Kenny Fraser
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Thanks for summarising this Clive. I guess it raises a couple of questions in my mind.
1. Not having EPRs (and other basic electronic systems) is also a risk to patient safety. I know there are many gaps in many hospitals where paper records are still in use. Has there ever been any assessment of the risks this poses?
2. The NHS has some fairly demanding and detailed processes and standards for ensuring the safety of IT systems for example DTAC and the various medical device regulations that apply. This suggest to me these are ineffective. Rather than add another layer of complexity to address the points raised, is it time to take a step back? Simplify, clarify and modernise how we use IT to actually help staff and improve patient care.
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This report highlights and important problem which has implications well beyond the role of ICSs. I agree with the conclusion that safety should be a fifth aim of ICSs and I would extend that to include patient and staff safety.
I am not sure the other recommendations will make a real difference. Clarifying and updating remits seems like housekeeping to me. One of the fundamental problems with ICSs is that they become simply another layer of bureaucracy and management. This report illustrates the risks confusion of purpose presents for patient safety. Why not recommend that some of these committees and bodies be abolished. Replace them with a clear role for ICSs to improve patient safety.
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NHS England warns electronic patient record could pose ‘serious risks to patient safety’: what can we learn?
in Hospital records
Posted
That's really useful Clive and it explains a lot. Unfortunately, NPFIT was a bad idea from a very different era of technology. I suspect that legacy is causing some challenges.