This study looked at the benefits of using electronic observation charts in intensive care units (ICU) as part of a hospital-wide digital health system. Researchers found that switching from paper to digital records reduced data errors by 219,000 per year, saved time equivalent to a nursing shift each day, and saved £257,000 annually. Staff feedback was positive, even during the COVID-19 pandemic when they were redeployed to ICU and using the electronic charts for the first time. The study concluded that electronic ICU charts improve patient safety, reduce costs, and support healthcare staff by freeing up more time for patient care.

Abstract

Aims and objectives This study sets out to describe benefits from the implementation of electronic observation charting in intensive care units (ICU). This was an extension to the existing hospital wide digital health system. We evaluated error reduction, time-savings and the costs associated with conversion from paper to digital records. The world health emergency of COVID-19 placed extraordinary strain on ICU and staff opinion was evaluated to test how well the electronic system performed.

Methods A clinically led project group working directly with programmers developed an electronic patient record for intensive care. Data error rates, time to add data and to make calculations were studied before and after the introduction of electronic charts. User feedback was sought pre and post go-live (during the COVID-19 pandemic) and financial implications were calculated by the hospital finance teams.

Results Error rates equating to 219 000/year were avoided by conversion to electronic charts. Time saved was the equivalent of a nursing shift each day. Recurrent cost savings per year were estimated to be £257k. Staff were overwhelmingly positive about electronic charts in ICU, even during a health pandemic and despite redeployment into intensive care where they were using the electronic charts for the first time.

Discussion Electronic ICU charts have been successfully introduced into our institution with benefits in terms of patient safety through error reduction and improved care through release of nursing time. Costs have been reduced. Staff feel supported by the digital system and report it to be helpful even during redeployment and in the unfamiliar environment of intensive care.

Authors: Tanya Pankhurst Laurie Lucas, Steve Ryan, Chris Ragdale, Helen Gyves, Louise Denner, Ian Young, Laura Rathbone, Anwar Shah, Deborah McKee, Jamie J Coleman, Felicity Evison, Jolene Atia, David Rosser, Mark Garrick, Richard Baker, Suzy Gallier, Simon Ball