Benefits of electronic charts in intensive care and during a world health pandemic: advantages of the technology age

• Published in: BMJ open quality Vol. 12; no. 1; p. e001704
• Main Authors: Pankhurst, Tanya, Lucas, Laurie, Ryan, Steve, Ragdale, Chris, Gyves, Helen, Denner, Louise, Young, Ian, Rathbone, Laura, Shah, Anwar, McKee, Deborah, Coleman, Jamie J, Evison, Felicity, Atia, Jolene, Rosser, David, Garrick, Mark, Baker, Richard, Gallier, Suzy, Ball, Simon
• Format: Journal Article
• Language: English
• Published: England British Medical Journal Publishing Group 01.01.2023; BMJ Publishing Group LTD; BMJ Publishing Group
• Subjects: COVID-19; Critical Care; Drug dosages; Electronic Health Records; Evaluation methodology; Global Health; Humans; Intensive Care Units; Nurses; Original Research; Pandemics; Patient safety; Software; United Kingdom > UK; England; Critical care; Electronic Health Records; Evaluation methodology
• ISSN: 2399-6641; 2399-6641
• DOI: 10.1136/bmjoq-2021-001704

Aims and objectivesThis study sets out to describe benefits from the implementation of electronic observation charting in intensive care units (ICU). This was an extension to the existing hospital wide digital health system. We evaluated error reduction, time-savings and the costs associated with conversion from paper to digital records. The world health emergency of COVID-19 placed extraordinary strain on ICU and staff opinion was evaluated to test how well the electronic system performed.MethodsA clinically led project group working directly with programmers developed an electronic patient record for intensive care. Data error rates, time to add data and to make calculations were studied before and after the introduction of electronic charts. User feedback was sought pre and post go-live (during the COVID-19 pandemic) and financial implications were calculated by the hospital finance teams.ResultsError rates equating to 219 000/year were avoided by conversion to electronic charts. Time saved was the equivalent of a nursing shift each day. Recurrent cost savings per year were estimated to be £257k. Staff were overwhelmingly positive about electronic charts in ICU, even during a health pandemic and despite redeployment into intensive care where they were using the electronic charts for the first time.DiscussionElectronic ICU charts have been successfully introduced into our institution with benefits in terms of patient safety through error reduction and improved care through release of nursing time. Costs have been reduced. Staff feel supported by the digital system and report it to be helpful even during redeployment and in the unfamiliar environment of intensive care.