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Lear R, Tookman L, Averill P, Samani A, Hunt A, Papadimitriou D, Nkolobe B, Ghaem-Maghami S, Glampson B, McNeish I, Mayer EK
Understanding and Addressing Challenges With Electronic Health Record Use in Gynecological Oncology: Cross-Sectional Survey of Multidisciplinary Professionals in the United Kingdom and Co-Design of an Integrated Informatics Platform to Support Clinical Decision-Making
Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
Understanding and addressing challenges with Electronic Health Record use in gynaecological oncology: a cross-sectional survey of multidisciplinary professionals in the United Kingdom and co-design of an integrated informatics platform to support clinical decision making.
Rachael Lear;
Laura Tookman;
Phoebe Averill;
Amit Samani;
Ashton Hunt;
Dimitri Papadimitriou;
Baleseng Nkolobe;
Sadaf Ghaem-Maghami;
Ben Glampson;
Iain McNeish;
Erik K Mayer
ABSTRACT
Background:
The benefits and challenges of Electronic Health Record (EHR) use may be particularly significant in complex, high-risk specialties such as gynaecological oncology, yet few studies address the experiences of end-users.
Objective:
This study aimed to explore perspectives on EHR use in gynaecological oncology and to develop an informatics platform for ovarian cancer.
Methods:
A cross-sectional survey was conducted using a web-based questionnaire to capture UK professional experiences of EHR use. Free-text responses were analysed using content analysis; counts and proportions were calculated for quantitative data. An informatics platform was co-designed using human-centred design. Natural language processing was used to extract genomic results and operative details from free-text documentation.
Results:
Of 92 respondents, 84 (92.3%) access multiple electronic systems for clinical decision-making, with 28.6% (26/91) using ≥5 EHR systems. Around 17% (16/92) spend more than 50% of their clinical time looking for information in the EHR. Key challenges relate to fragmentation of the patient record across disparate systems meaning retrieval of pertinent information is often time-consuming. The main benefit of EHR use was perceived to be ease-of-access to patient information, yet 60.0% (54/90) of respondents do not have access to individual patient summaries. Our co-designed ovarian cancer informatics platform brings together patient data from different electronic systems and displays it in a single location to support clinical decision making.
Conclusions:
EHR systems are not currently optimised to support decision-making in gynae-oncology. Co-designed clinical decision support tools could address challenges with data fragmentation and information retrieval towards improvements in the quality and safety of cancer care.
Citation
Please cite as:
Lear R, Tookman L, Averill P, Samani A, Hunt A, Papadimitriou D, Nkolobe B, Ghaem-Maghami S, Glampson B, McNeish I, Mayer EK
Understanding and Addressing Challenges With Electronic Health Record Use in Gynecological Oncology: Cross-Sectional Survey of Multidisciplinary Professionals in the United Kingdom and Co-Design of an Integrated Informatics Platform to Support Clinical Decision-Making