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Information Technology in Pharmacy pp 27–58Cite as

Electronic Patient Records

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Part of the book series: Health Informatics ((HI))

Abstract

Healthcare professionals should maintain records of the patient care activities that they perform. While traditionally this has been a requirement from a medicolegal perspective, it is recognised that good record keeping supports evidence-based healthcare and facilitates audit and quality monitoring, which has become of increasing significance in many healthcare economies.

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References

  1. Sjoborg B, Backstrom T, et al. Design and implementation of a point-of-care computerised system for drug therapy in Stockholm metropolitan health region – bridging the gap between knowledge and practice. Int J Med Inform. 2007;76:497–506.

    Article  PubMed  Google Scholar 

  2. For example, the Umbrian regional healthcare system in Italy (see Barbarito F. Regional service card health and social care information system. Presented at opportunities in e-Health, London, 30 Nov 2006).

    Google Scholar 

  3. Department of Health. Confidentiality: NHS code of practice. 2003. http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_4069253. Accessed January 2012.

  4. General Pharmaceutical Council. Guidance on patient confidentiality. 2012. http://www.pharmacyregulation.org/sites/default/files/Guidance%20on%20Confidentialiy_April%202012.pdf. Accessed January 2012.

  5. General Pharmaceutical Council. Guidance on consent. 2012. http://www.pharmacyregulation.org/sites/default/files/GPHC%20Guidance%20on%20consent.pdf. Accessed January 2012.

  6. Pharmaceutical Services Negotiating Committee, Royal Pharmaceutical Society, NHS Employers. NHS information governance: pharmacy contractor workbook. 2010. http://www.psnc.org.uk/data/files/IG/psnc_ig_workbook_2010web.pdf. Accessed January 2012.

  7. RCGP Informatics Group. Shared record professional guidance report. 2009. http://www.rcgp.org.uk/pdf/Health_Informatics_SRPG_final_report.pdf. Accessed January 2012.

  8. Royal College of Physicians. Developing standards for the structure and content of health records. London. 2008. www.rcplondon.ac.uk/clinical-standards/hiu/medical-records. Accessed January 2012.

  9. National Information Governance Board. NHS care records guarantee. http://www.nigb.nhs.uk/guarantee/2009-nhs-crg.pdf. Accessed January 2012.

  10. The NHS Constitution. 2010. http://www.nhs.uk/choiceintheNHS/Rightsandpledges/NHSConstitution/Documents/nhs-constitution-interactive-version-march-2010.pdf. Accessed January 2012.

  11. Information Commissioner’s Office. Subject access to health records by members of the public. 2010. http://www.ico.gov.uk/for_organisations/sector_guides/health.aspx. Accessed January 2012.

  12. Royal College of General Practitioners. RCGP records access guide for GPs: sharing records with patients – an evolving process. 2010, v1. http://www.rcgp.org.uk/pdf/Health_Informatics_RecordAccessGPGuide.pdf. Accessed January 2012.

  13. Department of Health, Royal College of General Practitioners, British Medical Association. The good practice guidelines for GP electronic patient records. 2011, v4, p. 174. http://www.connectingforhealth.nhs.uk/systemsandservices/infogov/links/gpelec2011.pdf. Accessed January 2012.

  14. Shane R. Computerised physician order entry: challenges and opportunities. Am J Health Syst Pharm. 2002;59:286–8.

    PubMed  Google Scholar 

  15. Graez I, Reed M, et al. Care coordination and electronic health records: connecting clinicians. AMIA Annu Symp Proc. 2009;2009:208.

    Google Scholar 

  16. Khoury AT. Support of quality and business goals by an ambulatory automated medical record system in Kaiser Permanente of Ohio. Eff Clin Pract. 1998;1:73–82.

    PubMed  CAS  Google Scholar 

  17. Marshall PD, Chin HL The effects of an electronic medical record on patient care: clinician attitudes in a large HMO. AMIA Annu Symp Proc. 1998:150–4.

    Google Scholar 

  18. Scott RT, Rundall TG, et al. Kaiser Permanente’s experience of implementing an electronic medical record: a qualitative study. Br Med J. 2005;331:1313–6.

    Article  Google Scholar 

  19. Simonaitis L, Belsito A, et al. Aggregation of pharmacy dispensing data into a unified patient medication history. AMIA Annu Symp Proc. Nov 6, 2008:1135.

    Google Scholar 

  20. Smith B. Presented at the guild of Healthcare Pharmacists/United Kingdom clinical pharmacy association Information Technology Interest Group (ITIG) Seminar, Birmingham, Nov 2009. http://www.ghp.org.uk/ContentFiles/ghpitig0911e.pps.

  21. Boockvar KS, Livote EE, et al. Electronic health records and adverse drug events after patient transfer. Qual Saf Health Care. 2010;19:e16.

