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Safe Implementation of Research into Healthcare Practice through a Care Process Pathways Based Adaptation of Electronic Patient Records
Abstract
Concern has been expressed over the lack of evidence of the effective transfer of new research findings, guidelines and protocols into front-line clinical use. This book chapter outlines an approach which focuses on establishing and then using existing end-to-end care process pathways as initial benchmarks against which to evaluate the effects of changes in clinical practice in response to new clinical knowledge inputs. Whilst the prime focus of this approach is to provide a robust means of validating improvement in best practice processes and performance standards as the basis of good clinical governance, it will also seek to identify potential risks of adverse events and provide the basis for preventive measures, further backed-up by training within the relevant specialist domains. The objective is to close this loop by monitoring incremental change in care processes through a rolling analysis of input to Electronic Patient Record integrated into the clinical governance process. A pathway-linked knowledge service approach that could radically simplify and speed up the record updating process that supports and does not impinge on the professional autonomy.
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