Working towards an “Open Source” and, in future, also an increasingly “Wiki” approach to the future of Shared Hospital/Community Perinatal Care IT Systems:
A Blueprint for similar shared-care specialities??
There remains, even among highly trained professionals, a widespread belief that, given a skilled IT programmer, computers are magic. However, on both technical and financial grounds, it has, in practice, proved repeatedly impossible to adequately integrate large, flow-patterned databases. Once they have been installed such attempts at integration have proven to be impractical and unaffordable.
Numerous examples confirm that the toxic combination of gullible NHS management purchasers and plausible IT sales fantasisers, has resulted, time and again, in inter-operability initiatives disastrously over-running in time and cost; with the eventual failure providing regular employment for litigation lawyers.
For this simple reason, complex Electronic Patient Records (EPRs) will only attain their true potential to improve the quality of patient care; and to reduce the risk of human errors, (without unaffordable extra computer programming; or alternatively without clinical staff being overloaded with the re-entry of the same data into different systems e.g. maternity and theatre systems); when, in each speciality and sub-speciality – following intense, open, web-based discussions – their detailed, logically and chronologically-arranged, flow-patterned questions and the full range of all allowable answer-options – [unlike traditional coding, always including whenever needed, “Unknown (Free Text)” and “Other (Free Text)”] – are, by stages, taking account of as many interested parties as possible, individual question by individual question, internationally standardised. (Like our classification of organisms, diseases and operations but 10,000 times more complex, and with precise flow-patterning of every question)
The most valuable parts of the EEPD are therefore:
> which is based on Volume IV. RESOURCE DOCUMENT (www.fawdry.info/04_RESOURCE.php)
All data items from any source so far documented assessed using a newly devised workload based classification (Click here to view breakthrough categorisation)
> which is based on Volume III. 100 DATASETS relevant to perinatal care (the best way to take full account of the diverse needs of all known stakeholders in using maternity data). (Updated March 2010)
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