Design and implementation of the stacked, synchronised and iconographic timeline-structured electronic patient record in a UK NHS Global Digital Exemplar hospital
Design and implementation of the stacked, synchronised and iconographic timeline-structured electronic patient record in a UK NHS Global Digital Exemplar hospital
Conventional electronic screen visualisation formats, which use tabs, dropdown menus, lists and multiple windows, present huge navigation challenges to health professionals. A unifying and intuitive interface for the electronic patient record (EPR) has been an elusive goal for software developers for decades. Methods Since 2009, by working in an agile way, we have built and implemented a fully operational and dynamic system, the University Hospital Southampton Lifelines (UHSL), within our clinical data estate, in a UK university hospital. UHSL permits the continuously updated display of the EPR on a single desktop computer screen in an intuitive format. During this iterative evolution, we have resolved a number of practical challenges in data display, while maintaining our core aims of end-user optimisation and radical simplification of the interface. Concurrently, we have upcycled a significant volume of clinical e-content, some from as far back as 1991, into UHSL, and at a marginal cost. Outcomes UHSL went live in 2017 for all authorised staff at the hospital. It displays all e-records for 2.5 million patients and for more than 100 million documents and reports. It significantly reduces the screen time to navigate the individual EPR, and it offers substantial productivity gains in designated clinical services. Conclusions UHSL has considerable further development potential as a National Health Service EPR interface, for the integration, display and ease of understanding of medical records across primary, secondary and community care.
computer methodologies, health care, information management, information systems, record systems
Hales, Alan Arthur
66a20906-7b0e-4d23-b65a-08932f23900b
Cable, David
4e0028d3-0340-4f02-8a8c-7be8d66f636b
Crossley, Eleanor
43f4dba1-bed2-4fee-8cfe-80566eeed8b7
Findlay, Callum
16e75504-207b-425c-8728-aead3a419bb9
Rew, David Anthony
36dcc3ad-2379-4b61-a468-5c623d796887
23 December 2019
Hales, Alan Arthur
66a20906-7b0e-4d23-b65a-08932f23900b
Cable, David
4e0028d3-0340-4f02-8a8c-7be8d66f636b
Crossley, Eleanor
43f4dba1-bed2-4fee-8cfe-80566eeed8b7
Findlay, Callum
16e75504-207b-425c-8728-aead3a419bb9
Rew, David Anthony
36dcc3ad-2379-4b61-a468-5c623d796887
Hales, Alan Arthur, Cable, David, Crossley, Eleanor, Findlay, Callum and Rew, David Anthony
(2019)
Design and implementation of the stacked, synchronised and iconographic timeline-structured electronic patient record in a UK NHS Global Digital Exemplar hospital.
BMJ Health and Care Informatics, 26 (1), [e100025].
(doi:10.1136/bmjhci-2019-100025).
Abstract
Conventional electronic screen visualisation formats, which use tabs, dropdown menus, lists and multiple windows, present huge navigation challenges to health professionals. A unifying and intuitive interface for the electronic patient record (EPR) has been an elusive goal for software developers for decades. Methods Since 2009, by working in an agile way, we have built and implemented a fully operational and dynamic system, the University Hospital Southampton Lifelines (UHSL), within our clinical data estate, in a UK university hospital. UHSL permits the continuously updated display of the EPR on a single desktop computer screen in an intuitive format. During this iterative evolution, we have resolved a number of practical challenges in data display, while maintaining our core aims of end-user optimisation and radical simplification of the interface. Concurrently, we have upcycled a significant volume of clinical e-content, some from as far back as 1991, into UHSL, and at a marginal cost. Outcomes UHSL went live in 2017 for all authorised staff at the hospital. It displays all e-records for 2.5 million patients and for more than 100 million documents and reports. It significantly reduces the screen time to navigate the individual EPR, and it offers substantial productivity gains in designated clinical services. Conclusions UHSL has considerable further development potential as a National Health Service EPR interface, for the integration, display and ease of understanding of medical records across primary, secondary and community care.
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Accepted/In Press date: 3 December 2019
Published date: 23 December 2019
Additional Information:
Funding Information:
Author note DAR and DC are full-time employees of UHS. AAH is supported by ad hoc funding from UHS for specialist consultancy work on a range of IT programmes.
Publisher Copyright:
© © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
Copyright:
Copyright 2020 Elsevier B.V., All rights reserved.
Keywords:
computer methodologies, health care, information management, information systems, record systems
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Local EPrints ID: 447993
URI: http://eprints.soton.ac.uk/id/eprint/447993
PURE UUID: 92559190-0dd3-40c4-9c5f-421fd4bddd8d
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Date deposited: 29 Mar 2021 16:38
Last modified: 18 Mar 2024 03:52
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Author:
Alan Arthur Hales
Author:
David Cable
Author:
Eleanor Crossley
Author:
Callum Findlay
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