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Developing the electronic health record: what about patient safety?
1Manchester Business School, University of Manchester, Manchester, UK. Ruth.Boaden@manchester.ac.uk
Health Services Management Research
|April 29, 2006
Summary
This study analyzed National Health Service (NHS) electronic health record pilot projects, finding that variability in implementation poses risks to patient safety. Effective governance and technology use are crucial for error reduction and safe integrated health records.
Area of Science:
- Health Informatics
- Health Services Research
- Patient Safety
Background:
- The National Health Service (NHS) has undergone significant development in electronic health records (EHRs).
- Pilot projects funded by the Electronic Record Development and Implementation Project (ERDIP) were analyzed.
- The NHS Information Authority (NHSIA) oversaw early EHR initiatives, with work now continued by Connecting for Health and the Health and Social Care Information Centre.
Purpose of the Study:
- To examine the development of EHRs within the NHS, focusing on error identification and correction in pilot projects.
- To highlight the potential for errors in health records and their impact on patient safety.
- To analyze the transition from paper-based or fragmented electronic records to integrated EHR systems.
Main Methods:
- Analysis of pilot projects funded by the Electronic Record Development and Implementation Project (ERDIP).
- Consideration of the context, content, and change process of health records.
- Evaluation of data security, access, and organizational starting points.
Main Results:
- Variability in organizational starting points for EHR implementation poses a significant risk to patient safety.
- Technology can mitigate some issues related to record content, but the balance between coded and qualitative data remains a concern.
- Data security and access were identified as issues during the transition to integrated EHRs.
Conclusions:
- EHR development must be viewed within the framework of governance and patient safety.
- Addressing the tension between coded and qualitative data is essential for patient safety.
- Organizational readiness and standardized implementation are critical for minimizing risks associated with integrated electronic health records.
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