Background. Electronic Health Records (EHRs) embedded into hospital systems have been reported to have benefits including reductions in patient safety events.

The dataset includes the summarised performance of three key clinical indicators. These nursing indicators are based on clinical quality and patient safety. Data is provided prior and post migration to a fully integrated Electronic Health System (EHS) with monthly numerator and denominators. The data covers the implementation at three hospital sites in Birmingham. Further supporting data can be requested from PIONEER to analyse the impact on patient safety and key outcomes such a mortality, length of stay, escalation to intensive care and readmissions.

PIONEER geography: The West Midlands (WM) has a population of 5.9 million & includes a diverse ethnic & socio-economic mix.

Electronic Health Record. UHB is one of the largest NHS Trusts in England, providing direct acute services & specialist care across four hospital sites, with 2.2 million patient episodes per year, 2750 beds & an expanded 250 ITU bed capacity during COVID. UHB runs a fully electronic healthcare record (EHR) (PICS; Birmingham Systems) and this record includes the adoption of the EHR at two new hospital sites, a shared primary & secondary care record (Your Care Connected) & a patient portal “My Health”.

Scope: The dataset includes summarised data for performance of three clinical indicators, primarily:

• Late/Missed Antibiotics – this is the prescribed dose administered on time, late or missed by ward area each month.

• Late/Missed Non-Antibiotics – this is the prescribed medication (excluding antibiotics) which have been administered on time, administered late or missed by ward area each month.

• 12 Hour Observations – a measure to assess that a patient has a full set of physiological observations taken every 12 hours. These include temperature, blood pressure, respiratory rate and oxygen saturations. The data within this dataset are only the compliance count, but PIONEER has full results available on request.

Available supplementary data: Matched controls; synthetic data.

Available supplementary support: Analytics, Model build, validation & refinement; A.I.; Data partner support for ETL (extract, transform & load) process, Clinical expertise, Patient & end-user access, Purchaser access, Regulatory requirements, Data-driven trials, “fast screen” services.