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VI.  Perinatal RIOs
VII.  Prognosis
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 XI.  Casenotes
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XX. Anecdotal Evidence
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XXIV. Safe Motherhood
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Progress Report

 

July 2011

 

Although the EEPD is still patchy in places, major progress continues, and more colleagues are joining the project in various ways.  Our talk forum (http://eepd.org.uk) is going from strength to strength and work is now under way on our Wiki (http://eepd.org.uk/wiki).  Do register and feed-back to us.

 

Our initiative still seems to be unique and googling “Perinatal Data” now almost always seems to put the EEPD first out of about 1/2 million hits.  So far all the others are concerned with using data retrospectively rather than focusing in how electronic records can improve individual patient encounter care and reduce the workload and fear of litigation of midwives and doctors.

 

We remain convinced of our original premise that

 

“On both technical and financial grounds, adequately integrating large flow-patterned databases is virtually impossible. For this simple reason, such complex Electronic Patient Records (EPRs),  will only attain their true potential to improve the quality of maternity care and to reduce the risk of human errors, without unsustainable data re-entry overload;  when, in each speciality and sub-speciality, - following intense, open, web-based discussions - their detailed, logically and chronologically arranged, flow-patterned core questions (and all allowable answer options), - are, by stages,  taking account of as many interested parties as possible, individual question by individual question, internationally standardised.

Such specifications will only become universally standardised if they are cost-free to all potential users.”

 

The present situation is rather like, but a thousand times worse than, the classification of diseases before ICD; or of species before Linnaeus.  Only this time simply defining thousands of codes is not the answer, instead a flow patterned, chronologically arranged internationally standardised core set of questions and all allowable answer options will be eventually be seen by more and more clinicians to be essential.

 

It is now much easier to update the actual website using basic word-processing skills rather than expecting clinicians to learn html.

 

If we are not to be overwhelmed by the workload of re-entering electronic maternity data we will need your help.   Do register on EEPDtalk and feed-back to us

 

Our rapid response electronic letter “Electronic Patient Records: the naked truth” was published on 13th October 2010 in the British Medical Journal. To see the letter click on

 

 http://www.bmj.com/content/341/bmj.c5637.full.htmlijkey=Pf2qjXkXYBSKh6K&keytype=ref

 

 

Thank you for encouraging us to keep going by visiting the site.  

 

Do have a look again soon,

 

 

 Rupert Fawdry (updated 23 July 2011)

 


 

 

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The EEPD by Dr. Rupert Fawdry is licensed under the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 Unported License. To view a copy of this license, visit http://creativecommons.org/licenses/by-nc-sa/3.0/. Permissions beyond the scope of this license are available via http://eepd.org.uk/?page_id=56.
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