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2 results

  • The evolution of the medical record from paper to digital: an ENT perspective

  • C Murphy, I J Keogh
  • Journal:
    The Journal of Laryngology & Otology / Volume 137 / Issue 3 / March 2023
    Published online by Cambridge University Press:
    12 September 2022, pp. 246-248
    Print publication:
    March 2023
    • Article
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  • Objectives

    A national electronic health record is being procured for Health Service Executive hospitals in Ireland. A number of hospitals have implemented an electronic document management system. This study aimed to investigate the efficiency and safety of the electronic document management system in our centre.

    Methods

    A retrospective audit was performed of patients operated on at Galway University Hospital. The availability and location of patients’ admission data on the electronic document management system were recorded. These data were analysed using Microsoft Excel software, version 16.45.

    Results

    The records of 100 patients were analysed. The main findings were: 5 per cent of operation notes were missing, 80 per cent were in the incorrect section, while 15 per cent were in the correct ‘procedure’ section on the electronic document management system.

    Conclusion

    This study shows there is potential for error with ‘paper-light’ solutions, whereby delayed scanning, misfiling of scanned records and missing records may lead to significant delays in treatment and potential patient safety issues.

  • Computerized cochlear implant database system

  • J. Ray, R. F. Gray
  • Journal:
    The Journal of Laryngology & Otology / Volume 114 / Issue 10 / October 2000
    Published online by Cambridge University Press:
    08 March 2006, pp. 741-745
    Print publication:
    October 2000

  • In an environment of clinical governance with increased demands for accountability it is very important that accurate, reliable and secure data records be maintained for easy retrieval, analysis and presentation when required. A database is a very versatile tool for this purpose. We describe here our experience in designing a database for cochlear implant patients in Cambridge, together with guidance for prospective designers in their chosen sub-speciality.