    PubMed  CAS  Google Scholar 

  22. Hurdle JF, Weir CR, et al. Critical gaps in the world’s largest electronic medical record: ad hoc nursing narratives and invisible adverse drug events. AMIA Annu Symp Proc. 2003;2003:309–12.

    Google Scholar 

  23. Smith DH, Perrin N, et al. The impact of prescribing safety alerts for elderly persons in an electronic medical record: an interrupted time series evaluation. Arch Intern Med. 2006;166:1098–104.

    Article  PubMed  Google Scholar 

  24. Orrico KB. Sources and types of discrepancies between electronic medical records and actual outpatient medication use. J Manag Care Pharm. 2008;14:626–31.

    PubMed  Google Scholar 

  25. Mohamed IN, Helms PJ, et al. Using primary care prescribing databases for pharmacovigilance. Br J Clin Pharmacol. 2011;71:244–9.

    Article  PubMed  Google Scholar 

  26. Buck MD, Atreja A, et al. Potentially inappropriate medication prescribing in outpatient practices: prevalence and patient characteristics based on electronic health records. Am J Geriatr Pharmacother. 2009;7:84–92.

    Article  PubMed  Google Scholar 

  27. Roten I, Marty S, et al. Electronic screening of medical records to detect inpatients at risk of drug-related problems. Pharm World Sci. 2010;32:103–7.

    Article  PubMed  Google Scholar 

  28. Berbatis CG, Sunderland VB. Linked electronic medication systems in community pharmacies for preventing pseudoephedrine diversion: a review of internation practice and analysis of results in Australia. Drug Alcohol Rev. 2009;28:586–91.

    Article  PubMed  Google Scholar 

  29. Frenzel JE. Using electronic medical records to teach patient-centered care. Am J Pharm Educ. 2010;74(71).

    Google Scholar 

  30. Santana S, Lausen B, et al. Online communications between doctors and patients in Europe: status and perspectives. J Med Internet Res. 2010;12:e20 Accessed January 2012.

    Article  PubMed  Google Scholar 

  31. Montelius E, Astrand B, et al. Individuals appreciate having their medication record on the web: a survey of attitudes to a national pharmacy register. J Med Internet Res. 2008;10:e35.

    Article  PubMed  Google Scholar 

  32. Roblin DW, Houston TK, et al. Disparities in use of a personal health record in a Managed Care Organisation. J Am Med Inform Assoc. 2009;16(5):683–9.

    Article  PubMed  Google Scholar 

  33. Singleton P, Pagliari C, et al. Critical issues for electronic health records: considerations from an expert workshop, Wellcome Trust/Nuffield Trust, London, 2007.

    Google Scholar 

  34. Barnet J, Jennings H. Pharmacy information systems in Canada. Stud Health Technol Inform. 2009;143:131–5.

    Google Scholar 

  35. Linder JA, Schnipper JL, et al. Electronic health record feedback to improve antibiotic prescribing for acute respiratory infections. Am J Manag Care. 2010;16:e311–9.

    PubMed  Google Scholar 

  36. EC Information Society & Media. The socio-economic impact of intra-operable electronic health record (EHR) and e-prescribing systems in Europe and beyond: final study report. 2009.

    Google Scholar 

  37. Brennan N, Mattick K, et al. The map of medicine: a review of evidence for its impact on healthcare. Health Info Libr J. 2011;28:93–100.

    Article  PubMed  Google Scholar 

  38. Smith L, McGowan L, Moss-Barclay C, Wheater J, Knass D, Chrystyn H. An investigation of hospital-generated pharmaceutical care when patients are discharged home from hospital. Br J Clin Pharmacol. 1997;44(2):163–5.

    Article  PubMed  CAS  Google Scholar 

  39. Blagburn J, Acomb C. Implementing and evaluating evidence based clinical pharmacy for older people admitted to a secondary care trust. Presented at UKCPA. 2008.

    Google Scholar 

  40. Royal Pharmaceutical Society of Great Britain. Guidance on recording interventions. 2006. Available from the Royal Pharmaceutical Society, 1 Lambeth High Street, London, SE7 4JN, UK

    Google Scholar 

  41. Schnipper JL, Hamann C, et al. Effect of an electronic medication reconciliation application and process redesign on potential adverse drug events: a cluster randomised trial. Arch Intern Med. 2009;169:771–80.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. SGS Pharma Solutions, Chedworth, Gloucestershire, UK

    Stephen Goundrey-Smith MSc. Cert Clin Pharm, MRPharmS

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  1. Stephen Goundrey-Smith MSc. Cert Clin Pharm, MRPharmS
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© 2013 Springer-Verlag London

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Goundrey-Smith, S. (2013). Electronic Patient Records. In: Information Technology in Pharmacy. Health Informatics. Springer, London. https://doi.org/10.1007/978-1-4471-2780-2_2

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  • DOI: https://doi.org/10.1007/978-1-4471-2780-2_2

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-2779-6

  • Online ISBN: 978-1-4471-2780-2

  • eBook Packages: MedicineMedicine (R0)

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