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  • Electronic Patient Records (EPR) evaluation

Electronic Patient Records (EPR) evaluation

We are working in partnership with staff, patients and carers at the Sussex Kidney Unit (Brighton and Sussex University Hospital Trust) and associated dialysis units. Together, we have developed a collaborative approach to evaluating the implementation and ongoing use of an electronic patient record (EPR) system.

Project aims

Our primary aims in this evaluation have been:

  • to look at what is meant by patient-centred care
  • to discover what methods support the documentation of realised benefits, and
  • to understand how these methods can contribute to successful EPR implementation and ongoing use.

Project findings and impact

We have found that encouraging staff and patients to reflect on those service improvements that matter to them, 'in practice' – ie. in their own day-to-day experience of care – acts as a powerful catalyst for developing collective capability in EPR system learning and innovation. This innovative 'practice-centred' approach emphasises the importance of learning, reflection and the development of EPR evaluation and research skills among both staff and patients.

We use participatory methods and work in collaboration with patients, carers, clinical leaders, clinical practitioners, administrators and health IT professionals. We believe that by building internal interest and research capability, we can create a strong foundation for the transformation in information use that Trust-wide EPR implementations will bring. The university is seeking to support the ongoing development of EPR evaluation capabilities within a practice-oriented programme of education which will support and underline the importance of quality of care, patient safety and efficiency in this new era of health informatics.

Research has contributed to the:

  • successful working EPR system in dialysis units across Sussex
  • availability of Renal Patient View, a patient-facing EPR system for kidney patients and carers in the South East
  • innovative laboratory integration work taking place
  • evidence base of documented benefits for patients, managers and clinicians, and the programme of patient and carer engagement.

Research team

Dr Mary Darking

Steve Flowers

Professor Flis Henwood

Martin Burns

Dr Lawrence Goldberg, Chief of Specialised Services, Brighton and Sussex University Hospital Trust

Outputs

Darking M, Anson R, Bravo F, Davis J, Flowers S, Gillingham E, Goldberg L, Helliwell P, Henwood F, Hudson C, Latimer S, Lowes P, Stirling I. (2014) Practice-centred evaluation and the privileging of care in health information technology evaluation. BMC Health Services Research, 14 (1), 243

In November 2012, we hosted, with Brighton and Sussex Medical School, a successful symposium for academics and health practitioners on ‘What makes EPRs work?’

Partners

Brighton and Sussex Medical School

Sussex Kidney Unit, Brighton and Sussex University Hospital Trust

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