to go live in April. Will it make any real difference? Unlikely if it is still focusing on outputs and secondary uses. It all still smacks of  locking the stable door after the horse has bolted. The jury’s still out on the impact of electronic records on patient outcomes. […]

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Electronic Patient Records: The Fatal Flaw

17 September, 2013 (13:52) | EPR, hand held records, IT fallacies, Nightmares!, Paper Records | By: rupertfawdry

In retrospect, it’s so obvious, yet no-one seems to have been ready to think through the following: A. Electronic Records EITHER “High Security” but “Minimal Access” i.e. access only by the owner of the record and no-one else –  Never, ever any Instant Duplication of Data (but how to stop that?) OR “Useful Access” but […]

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IDCR

5 July, 2013 (09:08) | Computers are Magic, EPR, Government policy, Initiatives, Interoperability, National Programmes, Patient-Centered Care, Railways versus Roads, Standardisation | By: Helga Perry

The latest NHS England buzzword is IDCR (Integrated Digital Care Record). Guidance, standards etc. have been published in Safer Hospitals Safer Wards – reiterating the desire for fully digitised and integrated health records across all care settings by 2018. It doesn’t allow much time for NHS organisations to submit expressions of interest in the Technology Fund, though – […]

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The DRIP effect

27 June, 2013 (10:03) | CCIO, Codes, Data quality, EPR, Initiatives, Patient-Centered Care, primary data, secondary data, SNOMED, workload | By: Helga Perry

DRIP = Data Rich, Information Poor. We’ve long argued that too much effort is wasted on poor quality data for admin purposes, and so much good money has been thrown after bad over the years. The recent CCIO Round Table report from the Royal College of Surgeons and E-Health Insider makes interesting reading.  It recognises the need in […]

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Comparison of computerized patient record CPR, electronic medical record EMR, and electronic health record EHR software

29 April, 2013 (09:12) | Computers are Magic, Data management, Data quality, EPR, hand held records, Paper Records, Standardisation | By: rupertfawdry

Michael Kauka is the CEO of Avaz Group LLC, a leading provider of patient documentation services and technology, and a vocal proponent of electronic records — by any name — and of standards of data. Here are my responses to the seven advantages of electronic records listed in his Comparison of computerized patient record CPR, […]

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Patient’s View of OpenNotes

8 October, 2012 (10:27) | EPR, Information needs, Initiatives, Patient-Centered Care, workload | By: Helga Perry

There’s an interesting opinion piece in Annals of Internal Medicine by Michael Meltsner, about his experience as a patient of the OpenNotes project. OpenNotes is an American initiative inviting patients to read the notes written about them by their healthcare professionals during consultations, and it works with any electronic or paper-based systems. Regarding the actual note-writing, […]

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Digitising the Red Book

30 May, 2012 (09:10) | Casenotes, child health records, EPR, hand held records, IT fallacies, paediatric data, Paper Records | By: rupertfawdry

I seem to be increasingly overhearing comments on a plan to provide an electronic version of “The Red Book,” by which I understand the ‘smaller than A5’ landscape floppy red cover booklet which now seems, as a paper document, to be universal for children throughout the UK. Only trouble is that everyone seems to think […]

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A global travelers’ electronic health record template standard for personal health records

14 April, 2012 (12:18) | Apps, Datasets, EPR, hand held records, Interoperability, mHealth, mobile apps, open source | By: Helga Perry

Very interesting open-access article published in Journal of the American Medical Informatics Association.  Here’s the abstract: Abstract Tourism as well as international business travel creates health risks for individuals and populations both in host societies and home countries. One strategy to reduce health-related risks to travelers is to provide travelers and relevant caregivers timely, ongoing […]

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iPads for Patient Records in Warwick

16 March, 2012 (12:10) | EPR, Initiatives, mHealth | By: Helga Perry

South Warwickshire NHS Foundation Trust (SWNHSFT) is to digitise all its patient records and make them available to clinical staff via iPads.  Read more about this in eHealth Insider.  

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