EHR-Integrated CathPCI and Chest Pain MI Registry at a Tertiary Care Center in Pakistan
Muhammad Kashif1, Saba Aijaz2, Asadullah Bugti2
1Department of Clinical Research Cardiology, Tabba Heart Institute, Karachi, Pakistan.
Background:
Since 2012, our institute has contributed data to the National Cardiovascular Data Registry's CathPCI and Chest Pain-MI registries using manual forms and semidigital tools.
Project Rationale:
Manual data entry across 4 registries by 3 research assistants led to workflow delays, duplication, and quality gaps. A centralized, electronic health record (EHR)-integrated solution was needed to improve accuracy, reduce redundancy, and streamline compliance reporting.
Project Summary:
We developed and launched Cardiopulse.pk, a fully paperless digital registry integrated with the hospital's EHR. The platform unified CathPCI and Chest Pain-MI data collection, enabled direct role-based entry, automated patient data transfer, and included built-in validation and skipping logic. It eliminated manual duplication, reduced research assistant workload by 67%, and improved data accuracy (from 60% to 95%) and completeness (from 40% to 100%). Historical data from 2012 to 2024 were successfully migrated.
Take-Home Message:
This project shows that EHR-integrated digital registries can significantly enhance data quality, efficiency, and clinical ownership, and the outcomes can serve as a scalable model for other institutions.
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