EEPD Volume 1. Discussion Documents
C. Electronic Patient Record Datasets - Especially Maternity
C01. Credible Datasets (including a Score Sheet Proforma, and an Assessment of Current Perinatal datasets)
- Almost all the senior NHS-IT “experts” that I have met still seem to believe that if only they could get the right group of experienced clinicians together on an occasional unpaid advisory committee they will finally be given the true and only correct clinical data-set in each speciality. At the same time it seems that too many senior obstetricians still believe that computers are magic and that IT experts by themselves ought to be able to create viable clinical electronic records with only occasional advice from clinicians.
- Both of these misconceptions have again and again made it impossible for there to be any real progress in the application of IT in acute hospital medicine; and if we are to achieve a useful basis for the development of electronic as opposed to paper records certain simple criteria must be met.
- When this idea was first suggested to me by Professor Richard Lilford, I thought that there would be only 4-5 such simple criteria; but computing is so complex that in the end it turned out to be relatively easy to identify nearly 40 principles which need to be met if we are to achieve solid foundations for future progress.
- (Updated 9 August 2010)
- Using the criteria set out in the above article, here is a “Score” sheet to allow an easy assessment of any new attempt to create a perinatal dataset which makes a valuable contribution to the development of a standardised electronic patient record.
- (Updated January 2010)
C02. Phases & Modules
- Full documentation of all the separate Phases & Modules required for the progressive installation of Maternity EPR Systems. Going too fast into fantasy-land will continue to cripple staff morale and patient care. (Updated January 2010)
C03. Defining the Right Answer Options
- A discussion concerning the slow task of finding the best set of answer options to complex question; not so few options as not to be useful; and not so many that data entry onto a computer database is too complicated to be practical. (Updated January 2010)
C04. Proposals for Universal Minimum Birth Data-set
- Proposals for the universal collection within 2 years of a Modified HES Maternity Tail consisting of only 25 data items set out in a way which reflects the flow-patterned design of a good maternity computer system. This dataset would be easily collectable using a simple two sided paper proforma. (Updated January 2010)
- Suggested Universal Minimum Birth Dataset Paper Proforma
- A paper proforma suggested for collecting the above where a computer terminal is not available. One side for the data which is the same even if multiple births; the other side for data which differs for each neonate if there has been a multiple birth. 11 items for the mother; 14 items for each baby. (Updated January 2010)
C05. Something for (Nearly) Nothing
- Why multiple incompatible “Minimal Maternity Datasets” are impractical for maternity computer systems and why a large logical prioritisation Maternity and Neonatal Electronic Dataset is urgently needed and can be nationally introduced at virtually no cost. (Updated January 2010)
C06. The “Resource Document” and the “Logical Prioritisation” Dataset
C07. Guidelines for all New Datasets