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I.  Discussion Topics
 II.  Nightmares!
 III.  Datasets(>80)
 IV.  Data Resource
 V.  Logical Priority
VI.  Perinatal RIOs
VII.  Prognosis
VIII.  Signposts
IX.  Leaflet Lists & Links
 X.  Whiteboards
 XI.  Casenotes
XII. Proformas (inc. Gyn)
XIII. Computer Printouts
XIV. Care Paths
XV. S.IN.B.A.D s
XVI. Questionnaires
XVII. Codes
XVIII. Audit Benchmarking
XIX. Filofaxes Mnemonics
XX. Anecdotal Evidence
XXI. Training
XXII. Organisation
XXIII. Equipment
XXIV. Leaflets (inc. Gyn)
XXIV. Safe Motherhood
XXVI. Neonatology
XXVII. Gynaecology
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 Previous Page


EEPD Volume 1. Discussion Documents


B. Facing Reality in the Creation 

     of Acute Hospital/Community Electronic Patient Records


B00. Overviews (1 Page Each):

  • 2005 Summary of Principles needed for making better use of IT in health care. (As prepared for the then Deputy Chief Medical Officer, Professor Aidan Halligan two weeks before he resigned!)



Police overwhelmed by Red Tape. The great danger that the current emphasis mainly on collecting data will prove to be as damaging to good patient care as seems to be the case in the police service.


B01. Railways Network Rigidity: Not Road System Flexibility! 

  • Computers are not magic. They are Flexible in Creation; but Rigid ever afterwards. 
  • Complex Analysable Electronic Patient Records are always like rigid Railway Networks;  never like flexible Motorway Systems. 
  • But scores of invisible and Incompatible Railway Systems are now being created at massive public expense.
    (Discussion link: http://eepd.org.uk/?page_id=566)            



B02. The Workload and Cost of EPR Data Entry (16 pages)

  • On the importance of taking full account of the workload and cost of data entry in the selection of data items for Maternity Electronic Patient Records. The cost of Input and NOT just the value of potential output must dominate the selection of data.

See also: Appendix A | Appendix B & C | Appendix D


B03.  Electronic Records in Maternity Care: Coping with Two Unavoidable Hybrids  and a Potentially infinite Workload. (9 pages)

  • Facing reality concerning the complexity of cost-effectively using computers to reduce human error and improve the quality of medical care.  Focusing on the essential need to give priority in the selection of structured data items to  “Individual Patient Care” (especially “Patient Encounter Assistance - iPEA”) rather than “Paralysis by Analysis” data items

B04. Destructive Undercurrents (In Preparation)

  • A more detailed exploration of the destructive delusions which have crippled progress in NHS-IT for the past 30 years.


B05. Essential Steps in the Creation of Electronic Patient Record Data Definitions in Acute Hospital Medicine (5 pages)


B06. The Mandatory Analysis for all EPR data items (14 pages)

  • Comments on the kind of mandatory analysis which is essential for every data item which is seriously proposed for inclusion in any Standard EPR National Data Resource Document.
    (Discussion link: http://eepd.org.uk/?page_id=492)


B07. Ethical Aspects of the use of Hospital I.T. (4 pages)

  • 1990:  Information technology and the White Paper: A Critique


B08. Difficult Areas in Perinatal Computing, with some Proposed Solutions (14 pages)


B09. Don’t just shout at the driver; try also to do more to improve the road 

          (6 pages)   Why has there been so little progress with using IT 

          to reduce human errors in maternity and neonatal care?

          And what can be done about it? 

 Next Page





The EEPD by Dr. Rupert Fawdry is licensed under the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 Unported License. To view a copy of this license, visit http://creativecommons.org/licenses/by-nc-sa/3.0/. Permissions beyond the scope of this license are available via http://eepd.org.uk/?page_id=56.
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