Evidence map›Paper›PMID 29523565›Full record

Observational studyBMJ open2018

Feasibility of real-time capture of routine clinical data in the electronic health record: a hospital-based, observational service-evaluation study.

Neil Bodagh, R Andrew Archbold, Roshan Weerackody, Meredith K D Hawking, Michael R Barnes, Aaron M Lee, Surjeet Janjuha, Charles Gutteridge, John Robson, Adam Timmis

Open access · goldAbstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
3.6field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 13 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Neil BodaghCardiology, Barts Heart Centre, London, UK.ORCID 0000-0001-5475-5298
R Andrew ArchboldCardiology, Barts Heart Centre, London, UK.
Roshan WeerackodyCardiology, Barts Heart Centre, London, UK.
Meredith K D HawkingClinical Effectiveness Group, Queen Mary University of London, London, UK.ORCID 0000-0003-1519-2458
Michael R BarnesWilliam Harvey Research Institute Queen Mary University of London, London, UK.
Aaron M LeeCentre for Advanced Cardiovascular Imaging, William Harvey Research Institute, Queen Mary University of London, London, UK.
Surjeet JanjuhaCardiology, Barts Heart Centre, London, UK.
Charles GutteridgeCardiology, Barts Heart Centre, London, UK.
John RobsonClinical Effectiveness Group, Queen Mary University of London, London, UK.
Adam TimmisCardiology, Barts Heart Centre, London, UK.
British Heart Foundation · GBQueen Mary University of London · GB

Funding

Medical Research Council MR/K006584/1
6 · The paper itself

Abstract

objectivesThe electronic health record (EHR) is underused in the hospital setting. The aim of this service evaluation study was to respond to National Health Service (NHS) Digital's ambition for a paperless NHS by capturing routinely collected cardiac outpatient data in the EHR to populate summary patient reports and provide a resource for audit and research.

designA PowerForm template was developed within the Cerner EHR, for real-time entry of routine clinical data by clinicians attending a cardiac outpatient clinic. Data captured within the PowerForm automatically populated a SmartTemplate to generate a view-only report that was immediately available for the patient and for electronic transmission to the referring general practitioner (GP).

resultsDuring the first 8 months, the PowerForm template was used in 61% (360/594) of consecutive outpatient referrals increasing from 42% to 77% during the course of the study. Structured patient reports were available for immediate sharing with the referring GP using Cerner Health Information Exchange technology while electronic transmission was successfully developed in a substudy of 64 cases, with direct delivery by the NHS Data Transfer Service in 29 cases and NHS mail in the remainder. In feedback, the report's immediate availability was considered very or extremely important by >80% of the patients and GPs who were surveyed. Both groups reported preference of the patient report to the conventional typed letter. Deidentified template data for all 360 patients were successfully captured within the Trust system, confirming availability of these routinely collected outpatient data for audit and research.

conclusionElectronic template development tailored to the requirements of a specialist outpatient clinic facilitates capture of routinely collected data within the Cerner EHR. These data can be made available for audit and research. They can also be used to enhance communication by populating structured reports for immediate delivery to patients and GPs.

Indexed as

Referral and ConsultationCardiac Care FacilitiesData CollectionElectronic Health RecordsFeasibility StudiesFemaleGeneral PractitionersHealth CommunicationHumansMaleOutpatient Clinics, HospitalState MedicineSurveys and Questionnairescardiologyhealth informaticsinformation technology

Identifiers

PMID29523565
PMCPMC5855191
OpenAlexW2793301160

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.