Oireachtas Joint and Select Committees

Wednesday, 25 January 2023

Joint Oireachtas Committee on Health

Electronic Health Records: Discussion

Dr. Brendan Murphy:

There are well recognised international examples of where this has been done and failed. I keep coming back to my being the clinician at the table. These are clinical projects that are digitally enabled. The change needs to be from the front-line end users. Otherwise, it will be an expensive piece of kit that is left lying. I have been in ivory tower academic centres in the United States where the residents had their backs to the computers, with paper still in their hands. These were some of what were meant to be the ivory towers and the best centres. To be successful, we need to engage clinician teams from the ground up in order that they see it is for their benefit. Most of us go to work for the benefit of the patient, first and foremost. The patient teams need to see this is a patient care and safety issue that also makes their healthcare provision more efficient and easier. In some ways, it takes time and gives it back to the care.

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