Version: 1.0.0 | Published: 8 Oct 2024 | Updated: 228 days ago
Documentation
Description:
Background. Electronic Health Records (EHRs) embedded into hospital systems have been reported to have benefits including reductions in patient safety events.
The dataset includes the summarised performance of three key clinical indicators. These nursing indicators are based on clinical quality and patient safety. Data is provided prior and post migration to a fully integrated Electronic Health System (EHS) with monthly numerator and denominators. The data covers the implementation at three hospital sites in Birmingham. Further supporting data can be requested from PIONEER to analyse the impact on patient safety and key outcomes such a mortality, length of stay, escalation to intensive care and readmissions.
PIONEER geography: The West Midlands (WM) has a population of 5.9 million & includes a diverse ethnic & socio-economic mix.
Electronic Health Record. UHB is one of the largest NHS Trusts in England, providing direct acute services & specialist care across four hospital sites, with 2.2 million patient episodes per year, 2750 beds & an expanded 250 ITU bed capacity during COVID. UHB runs a fully electronic healthcare record (EHR) (PICS; Birmingham Systems) and this record includes the adoption of the EHR at two new hospital sites, a shared primary & secondary care record (Your Care Connected) & a patient portal “My Health”.
Scope: The dataset includes summarised data for performance of three clinical indicators, primarily:
- Late/Missed Antibiotics – this is the prescribed dose administered on time, late or missed by ward area each month.
- Late/Missed Non-Antibiotics – this is the prescribed medication (excluding antibiotics) which have been administered on time, administered late or missed by ward area each month.
- 12 Hour Observations – a measure to assess that a patient has a full set of physiological observations taken every 12 hours. These include temperature, blood pressure, respiratory rate and oxygen saturations. The data within this dataset are only the compliance count, but PIONEER has full results available on request.
Available supplementary data: Matched controls; synthetic data.
Available supplementary support: Analytics, Model build, validation & refinement; A.I.; Data partner support for ETL (extract, transform & load) process, Clinical expertise, Patient & end-user access, Purchaser access, Regulatory requirements, Data-driven trials, “fast screen” services.
Coverage
Spatial:
United Kingdom,England,West Midlands
Typical Age Range:
17-110
Follow Up:
1 - 10 Years
Pathway:
Data is representative of the multi-ethnicity population within the West
Midlands (42% non white). Data includes all patients admitted during this
timeframe, with National data Opt Outs applied, and therefore is representative
of admissions to secondary care. Data focuses on in-patient stay in hospital
during the acute episode but can be supplemented on request to include previous
and subsequent hospital contacts (including outpatient appointments) and
ambulance, 111, 999 data.
Provenance
Origin
Purposes:
Care
Sources:
EPR
Collection Situations:
- Secondary care - In-patients
- Secondary care - Accident and Emergency
Temporal
Accrual Periodicity:
Quarterly
Distribution Release Date:
03 November 2021
Start Date:
01 January 2020
End Date:
01 November 2021
Time Lag:
Other
Accessibility
Access
Access Service:
Trusted Research Environments (TRE) are built using Microsoft Azure services and
hosted in the UK to provide research teams a safe, secure and agile environment
which allows users to quickly analyse, interpret and form an enriched view of
primary care information through a range of integrated datasets. Health data
collated from multiple sources is ingested into a secure data lake which will
then allow subsets of data to be made available to research teams on approval of
a data request. Once approved a customer specific TRE is made available with a
standard set of leading analytical tools from Microsoft including Azure
Databricks, Azure Machine Learning, Azure SQL and Azure Synapse (for large-scale
data warehouses). Specific tools can be provided at an additional cost over the
standard platform data access charge and the PIONEER team will work with you to
determine your exact needs. Access to the TRE is managed using the latest
virtual desktop technology to provide a safe and secure end-user experience. By
utilising leading edge design PIONEER are able to create TREs rapidly to enable
us to service any customer requirement.
Access Request Cost:
www.pioneerdatahub.co.uk/data/data-services-costs/
Delivery Lead Time:
Not applicable
Jurisdictions:
GB-ENG
Data Controller:
University Hospitals Birmingham NHS Foundation Trust
Usage
Data Use Limitations:
General research use
Data Use Requirements:
Project-specific restrictions
Resource Creators:
This publication uses data from PIONEER, an ethically approved database and analytical environment (East Midlands Derby Research Ethics 20/EM/0158)
Format and Standards
Vocabulary Encoding Schemes:
- SNOMED CT
- ICD10
- NHS NATIONAL CODES
- LOCAL
Conforms To:
LOCAL
Languages:
en
Formats:
SQL
Observations
Statistical Population
Population Description
Population Size
Measured Property
Observation Date
Persons
9,639 distinct patients
9639
Count
03 November 2021