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Oxford University Hospitals NHS Foundation Trust

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The Electronic Patient Record (EPR)

Oxford University Hospitals is implementing a new clinical information system called Cerner Millennium.

This system is commonly referred to as the Electronic Patient Record (EPR), and comprises a series of software applications which bring together key clinical and administrative data in one place.

The system is going live in phases. Phase 1 saw the Emergency Department and Maternity systems being implemented, along with a replacement patient information system. In phase 2, increased clinical functionality is being rolled out across the Trust, including a major upgrade in the Radiology department.

There are a number of benefits from implementing EPR, not least the ability for clinicians to view a patient's medical record when and where they need it, without having to wait for the paper record to be brought or found.

Further benefits include greater legibility of key clinical information and increased accuracy of data. For example, the Trust's award-winning Positive Patient Identification (PPIP) technology enables clinicians to identify patients at the bedside by barcode scanning of their wrists. This means that by using the scanner, a small handheld device, an instant test request can be generated and printed at the bedside. Replacing paper forms with the new electronic requesting and labelling system is both quicker and reduces the risk of samples being mislabelled.

Patient confidentiality is also safeguarded through the strongest national and international security measures for handling information. Access to a patient's electronic record is only possible if you have a smartcard (which is like a chip and pin bank card) and a clinical relationship with the patient. Each time a patient's information is accessed, an electronic record of this is made.

For more information about medical records, see the national Summary Care Records (SCR) website.

Benefits realisation case study

The OUH EPR benefits realisation case study is now available to download and read at the link below.

The case study outlines the Trust's transition from paper records to electronic records so far, highlighting the benefits enabled by major IT investment.