Evidence map›Paper›PMID 34983793›Full record

ArticleBMJ health & care informatics2022

Codeveloping an effective EMPA to maturity in an acute NHS Trust: an implementer report.

Geeth Silva, Tim Bourne, Graeme Hall, Shriyam Patel, Mohammed Qasim Rauf, Aaron Vogel, Andrew Carruthers, Gang Xu

Open access · goldAbstract read
In one paragraph

Article in BMJ health & care informatics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 34% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Article
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

8 authors at 2 institutions in 1 country.

Geeth SilvaLeicester General Hospital, University Hospitals of Leicester NHS Trust, Leicester, UK geethsilva95@gmail.com.ORCID http://orcid.org/0000-0002-1444-1160
Tim BourneUniversity Hospitals of Leicester NHS Trust, Leicester, UK.
Graeme HallUniversity Hospitals of Leicester NHS Trust, Leicester, UK.
Shriyam PatelLeicester General Hospital, University Hospitals of Leicester NHS Trust, Leicester, UK.
Mohammed Qasim RaufLeicester General Hospital, University Hospitals of Leicester NHS Trust, Leicester, UK.
Aaron VogelUniversity Hospitals of Leicester NHS Trust, Leicester, UK.
Andrew CarruthersUniversity Hospitals of Leicester NHS Trust, Leicester, UK.
Gang XuLeicester General Hospital, University Hospitals of Leicester NHS Trust, Leicester, UK.
Leicester General Hospital · GBUniversity Hospitals of Leicester NHS Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionUniversity Hospitals Leicester has codeveloped, with Nervecentre, an Electronic Prescribing and Medicines Administration System that meets specific clinical and interoperability demands of the National Health Service (NHS).

methodsThe system was developed through a frontline-led and agile approach with a project team consisting of clinicians, Information Technology (IT) specialists and the vendor's representatives over an 18-month period.

resultsThe system was deployed successfully with more than a thousand transcriptions during roll-out. Despite the high caseload and novelty of the system, there was no increase in error rates within the first 3 months of roll-out. Healthcare professionals perceived the new system as efficient with improved clinical workflow, and safe through an integrated medication alert system. DISCUSSION: This case study demonstrates how NHS trusts can successfully co-develop, with vendors, new IT systems which meet interoperability standards such as Fast Healthcare Interoperability Resources, while improving front line clinical experience.

conclusionAlternative methods to the 'big bang' deployment of IT projects, such as 'gradual implementation', must be demonstrated and evaluated for their ability to deliver digital transformation projects in the NHS successfully.

Indexed as

Electronic PrescribingState MedicineHumansBMJ health informaticsclinicaldecision support systemshealth information systemsmanagement information systemssoftware design

Identifiers

PMID34983793
PMCPMC8728440
OpenAlexW4205171205

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.