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Results include limited perceived efficiency gains, concerns about administrative burden and reduced time for education. Findings highlight usability and training as key factors shaping adaptation and attitudes toward EHCR potential.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/healthcare/","Healthcare",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/evaluating-the-implementation-of-a-new-electronic-healthcare-system-in-a-single-trust-in-northern-ireland/433461/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/evaluating-the-implementation-of-a-new-electronic-healthcare-system-in-a-single-trust-in-northern-ireland/433461.png","ImageObject",300,407,{"name":42,"@type":43},"dabgoudw","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-31","2026-09-29",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",6,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"What EHCR system was implemented and where?","Question",{"text":63,"@type":64},"The South Eastern Trust (SET) in Northern Ireland implemented an electronic healthcare record (EHCR) using Epic in November 2023.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"How was the study conducted during the initial implementation period?",{"text":68,"@type":64},"Doctors and medical students on placement voluntarily completed a Likert-type electronic survey during the system’s initial three months.",{"name":70,"@type":61,"acceptedAnswer":71},"What main concerns did respondents report about the EHCR introduction?",{"text":72,"@type":64},"Many reported no improvement in working efficiency overall, perceived administrative tasks as disproportionate to clinical value, and reported less time for education and training. 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Overall, 81% did not experience an improvement in working efficiency. 50% of respondents anticipated that inpatient efficiency would improve with time, while 19% did not. In the outpatient clinic environment, only 25% believe that efficiency will be improved with time and adaptation. Regarding administration, 45% believe that following introduction, administrative tasks placed on doctors are disproportionate to their clinical value for patient care. 67% stated that there was less time for medical education and training.  \nConclusions: Despite an initial overall negative response towards EHCR participants have a positive attitude towards its potential to improve patient care. Concerns relating to system usability and administrative burden imposed by Epic on senior staff remain apparent throughout the study.‘A perfect system would have doctors freed up to do what we are trained to do’. Usability issues were identified as contributory to this dissatisfaction. Inadequate training was identified as a factor which made adaptation more challenging. This in particular is a consideration for those trusts yet to implement Epic.  \nKeywords: Change, Adaptation, Training, Usability, EHCR Introduction  \nThe National Health Service (NHS) has begun a process of digitising the electronic healthcare records (EHCRs) in the United Kingdom. EHCRs are deemed to improve efficiency, effectiveness, and safety, ultimately enhancing patient care1.  \nIn November 2023, the South Eastern Trust (SET) in Northern Ireland implemented an EHCR (Epic). This marked the initial transition to a fully digitised paperless health care service in Northern Ireland. Prior to this launch, Northern Ireland used a combination of paper notes and EHCRs.  \nEpic is widely used in North America. Now its software is being introduced within hospitals across Europe and Asia2. Its introduction within Northern Ireland is set to be“revolutionary” providing complete healthcare information from a single platform which can be accessible at anytime and from anywhere3, enabling staff to simultaneously order investigations, record information and complete administrative tasks. Epic also facilitates communication between doctors, nurses, allied healthcare professionals and patients4. The introduction of the Epic system in Northern Ireland is being facilitated by the Encompass project.  \nThis study documents the initial experience of SET medical staff during the initial three months of the introduction of Epic. This research aims to determine the effects of Epic regarding clinical efficiency, quality of patient care, student teaching and the impact on staff wellbeing.  \nMethodology  \nMedical staff working for the South Eastern Trust were asked to voluntarily complete a Likert-type survey via Microsoft forms. The questionnaire was accessed through a QR code distributed on a business card. Participants ranged from consultants to medical students on placement within trust. Questions were designed to allow exploration of three main themes: clinical efficiency; effect on patient care; and effect on staff professional and personal w","cbCaicPC8tis6Cy7","https://ap.wps.com/l/cbCaicPC8tis6Cy7","pdf",1779928,"English","# Abstract\n# Introduction\n# Background and Implementation Context\n# Methodology\n## Survey and Participants\n## Survey Design and Positivity Scoring\n# Results\n# Conclusions","[{\"question\":\"What EHCR system was implemented and where?\",\"answer\":\"The South Eastern Trust (SET) in Northern Ireland implemented an electronic healthcare record (EHCR) using Epic in November 2023.\"},{\"question\":\"How was the study conducted during the initial implementation period?\",\"answer\":\"Doctors and medical students on placement voluntarily completed a Likert-type electronic survey during the system’s initial three months.\"},{\"question\":\"What main concerns did respondents report about the EHCR introduction?\",\"answer\":\"Many reported no improvement in working efficiency overall, perceived administrative tasks as disproportionate to clinical value, and reported less time for education and training. Usability issues and inadequate training were identified as contributors.\"}]","Evaluating the Implementation of a New Electronic Healthcare System in a Single Trust in Northern Ireland | PDF",1790664189,23]