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dc.contributor.authorPorter, Alison
dc.contributor.authorPotts, H.
dc.contributor.authorMason, Suzanne
dc.contributor.authorMorgan, H.
dc.contributor.authorMorrison, Z.
dc.contributor.authorRees, Nigel
dc.contributor.authorShaw, Deborah
dc.contributor.authorSiriwardena, Aloysius
dc.contributor.authorSnooks, Helen
dc.contributor.authorWilliams, V.
dc.date.accessioned2019-10-16T09:50:32Z
dc.date.available2019-10-16T09:50:32Z
dc.date.issued2018-04
dc.identifier.citationPorter, A. et al, 2018. The digital ambulance: electronic patient clinical records in prehospital emergency care. BMJ Open, 8 (Suppl. 1), A26-A27.en_US
dc.identifier.issn2044-6055
dc.identifier.doi10.1136/bmjopen-2018-EMS.70
dc.identifier.urihttp://hdl.handle.net/20.500.12417/364
dc.description.abstractAim Electronic Records in Ambulances (ERA) is a two-year study examining the opportunities and challenges of prehospital implementation of electronic patient clinical records (ePCR) in the UK. National policy encourages digitisation of health services,1 but this transition may not be straightforward.2 Method A telephone survey of progress implementing ePCR in all 13 UK ambulance services explored systems, implementation processes, perceived value and future plans. Interviews with information managers were thematically analysed. Case studies in four UK ambulance services involved observing clinical work, focus groups with ambulance clinicians, interviews with key stakeholders and analysis of routine data. Results Baseline survey: 7/13 services were using ePCR, with mixed compliance from staff. Reported benefits concerned improved data access for audit. Of the 6/13 services currently using paper records, four had previously adopted ePCR, but reverted. Case studies: Initial findings suggest some common themes: . Constant change: 3/4 services were already undertaking or considering transition to a second generation system; 1/4 was undertaking a phased rollout of ePCR. . Digital diversity: no standard hardware or software in use. . Indirect input: patient data was still sometimes transferred to the ePCR from another source (eg writing on a glove) or entered retrospectively. . Data dump: ePCRs acted mainly as a store, rather than transferring information to other care providers or supporting decision making. Conclusion Although ePCRs offer opportunities to support prehospital care, the transition to the new technology is neither linear nor co-ordinated, with full benefits not yet realised in terms of integration and data sharing. https://bmjopen.bmj.com/content/8/Suppl_1/A26.3 This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ http://dx.doi.org/10.1136/bmjopen-2018-EMS.70
dc.language.isoenen_US
dc.subjectEmergency Medical Servicesen_US
dc.subjectElectronic Patient Recordsen_US
dc.subjectClinical Decision-Makingen_US
dc.subjectPre-hospitalen_US
dc.subjectDataen_US
dc.titleThe digital ambulance: electronic patient clinical records in prehospital emergency careen_US
dc.typeConference Paper/Proceeding/Abstract
dc.source.journaltitleBMJ Openen_US
dcterms.dateAccepted2019-08-13
rioxxterms.versionNAen_US
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserveden_US
rioxxterms.licenseref.startdate2019-08-13
refterms.panelUnspecifieden_US
refterms.dateFirstOnline2018-04
html.description.abstractAim Electronic Records in Ambulances (ERA) is a two-year study examining the opportunities and challenges of prehospital implementation of electronic patient clinical records (ePCR) in the UK. National policy encourages digitisation of health services,1 but this transition may not be straightforward.2 Method A telephone survey of progress implementing ePCR in all 13 UK ambulance services explored systems, implementation processes, perceived value and future plans. Interviews with information managers were thematically analysed. Case studies in four UK ambulance services involved observing clinical work, focus groups with ambulance clinicians, interviews with key stakeholders and analysis of routine data. Results Baseline survey: 7/13 services were using ePCR, with mixed compliance from staff. Reported benefits concerned improved data access for audit. Of the 6/13 services currently using paper records, four had previously adopted ePCR, but reverted. Case studies: Initial findings suggest some common themes: . Constant change: 3/4 services were already undertaking or considering transition to a second generation system; 1/4 was undertaking a phased rollout of ePCR. . Digital diversity: no standard hardware or software in use. . Indirect input: patient data was still sometimes transferred to the ePCR from another source (eg writing on a glove) or entered retrospectively. . Data dump: ePCRs acted mainly as a store, rather than transferring information to other care providers or supporting decision making. Conclusion Although ePCRs offer opportunities to support prehospital care, the transition to the new technology is neither linear nor co-ordinated, with full benefits not yet realised in terms of integration and data sharing. https://bmjopen.bmj.com/content/8/Suppl_1/A26.3 This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ http://dx.doi.org/10.1136/bmjopen-2018-EMS.70en_US


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