uk
Bartlett C et al, BMC Medical Informatics and Decision Making, 12(1)
Background
Access to medical records on the Internet has been reported to be acceptable and popular with patients, although most published evaluations have been of primary care or office-based practice. We tested the feasibility and acceptability of making unscreened results and data from a complex chronic disease pathway (renal medicine) available to patients over the Internet in a project involving more than half of renal units in the UK.
Methods
Content and presentation of the Renal PatientView (RPV) system was developed with patient groups. It was designed to receive information from multiple local information systems and to require minimal extra work in units. After piloting in 4 centres in 2005 it was made available more widely. Opinions were sought from both patients who enrolled and from those who did not in a paper survey, and from staff in an electronic survey. Anonymous data on enrolments and usage were extracted from the webserver.
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Published:
16 August 2012 |
Keyword(s): Chronic Diseases, Identifier, Internet, Nephrology, Patient Record Access, UK, XML
Eason K, Waterson P. International Journal of Medical Informatics, 2012
Purpose
This paper explores the implications that different technical strategies for sharing patient information have for healthcare workers and, as a consequence, for the extent to which these systems provide support for integrated care.
Methods
Four technical strategies were identified and the forms of coupling they made with healthcare agencies were classified. A study was conducted in England to examine the human and organizational implications of systems implemented by these four strategies. Results were used from evaluation reports of two systems delivered as part of the NPfIT (National Programme for Information Technology) and from user responses to systems delivered in two local health communities in England. In the latter study 40 clinical respondents reported the use of systems to support integrated care in six healthcare pathways.
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Published:
21 December 2012 |
Keyword(s): Health Information Exchange, Information Management, Integrated Health Care Systems, UK
Shah AD et al, BMC medical informatics and decision making, 12(1)
BACKGROUND:
Electronic health records are invaluable for medical research, but much information is stored as free text rather than in a coded form. For example, in the UK General Practice Research Database (GPRD), causes of death and test results are sometimes recorded only in free text. Free text can be difficult to use for research if it requires time-consuming manual review. Our aim was to develop an automated method for extracting coded information from free text in electronic patient records.
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Published:
7 August 2012 |
Keyword(s): Algorithms, Electronic Health Records, Free text, Research, UK
Pagliari C et al, JRSM short reports, 3(5)
OBJECTIVES
To explore the integration of online patient Record Access within UK Primary Care, its perceived impacts on workload and service quality, and barriers to implementation.
DESIGN
Mixed format survey of clinicians, administrators and patients. Telephone interviews with non-users.
SETTING
Primary care centres within NHS England that had offered online record access for the preceding year.
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Published:
28 May 2012 |
Keyword(s): integration, Patient Record Access, Primary Care, Survey, UK
Luchenski S et al, BMC medical informatics and decision making, 12(1)
BACKGROUND:
Immediate access to patients’ complete health records via electronic databases could improve healthcare and facilitate health research. However, the possible benefits of a national electronic health records (EHR) system must be balanced against public concerns about data security and personal privacy. Successful development of EHR requires better understanding of the views of the public and those most affected by EHR: users of the National Health Service. This study aims to explore the correlation between personal healthcare experience (including number of healthcare contacts and number and type of longer term conditions) and views relating to development of EHR for healthcare, health services planning and policy and health research.
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Published:
23 May 2012 |
Keyword(s): Access, Electronic Health Records, Perception, Privacy, Quality Improvement, Research, Security, UK
Blakey JD et al, BMJ Open, 2(2)
OBJECTIVES
The authors investigated if a wireless system of call handling and task management for out of hours care could replace a standard pager-based system and improve markers of efficiency, patient safety and staff satisfaction.
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Published:
29 March 2012 |
Keyword(s): Benefits, Hospitals, Implementation, UK, Wireless technology
Jones RB et al, BMC Medical Informatics and Decision Making, 12(1)
BACKGROUND:
Better use of e-health services by patients could improve outcomes and reduce costs but there are concerns about inequalities of access. Previous research in outpatients suggested that anonymous personal email support may help patients with long term conditions to use e-health, but recruiting earlier in their ‘journey’ may benefit patients more. This pilot study explored the feasibility and cost of recruiting patients for an e-health intervention in one primary care trust.
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Published:
29 March 2012 |
Keyword(s): e-Health, Outpatients, Primary Care, Recruitment, Research, UK
Cresswell KM et al, Proceedings of the 2nd ACM SIGHIT International Health Informatics Symposium, 2012
Background:
National electronic health record (EHR) programs are increasingly being pursued across the world with the aim of improving the safety, quality and efficiency of healthcare. Despite significant international investments, and particularly in the light of reported “failures”, there is surprisingly little evidence on the specific and potentially transferable factors associated with the planning and execution of large-scale EHR implementations. England embarked on a National Program in 2002, characterized by “top-down”, central procurement of a few, standardized EHR systems.
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Published:
2012 |
Keyword(s): Electronic Health Records, Implementation, UK
Davies E, Yeoh K-W. Br J Cancer, 106(4)
Background:
Reliable information can improve patients’ knowledge of chemotherapy. As internet chemotherapy information (ICI) is increasingly viewed as a valuable patient education tool, we investigated the impact of ICI on patient care and analysed health professionals’ (HPs’) attitudes towards ICI.
Methods:
The following questionnaires were distributed: (1) self-administered questionnaire randomly given to 261 patients receiving chemotherapy (80% returned); and (2) separate questionnaire given to 58 HPs at the same UK Oncology Centre (83% returned).
