Distribution and extent of electronic medical record utilisation in eye units across the United Kingdom: a cross-sectional study of the current landscape

Lim, Shin Bin; Shahid, Humma

doi:10.1136/bmjopen-2016-012682

Cited by 17 publications

(8 citation statements)

References 9 publications

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“…This can be replicated even in the currently prevalent era of day-care ophthalmic surgery and digital (electronic) storage of records. [ 19 20 ] While this study has focused on the Department of Ophthalmology, we believe the results and inferences are applicable to all departments in a health-care institute.…”

Section: Discussionmentioning

confidence: 99%

Impact of accreditation on documentation and staff perception in the ophthalmology department of an Indian medical college

Ajay

Poka

Narayan

2021

Indian J Ophthalmol

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Purpose: National Accreditation Board for Hospitals and Healthcare Providers operates the health-care accreditation program in India. Research on impact of accreditation on eye-care centers is scarce. This article was conceptualized to scientifically evaluate the changes in documentation brought about by accreditation and its effects on staff in the Ophthalmology Department of an Indian Medical College. Methods: This was conducted as a quasi-experimental study in four steps. First, a point-based evaluation of case sheets in both pre-accreditation and postaccreditation phase, along with statistical analysis of the results, was done. Step two involved analysis of quality indicators and patient safety indices in successive years from inception of data to post-accreditation phase. Step three comprised a survey of staff employing a validated tool, and finally, face-to-face semistructured interviews with designated authorities, including finance departmental head, completed the study. Results: A statistically significant difference was seen in scores achieved by the pre and postaccreditation case sheets, with the postphase case sheets achieving 15% increased scores over the prephase case sheets. Quality indicator indices displayed improvements post-accreditation. There was an accompanying increase in quantity of documentation. Financial data analysis showed increased expenditure for accreditation under multiple heads. Staff believed that accreditation led to increased workload but did not express decreased satisfaction and felt that accreditation was eventually beneficial. However, staff believed rewards for improving quality can be enhanced. Conclusion: Accreditation increases quality and quantity of documentation, and staff workload. Increased financial costs also ensue.Staff believe that accreditation improves quality, is beneficial, but desire enhanced rewards.

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Section: Discussionmentioning

confidence: 99%

Impact of accreditation on documentation and staff perception in the ophthalmology department of an Indian medical college

Ajay

Poka

Narayan

2021

Indian J Ophthalmol

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“…In the field of ophthalmology, there have been several studies looking at the adoption of EHR in the UK and the USA. For example, a cross-sectional study in 2017 showed that only fewer than 50% of ophthalmology units in the UK were using EHR [ 12 ]. In the USA, a 2018 cross-sectional study showed that the adoption rate of EHR in ophthalmology was 72%, with respondents having a more negative perception of EHR productivity outcomes and effect on practice cost compared to previous studies [ 13 ].…”

Section: Resultsmentioning

confidence: 99%

The Electronic Health Record in Ophthalmology: Usability Evaluation Tools for Health Care Professionals

2020

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Introduction: The adoption of the electronic health record (EHR) has grown rapidly in ophthalmology. However, despite its potential advantages, its implementation has often led to dissatisfaction amongst health care professionals (HCP). This can be addressed using a user centred design (UCD) which is based on the philosophy that 'the final product should suit the users, rather than making the users suit the product'. There is often no agreed best practice on the role of HCPs in the UCD process. In this paper, we describe practical qualitative methodologies that can be used by HCPs in the design, implementation and evaluation of ophthalmology EHRs. Methods: A review of current qualitative usability methodologies was conducted by practising ophthalmologists who are also qualified health informaticians. Results: We identified several qualitative methodologies that could be used for EHR evaluation. These include: 1 Tools for user centred design: shadowing and autoethnography, semi-structured interviews and questionnaires 2 Tools for summative testing: card sort and reverse card sort, retrospective think aloud protocol, wireframing, screenshot testing and heat maps Conclusion: High-yield, low-fidelity tools can be used to engage HCPs with the process of ophthalmology EHR design, implementation and evaluation. These methods can be used by HCPs without the requirement for prior training in usability science, and by clinical centres without significant technical requirements.

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“…• A survey was conducted to understand the current snapshot of EPR use across ophthalmology units in the UK. 63 ○ A significant proportion of units were engaging with EPR or planned to do so in the future. ○ A 45.3% (n=48) of the units who responded were currently using an EPR and a further 26.4% (n=28) planned to implement EPR within 2 years.…”

Section: Data Collections Epr/audit and Kpis/outcomes Electronic Patimentioning

confidence: 99%

<p>Providing a Safe and Effective Intravitreal Treatment Service: Strategies for Service Delivery</p>

Amoaku¹,

Bailey²,

Downey³

et al. 2020

OPTH

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An aging population leads to increasing demand for medical retina services with chronic diseases being managed in long-term care pathways. Many hospital services struggle to deliver efficient and effective MR care due, at least in part, to infrastructure that does not expand responsively enough to meet the increased demand. A steering committee of retinal specialists from a variety of UK NHS hospital ophthalmology departments with experience of leading and managing NHS retinal services in the intravitreal era came together for the generation of this document to review and compile key aspects that should be considered when optimising intravitreal treatment capacity within MR services. This article aims to provide a useful collation and signposting of key published evidence, consensus and insights on aspects of delivering an intravitreal service, including treatment regimens, virtual clinics, staff training and governance, telemedicine and information technology, and data collection and key performance indicators. The objective is to equip ophthalmologic healthcare professionals with the necessary tools to develop and adapt their local service in the face of current and projected increased demand.

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Distribution and extent of electronic medical record utilisation in eye units across the United Kingdom: a cross-sectional study of the current landscape

Cited by 17 publications

References 9 publications

Impact of accreditation on documentation and staff perception in the ophthalmology department of an Indian medical college

Impact of accreditation on documentation and staff perception in the ophthalmology department of an Indian medical college

The Electronic Health Record in Ophthalmology: Usability Evaluation Tools for Health Care Professionals

<p>Providing a Safe and Effective Intravitreal Treatment Service: Strategies for Service Delivery</p>

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