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Salford Royal

Delivering safer patient care with advanced technology solutions

Salford Royal NHS Foundation Trust (Salford, Greater Manchester, United Kingdom) uses a single platform electronic patient record (EPR). This advanced technology and dedication to patient safety has enabled the organisation to achieve clinical improvements and earn an “Outstanding” rating from the Care Quality Commission, one of only two trusts to earn this distinction two consecutive years.

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Proven EPR solution with an on-time, on-budget implementation

Searching for a flexible and configurable solution, the Salford Royal EPR procurement team evaluated several vendors, specifically scoring the solutions in the areas of functionality, integration, migration capabilities, usability and price. Salford Royal ultimately selected Allscripts Sunrise.

During the first phase of implementation, the organisation migrated approximately 12 years of data into the EPR, including more than 180 million sets of test results and 1 million individual patient records. The new system went live in June 2013, featuring integrated order communications, results reporting, clinical decision support and e-prescribing.

Salford Royal completed the first stage of the implementation three months ahead of schedule and on budget. During the first four days that the new system was live, more than 3,350 users entered and viewed nearly 56,000 doctor’s orders, test results and patient-related documents on the platform.

The second phase of implementation included a successful multi-stage release of the EPR platform to the Accident and Emergency (A&E) department.

”We’re working to break down barriers to blend social and health services as the most effective way to meet our patients’ needs. Our efforts revolve around the complete and total use of EPR data around the healthcare system, enabling it to be the central gravitational pull for everything we do in acute care.”

Key Outcomes

  • Achieved “Outstanding” overall rating from Care Quality Commission, one of only two trusts in the country to earn this distinction two consecutive years
  • Reduced length of stay within one year by an average of .45 days for elective admissions, or 10.3%, saving an estimated £10.1 million per year and .20 days for non-elective admissions, or 3.4%, saving an estimated £7.2 million per year
  • Improved compliance with evidence-based best practices, including 95% compliance with Dementia & Delirium Care Bundle and 96% compliance with antibiotic prescribing procedures for Clostridium difficile (C. diff)
  • 100% of patients have an accurate prescription on EAU when the pharmacists use the “on hold” function
  • Reduced time spent waiting for inpatient prescriptions by an average of 3.34 hours, or 20.7%, within five months
  • Reduced time spent waiting for outpatient prescriptions by an average of 8 hours, or 29.9%, within five months
  • Reduced hospital-acquired pressure ulcers by 79% over two years

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