Interestingly in our Trust the one thing that suddenly seemed to
miraculously clear all the organisational and legal issues away before it
for pathology reporting to be paperless is a large scale (£10 million)
Electronic Document Management (EDM) project which effectively is a medical
record scanning project aiming to get rid of our medical records department
in time for a new PFI build slated for completion by June 2009.

Suddenly it was top priory to get rid of all the paper reports being sent to
consultants and GPs after inpatient or OPD episodes, and lo and behold a way
was found.

Instead of a paper report, an image of the printed report will be sent
directly to the document imaging archive system from the printer queue.

Where it started getting a bit strange is that suddenly some people started
believing an EPR can be built this way.

Generic lessons: 1. Where there is a will there is a way 2. A way will be
found to mess up an otherwise good idea.

Cheers

Paul



-----Original Message-----
From: IT working group of the Association of Clinical Biochemists
[mailto:[log in to unmask]] On Behalf Of Richard Jones [Pathology]
Sent: 27 March 2008 17:40
To: [log in to unmask]
Subject: Re: Stopping paper reports from Laboratory Medicine

Grateful for all this. Good to see we are not too far behind best
practice. 

I think managers rarely appreciate the complexity of all this.

Rick
 

 

-----Original Message-----
From: IT working group of the Association of Clinical Biochemists
[mailto:[log in to unmask]] On Behalf Of Jonathan Kay
Sent: 27 March 2008 17:26
To: [log in to unmask]
Subject: Stopping paper reports from Laboratory Medicine

Just realised that my previous posting was misleading.

In Oxford I've written a proposal for getting rid of paper reports in
secondary care... it hasn't happened yet.

We've stopped sending paper reports to 56 of our 86 general practices...
see previous threads in the archives.

Jonathan

On 27 Mar 2008, at 17:16, Jonathan Kay wrote:

> I'll get our proposal to you tomorrow.
>
> The biggest issue we found is... clinicians working in outpatients who

> rely on the arrival of the paper report as the notification that the 
> report is available.
>
> Jonathan
>
> On 27 Mar 2008, at 16:53, Richard Jones [Pathology] wrote:
>
>> ...if only!
>>
>> More seriuously I've been asked to write up a position paper for the 
>> Trust on paperless reporting. I've always ducked this in the past 
>> because of the complexity of the legal and organisational issues.
>>
>> Has anyone got such a paper already - or a policy paper which covers 
>> it and/or any national guidance material.
>>
>> If you have I'd be grateful to receive it - anything to reduce more 
>> paper production
>>
>> Thanks in anticipation
>>
>> Rick
>>
>
>

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