Evidence map›Paper›PMID 34888472›Full record

ArticleFuture healthcare journal2021

The essence of healthcare records: embedded electronic health record system microblogging functionality for patient care narrative.

Shankar Sridharan, Catherine Peters, Sarah Newcombe, Christopher Jephson, Robert Robinson, Bregje Mulder, William Houghton, Sheena Visram, Neil J Sebire

Abstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in Future healthcare journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

Shankar SridharanGreat Ormond Street Hospital for Children, London, UK.
Catherine PetersGreat Ormond Street Hospital for Children, London, UK.
Sarah NewcombeGreat Ormond Street Hospital for Children, London, UK.
Christopher JephsonGreat Ormond Street Hospital for Children, London, UK.
Robert RobinsonGreat Ormond Street Hospital for Children, London, UK.
Bregje MulderGreat Ormond Street Hospital for Children, London, UK.
William HoughtonGreat Ormond Street Hospital for Children, London, UK.
Sheena VisramUniversity College London, London, UK and Great Ormond Street Hospital for Children, London, UK.
Neil J SebireNIHR Great Ormond Street Hospital BRC, London, UK.

Funding

Medical Research Council MC_PC_18034
6 · The paper itself

Abstract

introductionElectronic health record (EHR) systems capture information relating to patients across many specialties but can be complex, making rapid evaluation and communication of current important issues difficult.

methodsAs part of a children's hospital EHR implementation, we developed and implemented an embedded microblogging platform to allow users to provide a short summary of main issues or actions relating to the encounter, 'Essence' capturing the essence of the interaction. We reviewed usage by specialty and user type over a 1-year period.

resultsNinety-one thousand, nine-hundred and fifty Essence entries were committed across 49 specialty areas during a 12-month period, April 2019 - April 2020. The specialties with greatest usage were cardiology, neurosurgery, intensive care, respiratory medicine and neurology, with 70% of entries by nursing staff. The median number of words used per entry was 17 words (range 1-120; mean 20.7), and microblogs were mainly used to describe actions, events or planned care. Manual content analysis of 200 representative entries demonstrated categories of importance (including clinical status, treatment plan, investigations, procedures and diagnoses) suggesting appropriate clinical utility.

conclusionIncorporation of an embedded EHR microblogging platform to capture key interactions with healthcare professionals represents a novel approach to coordinating care communication and is widely used across specialties, especially by nursing staff.

Indexed as

electronic health recordsEssencemicro bloggingnarrative

Identifiers

PMID34888472
PMCPMC8651312

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