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Upgrades to integrate electronic electrocardiograph results within the EPR due to roll out across the Trust

Over the past six months, the Electronic Patient Record (EPR) Optimisation team at University Hospitals of Morecambe Bay (UHMB) have been working on a pilot that delivers electronic versions of electrocardiograph images (ECG’s or Heart Trace Images) and makes them available to view within the EPR.

Luca Pensabene.

Luca Pensabene.

The pilot, which took place in May 2017, looked at  initially upgrading the four existing ECG carts that are currently used within the Royal Lancaster Infirmary’s (RLI) Emergency Department (ED) and an ECG cart that is used within Furness General Hospital ED Department.  In addition to the upgrade the EPR Optimisation team provided technical training to ED staff.

The intention is that this functionality will then be rolled out across the entire Trust  so that all ECG results will be available within the EPR. Due to the success of the pilot the first phase of work will be rolled out over the next few months.

Dougie Butterworth, I3 Project Manager within the EPR Optimisation Team, UHMBT, said: “The transfer process is very simple with the user merely having to click ‘transfer’ after printing the ECG and the result will be sent directly to the result section of the patients EPR.”

The pilot also looked at the addition of a barcode scanner attached to the five ECG carts, which will make it easier for ED staff to identify the patient by allowing them to scan the barcode on the patients wristband to help ensure that the correct ECG image is assigned to the correct patient.

Where a barcode is not available, the ED user can key in the patients unique hospital number into the ECG machine which in turn will then pull the correct patient demographics from the EPR.  This will help ensure that the user can positively identify they have the correct patient before performing the ECG.

Melanie Waszkiel, EPR Clinical Lead within the EPR Optimisation Team, UHMBT, said: “A comprehensive electronic patient record (EPR) should include the results from standalone equipment such as ECG’s and by removing the paper ECG output, we are helping to eliminate current inefficiencies by integrating these results into the EPR.”

 

“This pilot starts to deliver for ED and other clinical users the UHMBT longer term strategy of a more integrated view of clinical results and images in real time.”

Luca Pensabene, Associate Specialist Doctor at RLI ED Department said: “Thank you Melanie and the team for your outstanding job.”

Dr Adrian Brodison, Clinical Lead for Cardiology, UHMBT, said: “The digital storage of ECGs in this Trust has long been awaited and whilst the ECGs done by clinical investigation unit staff have been uploaded to EPR for some time, those done by other staff have not. Unfortunately these ECGs are often the most important to help manage the patient’s condition long term especially when managing heart rhythm abnormalities. The current process contributes too many incidents of delayed or suboptimal patient management.”

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2 comments on “Upgrades to integrate electronic electrocardiograph results within the EPR due to roll out across the Trust
  1. Hello,

    I am very pleased to hear this news. Due to a clerical error whilst in LRI, I was wrongly diagnosed with Ischaemic Heart Disease(IHD) and Congestive Cardiac Failure.(CCF) My medical records have now been corrected. I did have two attacks of atrial flutter when my heart was beating at 170 to 190 ppm. I was treated at LRI . I have nothing but praise for the A&E nurses and doctors who looked after me in A & E and the Acute Medical Unit & Frail Elderly Unit I would particularly like to thank Consultant Cardiologist Mr Coupe who saw me on AMU and with who I now see on a six monthly basis with a diagnosis of paroxysmal atrial flutter.(PAF)

    I had severe asthma attack early this year and because my Summary Medical Records showed IHD and CCF, I was taken to Blackpool Infirmary. I am pleased to say that after 10 lead ECG, and 2 echocardiograms, I was discharged the following day with nothing but paroxysmal atrial flutter.

    I would like to thank Mrs Aubrey and her staff in rectifying my incorrect diagnoses, and again to all nurses and doctors in Blackpool Infirmary who also treated me so well in the short time I was there.

    I am pleased to read that Dr Brodison will be part of the team. I saw his colleague Dr Clarkson,
    many years ago at WGH, but I believe he no longer works for the UHMB.

    Thank you all for caring and I hope the this project is successful, as I’m sure it will be.

    Kind regards,

    Jim Allison

    • Ailsa Martin says:

      Hi Jim,

      Thank you for taking the time to share your experience with us. I’m glad to hear that you received excellent care from a number of departments and staff members in Lancaster and Blackpool. I have passed your kind words onto the teams involved who I know will greatly appreciate them. Thanks again Jim, and all the best for your treatment

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