Joining the trend of patient goal-oriented electronic health record

Tino Martí
 

Primary care in our country is in a good situation regarding the use of electronic medical records. The digitization of medical records began at the end of the last century and was fully deployed in the first decade of this. Such is the progress of the clinical stations used today that they are already crying out for a technological, functional, and usability update, but changing the system is complicated and very expensive, so it's easy to expect that change will only occur when the technological version will no longer justify itself.

"Carried me with you": the objectives of integrated care are a matter of more than one

Mònica Almiñana
 

This song from the Onward soundtrack, one of Disney's latest animated productions, bring about a good mood because, in addition to having a country touch, I have always liked lyrics that speak of how important it's that they accompany you, guide you and help you achieve your goals.

Trust, an ingredient needed to innovate

Mònica Almiñana

"One, the citizenry will not forgive the president for hiding health information that can help save their lives. Two, in a crisis, people must feel like a soldier, not a victim. Three, telling the truth generates trust, silence generates fear. "

CJ Creck, The West Wing. Season 3, Episode 9 (2001-2002)

When Aaron Sorking wrote these sentences for his character, the White House press chief in the series The West Wing, in a chapter where a health problem was addressed, came up with some of the keys needed to manage the communication of this type of crisis. In a recent article in BMJ Leader, "Leadership during the COVID-19 pandemic: building and sustaining trust in times of uncertainty," Susannah Ahern and Erwin Loh also outline some of the keys to leadership in times of uncertainty. And one of those keys is trust. The authors themselves define it as "The expectation or belief of an individual, often in vulnerable circumstances, that another person's actions or motives will be honest, fair, and based on integrity (following sound ethical principles)." (1)

The challenge of the 15 steps

Mònica Almiñana

They say that from outside the problems look different. How many times have we heard or said this phrase in our lives! Perhaps that is why different organizations, in recent years, have decided to take it literally and implement strategies to incorporate the external vision into the day-to-day work.

The National Health Service of the United Kingdom (NHS) presented at the end of 2017 "The challenge of 15 steps (15 Steps Challenge): quality from the patient's perspective".

Let's finish with the phrase "This has always been done like this"

Mònica Almiñana



There are more and more voices defending that our current model of health care ought to improve and that, if we don’t change it, it will change us.

But, to achieve this change, we need foundations from which to build upon. In my opinion, undoubtedly, there are three essential levers for this transformation: data intelligence (big data), patient safety and patient experience. The three are increasingly interrelated, and if not, read the report presented this year by the ECRI Institute: "Top 10 Patient Safety Concerns for 2018".

Share the decisions table: one more step in the patient's experience

Mònica Almiñana

During the past Christmas holidays, many of us have shared a table with family and friends. Can you imagine if we did it with our patients to decide how we should evaluate their diseases?

That is what the Karolinska Hospital in Stockholm (Sweden) effectively proposes: a whole revolution in the way of understanding the care process. For those who don’t know, the Karolinska is one of the largest and most innovative university hospitals in Europe. It serves a total of 1.5 million patients per year, with a newly built infrastructure that houses 1,600 beds and employs 15,800 people.