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Evaluation of IT modernisation in the NHS - NETSCC

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Report to SDO for NCRS ProjectIntroductionTable 5: Implementation <strong>of</strong> e-Test Order<strong>in</strong>g and Brows<strong>in</strong>g (CPOE) dur<strong>in</strong>g <strong>the</strong> project. Unshaded cells represent<strong>the</strong> “before” implementation period, light shaded cells <strong>the</strong> “dur<strong>in</strong>g” period and “dark” rows <strong>the</strong> “after”period.Trust 1 Trust 2 Trust 3 Trust 4Site 1 Site 2 Site 1 Site 2 S<strong>in</strong>gle site S<strong>in</strong>gle site2000 LIS only None LIS only LIS only LIS only LIS only2001 CPOE type A New LIS New LIS2002 Roll-out completeexcept maternityCPOE type B(order<strong>in</strong>g) attempted2003 CPOE type B(brows<strong>in</strong>g) attemptedCPOE type B(brows<strong>in</strong>g) attempted20042005All sites had a laboratory <strong>in</strong>formation system (LIS) <strong>in</strong> 2000, i.e. a database for logg<strong>in</strong>g tests ordered/carried out, except for Trust 1. Site 2 <strong>of</strong> Trust1 had no LIS. Trust 1 implemented an e-Test on site 1 <strong>in</strong> 2001. The roll-out <strong>of</strong> this system on site 1 was completed across all specialties exceptmaternity by 2002.Trust 2 implemented <strong>the</strong> LIS component <strong>of</strong> a larger eTest <strong>in</strong> 2001 on both sites. Trust 2 attempted to implement <strong>the</strong> order<strong>in</strong>g component <strong>of</strong> a newe-Test <strong>in</strong> 2002 but this was not successful and <strong>the</strong> system rema<strong>in</strong>ed predom<strong>in</strong>antly paper-based throughout <strong>the</strong> study. Trust 2 implement <strong>the</strong> testbrow<strong>in</strong>g component <strong>of</strong> a new e-Test on both sites <strong>in</strong> 2003 but this was not successful and <strong>the</strong> system rema<strong>in</strong>ed predom<strong>in</strong>antly paper-based.Trusts 3 and 4 had a LIS only throughout <strong>the</strong> study period, although Trust 4 had a facility for communicat<strong>in</strong>g <strong>in</strong>dividual test results to generalpractitioners electronically.12

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