A new electronic patient records tool has been developed by TPP to make simulation training easier for universities teaching informatics to healthcare students.
Made available in September, the TPP patient record replicator tool (within the SystmOne demonstration system) is now being trialled by lecturers at both the University of Manchester and the University of Birmingham.
It allows lecturers or course leaders to create new user accounts for students and generate example patients for them, as well as sample complex patient records to be copied, so that each student has their own patient record to work on.
Both Dr Sarah Pontefract, lecturer in Clinical Pharmacy and Therapeutics at the University of Birmingham and Dr Kurt Wilson, senior lecturer at Manchester Medical School have collaborated to integrate electronic patient records into undergraduate health education.
“As part of this, we have developed a set of principles and competencies relating to the use of the technology,” Dr Pontefract said. “We also needed to explore the integration of commercial Electronic Patient Records (EPRs) into experiential learning.”
The pair have been working with TPP to design the University simulation version of their software, which they are currently testing and refining for use.
“TPP have offered us expert help from a technical perspective, and we have used our academic expertise to collaborate on the development of the TPP EPR system in a new way: as an innovative tool for clinical education,” Dr Wilson said.
The duo explained that to provide safe and effective care, healthcare students really need to be proficient in the use of electronic records.
“Use of a commercial EPR system as part of live, small group teaching provides deep authenticity to simulation of the modern clinical workplace,” Wilsons said.
QUICK FACTS ABOUT THE TPP TOOL:
- University of Manchester and the University of Birmingham trial TPPs new patient record replicator tool
- Aims to make simulation training easier for universities teaching informatics skills to healthcare students
- Allows course leaders to create new user accounts on SystmOne for students and generate example patients
- Can alter dates on the patient record, so that old records can be updated for the current academic year
- Allows records to be shared between institutions
- The tool was requested by a working group of nearly twenty universities and academic institutions – they want to develop a national teaching syllabus for healthcare students to learn about EPRs and how healthcare software is used across the NHS and care sectors
The duo, along with 20 academic institutions on the working group, plan to embed the technology into teaching in the next academic year.
Dr Wilson said that in the meantime, they are developing patient cases that can be shared across institutions to facilitate integration.
“Electronic records will replace paper records that we currently use during teaching, so that training more accurately reflects reality. Importantly, we envisage that this implementation will not require a change in curricula for healthcare programmes, because EPR technology can be weaved into existing teaching.”
For Manchester, as a connected health city, student understanding and experience of information access and transfer within the digital NHS is more important than ever, Dr Pontefract said.
“Manchester University already uses a commercial Electronic Prescribing and Medicines Administration (EPMA) system alongside paper notes to support final year medical and pharmacy students,” she said.
Students undertake small group inter-professional learning, simulating a ward environment, and are required to prescribe and review treatment in the electronic system.
“To date, more than 1000 students have taken part in this training and it has been very well received,” Dr Pontefract said. “However, this system does not provide complete electronic patient records, or the ability to communicate fully in the electronic environment.”
They plan to use the new TPP system to allow students to practice accessing, generating and sharing data to inform clinical decision-making in future teaching.
Dr Pontefract empahsised that, “these important and transferable skills will always be the final common pathway, linking education and training to 21st century clinical practice.”
Other universities TPP has supported includes the University of Leeds, with a free SystmOne teaching environment.
12 December 2017 @ 10:28
I think this is really important. Though new doctors are generally technologically literate, they often still think in paper. I was taught to write a history in the same way it has been written for decades. Reproducing this is a start but misses out on all the possibilities an EPR presents. We need clinicians to be able to imagine what the future could look like and then make it happen.
One example is the discharge letter. What is it for? A summary so that next time they come in ED knows what happened? A story for the GP or the patient? A list of tasks for the practice nurse? Future EPRs should be able to present the information in a readable way so that the summaries aren’t needed. GPs don’t want a long story, perhaps they could have access to the EPR if they want more detail. Tasks could generate actions like automatic f/u or blood test appointments and diagnoses could automatically update on the GP system.
Undergrads need to think digital so they can begin to work this way as soon as possible.
12 December 2017 @ 06:11
Would like to know how this can be transferred to teaching in South Africa and allowing geo agnostic learning platforms to be established.
12 December 2017 @ 09:21
Well, right now, EPR training needs to be pretty specific, due to the fact that each system works very different. At least, this kind of tool helps to teach the concepts of good EPR practice, and to make it an essential tool in a clinicians arsenal, rather than continuing the concept of EPRs being an unwelcome development in healthcare.