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Published:
19 January 2012 |
Keyword(s): Education, Internet, Nurses, Oncology, Patient, Physician, UK
Waterson P et al, International Journal of Medical Informatics, 2011
Purpose
The purpose of the study was to understand the preparations for the introduction of electronic patient record systems (EPRs) within the outpatient services department of a large acute hospital based in the UK. In particular, one of the main aims of the study was to examine in detail the likely impact of EPRs on the working practices of healthcare workers, their expectations regarding the impact of EPRs within the department and other sociotechnical aspects of the management of patient information.
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Published:
15 November 2011 |
Keyword(s): Electronic healthcare records, Electronic Medical Record System, Health Information Technology, Outpatients, UK
Sheikh A et al, BMJ, 343
Objectives
To evaluate the implementation and adoption of the NHS detailed care records service in “early adopter” hospitals in England.
Design
Theoretically informed, longitudinal qualitative evaluation based on case studies.
Setting
12 “early adopter” NHS acute hospitals and specialist care settings studied over two and a half years.
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Published:
17 October 2011 |
Keyword(s): Adoption, Electronic Health Records, Evaluation, Hospitals, Implementation, UK
Haughom JL. BMJ, 343
Implementing an electronic health record along with computerised provider order entry and clinical decision support is hard. Integrating these advanced technologies into a complex and rapidly changing healthcare delivery environment is a major task, but the associated cultural, process, and change management obstacles make the task even harder.
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Published:
27 September 2011 |
Keyword(s): Electronic Health Records, Implementation, UK
Marsh AJ et al, Future Visions on Biomedicine and Bioinformatics 1, 2011
Web 3.0 is fast approaching. The European Union Future Internet Assembly, the roadmap for the Web heading towards semantic interoperability and building on the UK’s adoption of the Internet and social media are accelerating this development. A number of health portals are opening, some with facilities for the capture of Patient Based Records. Collective Intelligence will be generated that, applied to health, has potential to support Public Health policy. By using the Internet, millions of people in the course of their daily activities contribute to uncertified data stores, some explicitly collaborating to create collective knowledge bases, some contributing implicitly through the patterns of their choices and actions.
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Published:
2011 |
Keyword(s): Health Information, Internet, Public Health, Semantic, Social Networks, UK, Web 2.0
Flannigan C, McAloon J. Resuscitation, 2011
OBJECTIVE:
To compare the use of a drugs calculator on a smartphone with use of the British National Formulary for Children (BNFC) for accuracy, speed and confidence of prescribing in a simulated paediatric emergency.
DESIGN:
28 doctors and 7 medical students in a paediatric department of a District General Hospital, were asked to prescribe both a dopamine infusion and an adrenaline infusion for a hypotensive child. For one calculation they used the BNFC as their reference source and for the other they used the ‘PICU Calculator’ on the iPhone.
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Published:
23 July 2011 |
Keyword(s): Electronic Prescribing, Emergencies, Medication Errors, Smart Phone, UK
Crowe S et al, JRSM Short Reports, 1(4)
OBJECTIVES
To describe the plans of English NHS hospitals to implement ePrescribing systems. DESIGN AND SETTING Questionnaire-based survey of attendees of the National ePrescribing Forum.
PARTICIPANTS
A piloted questionnaire was distributed to all NHS and non-NHS hospital-based attendees. The questionnaire enquired about any completed or planned implementation of ePrescribing systems, the specific systems of interest, and functionality they offered.
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Published:
20 September 2010 |
Keyword(s): Electronic Prescribing, Hospitals, Implementation, Questionnaires, UK
Kamel Boulos MN et al, Computer Methods and Programs in Biomedicine,100(1)
This paper explores Technosocial Predictive Analytics (TPA) and related methods for Web “data mining” where users’ posts and queries are garnered from Social Web (”Web 2.0″) tools such as blogs, micro-blogging and social networking sites to form coherent representations of real-time health events.
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Published:
17 March 2010 |
Keyword(s): Blog, Data Mining, Internet, Public Health, UK, Web 2.0
Cross M. BMJ, 342:d2446
Government plans for an “information revolution” in the English NHS will include encouraging commercial firms to manage online health records on behalf of patients, said the official in charge.
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Published:
14 April 2011 |
Keyword(s): Electronic Health Records, Primary Care, Privacy, Security, UK
Free C et al, The Lancet, 2011
Background
Smoking cessation programmes delivered via mobile phone text messaging show increases in self-reported quitting in the short term. We assessed the effect of an automated smoking cessation programme delivered via mobile phone text messaging on continuous abstinence, which was biochemically verified at 6 months.
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Published:
30 June 2011 |
Keyword(s): mHealth, Smoking Cessation, SMS, UK
Coleman JJ et al, Journal of the Royal Society of Medicine, 104(5)
Objectives
We aimed to assess whether routine data produced by an electronic prescribing system might be useful in identifying doctors at higher risk of making a serious prescribing error.
Design
Retrospective analysis of prescribing by junior doctors over 12 months using an electronic prescribing information and communication system. The system issues a graded series of prescribing alerts (low-level, intermediate, and high-level), and warnings and prompts to respond to abnormal test results. These may be overridden or heeded, except for high-level prescribing alerts, which are indicative of a potentially serious error and impose a ‘hard stop’.
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Published:
May 2011 |
Keyword(s): Electronic Prescribing, Prescription Errors, UK
Brown BC, Hannan A. BMJ, 342
The roundtable discussion on shared decision making cited an “asymmetry of information”—where patients cannot see written details of their treatment—as a barrier.
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Published:
3 May 2011 |
Keyword(s): Electronic Health Records, Patient Record Access, UK
