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    Codeveloping an effective EMPA to maturity in an acute NHS Trust: an implementer report

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    Author
    Bourne, Tim
    Silva, Geeth
    Hall, Graeme
    Rauf, Mohammed Q
    Vogel, Aaron
    Carruthers, Andrew
    Xu, Gang
    Keyword
    BMJ health informatics
    decision support systems
    health information systems
    management information systems
    software design
    
    Metadata
    Show full item record
    DOI
    10.1136/bmjhci-2021-100477
    Publisher's URL
    https://informatics.bmj.com/content/29/1/e100477
    Abstract
    Introduction: University Hospitals Leicester has codeveloped, with Nervecentre, an Electronic Prescribing and Medicines Administration System that meets specific clinical and interoperability demands of the National Health Service (NHS). Methods: The system was developed through a frontline-led and agile approach with a project team consisting of clinicians, Information Technology (IT) specialists and the vendor's representatives over an 18-month period. Results: The system was deployed successfully with more than a thousand transcriptions during roll-out. Despite the high caseload and novelty of the system, there was no increase in error rates within the first 3 months of roll-out. Healthcare professionals perceived the new system as efficient with improved clinical workflow, and safe through an integrated medication alert system. Discussion: This case study demonstrates how NHS trusts can successfully co-develop, with vendors, new IT systems which meet interoperability standards such as Fast Healthcare Interoperability Resources, while improving front line clinical experience. Conclusion: Alternative methods to the 'big bang' deployment of IT projects, such as 'gradual implementation', must be demonstrated and evaluated for their ability to deliver digital transformation projects in the NHS successfully.
    Citation
    Silva, G., Bourne, T., Hall, G., Patel, S., Rauf, M. Q., Vogel, A., Carruthers, A., & Xu, G. (2022). Codeveloping an effective EMPA to maturity in an acute NHS Trust: an implementer report. BMJ health & care informatics, 29(1), e100477. https://doi.org/10.1136/bmjhci-2021-100477
    Type
    Article
    URI
    http://hdl.handle.net/20.500.12904/15075
    Collections
    Corporate Medical

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