LAUSR

EPR deployment is critical and core to GOSH being a digital hospital. It is expected that, following implementation in April 2019, there will be improved access for patients, improved communication between staff, patients and families, operational efficiencies, development of new models of care and treatments, in addition to enhanced innovative research analytics. Although this transition ought to bring many benefits, as described, it may also pose challenges for all stakeholders, particularly those associated with children and young people and their parents accessing medical and nursing notes for the first time through MyGOSH patient portal. The aim of this presentation is to: Highlight the potential issues associated with the transition of GOSH to becoming a digital hospital; How these will be explored through a concurrent mixed methods study comparing patient, staff and parental views about EPR pre and post–implementation. The use of creative methodology ‘World Café’ workshops with each stakeholder group to understand their expectations and perceptions about EPR will be described, followed by a discussion of how data generated from these workshops will inform the development of a survey that will be sent Trust-wide at distinct time points pre and post ‘Go-Live’. The use of interviews to gain a deeper insight into the benefits and challenges of GOSH becoming a digital hospital will be presented, alongside the implications of using ethnographic methods (participant observation) to understand the impact EPR has on interactions during in-patient and out-patient consultations, with a particular focus on patient experience. Ethical and legal considerations and practicalities of EPR implementation will be raised throughout the presentation with important issues such as Gillick competence, patients with fluctuating capacity, and patients who are unaware of their diagnosis being discussed in relation to the use of MyGOSH patient portal, raising awareness pre Go-Live.