The Management of the Introduction of Electronic Patient Held Records in the NHS in the UK

by

ACKNOWLEDGEMENT

I would like to thank to my supervisor supporting me throughout my project and giving his valuable suggestions. Finally thanks to all my friends and family for their utmost support and inspiration.

DECLARATION

I, (Your name), would like to declare that all contents included in this dissertation stand for my individual work without any aid, & this dissertation has not been submitted for any examination at academic as well as professional level previously. It is also representing my very own views & not essentially which are associated with university.

Signed __________________ Date _________________

ABSTRACT

The National Health System (NHS) is responsible for British public health. Services provided include hospitals, doctors, specialists, dentists, pharmacists, opticians, and ambulances. UK has the best health care system. The purpose of this research proposal is to find out the how introduction of EPR system in NHS will help in improving the quality, safety, and heath care of patients. It will also focus on the management of the electronic personal heath records in NHS. It will also focus on the implication of EPR system in NHS, and how it will help in solving the issues that were faced by the organization before implementation of EPR system. The study took into account secondary material and also interviewed the staff present at NHS hospital to get their feedback on pre-implementation and post-implementation scenario. Many of the barriers to EPR adoption identified 10 years ago or more were due to lack of clinician involvement, inadequate long-term financial commitment, poor planning and implementation, substandard functionality and reliability. The transition to EPR requires a major commitment of effort, resources, and profoundly affects work practices. An example cited on previous study on physician adoption of EPR suggests that the ability to place orders from any location is convenient, but it still takes longer to order through EPR system

TABLE OF CONTENTS

ACKNOWLEDGEMENTII

DECLARATIONIII

CHAPTER 1: INTRODUCTION1

Background1

Computerization of Health Information2

Electronic patient record functions2

Significance of the Study3

User acceptance of and satisfaction with EPR5

Problem statement5

Aims and objectives6

Significance6

Research Questions6

Ethical Considerations6

CHAPTER 2: LITERATURE REVIEW8

Importance of clinical care system8

Characteristics of Good clinical care system9

Quality Improvement10

Information Technology Management in Healthcare Organizations11

Legal and Policy Aspects of Information Technology in Healthcare13

The significance of the implementation of electronic medical records13

Implication and Management of EPR System15

NHS Number15

Keeping Records Secure16

Storage and Security16

Retention of Health Records16

Staff Training and Awareness17

Standards and Completeness17

Paper based vs. electronic record17

Barriers18

CHAPTER 3: METHODOLOGY24

Literature Search25

Additional Online searches28

Ethical Concerns28

Source of information30

Search strategy30

Data extraction system30

Inclusion criteria31

Exclusion criteria31

CHAPTER 4: DISCUSSION32

Factors that influence attitudes35

Responses from the Staff35

Expected impact on patient care & work processes36

Effects of EPR in Hospitals37

Effects of EPR in NHS Hospital37

Improved efficiency37

Improves the quality of assessment of the quality of medical records38

Real-Time Focus on Medical Quality, Process Monitoring, and Promptly Correct Errors38

Implementation of the Timeliness, Integrity Control, the Better Quality of Medical Links38

Achieves levels of medical quality control, layers of strict medical quality39

Time-Intensive39

The Barriers to Implementation in NHS Hospital39

Physician Resistance39

Loss of autonomy40

Silent errors41

Workflow disruptions42

Inefficient systems43

Health Care Administrator's Financial Funding Constraints43

Effective training44

System Design45

CHAPTER 5: CONCLUSION47

REFERENCES50

CHAPTER 1: INTRODUCTION

Background

The National ...