Factors facilitating effective use of electronic patient record systems for clinical audit and research in the UK maternity services

Author:

Jones Andrea,Henwood Flis,Hart Angie

Abstract

PurposeThis paper examines the factors that made services more or less effective in using electronic patient record systems to produce clinical information for clinical audit and research.Design/methodology/approachCase studies of the use of electronic patient record systems in three maternity services in England, using qualitative research methods (semi‐structured interviews, observations and shadowing).FindingsThere were many contributing factors in each case site. The three main groups of determining factors were these: the resources devoted to, and acceptability to midwives of, the “IT midwife”; maternity managers prioritisation of information related matters; the relationship of maternity information systems with Trust‐wide systems.Originality/valueProvides services with lists of factors they need to consider if they want to maximise the benefits realised for clinical audit and research from existing and new electronic patient record systems.

Publisher

Emerald

Subject

Health Policy

Reference24 articles.

1. Audit Commission (1997), First Class Delivery: Improving Maternity Services in England and Wales, Audit Commission Publications, Abingdon.

2. Berg, M. and Goorman, E. (1999), “The contextual nature of medical information”, International Journal of Medical Informatics, Vol. 56, pp. 51‐60.

3. Chapple, J., Golightly, S. and Charles, Z. (1999), Conference on “Linking Data for Better Health in Pregnancy and Childhood”, CASPE Research, The King's Fund, London.

4. Chief Medical Officer (2004), Clinical Governance, available at: www.publications.doh.gov.uk/cmo/progress/clingov/index.htm.

5. Department of Health (1993), Changing Childbirth Part 1. Report of the Expert Maternity Group, HMSO, London.

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