Best practice for the selection, design and implementation of UK Kidney Association guidelines: a modified Delphi consensus approach.

Background: Despite research into how to effectively implement evidence-based recommendations into clinical practice, a lack of standardisation in the commissioning and development of clinical practice guidelines can lead to inconsistencies and gaps in implementation. This research aimed to ascertain how topics in kidney care worthy of guideline development within the UK should be chosen, prioritised, designed and implemented.

Methods: Following a modified Delphi methodology, a multi-disciplinary panel of experts in kidney healthcare from across the UK developed 35 statements on the issues surrounding the selection, development and implementation of nephrology guidelines.

Phishing in healthcare organisations: threats, mitigation and approaches.

Introduction: Healthcare data have significant value as a potential target for hackers. Phishing is a method of exploitation for malicious reasons using targeted communications (email/messaging). This study reports on an internal evaluation targeting hospital staff and summarises peer-reviewed literature regarding phishing and healthcare.

Lessons learned from a comprehensive electronic patient record procurement process-implications for healthcare organisations.

Background: This study describes learning from procurement of a comprehensive electronic patient record (EPR/electronic health record (EHR)), system for a specialist clinical academic institution.

Method: Retrospective review of procurement process in addition to evaluation of peer-reviewed literature in the field.

Results: Main lessons learned include the importance of detailed preparation of organisational requirements/specifications and organisational 'readiness'.

What to expect from electronic patient record system implementation; lessons learned from published evidence.

Background:  Numerous studies have examined specific factors related to success, failure and implications of Electronic patient record (EPR) system implementations, but usually limited to specific aspects.  Objective: To review the published peer-reviewed literature and present findings regarding factors important in relation to successful EPR implementations and likely impact on subsequent clinical activity.

Method:  Literature reviewResults: 312 potential articles were identified on initial search of which 117 were relevant and included in the review.

Chief Information Officer team evolution in university hospitals: interaction of the three 'C's (CIO, CCIO, CRIO).

Background:  The Chief Information Officer (CIO) and Chief Clinical Information Officer (CCIO) are now established senior roles in hospital practice. With increasing emphasis on optimising use of routine health data for secondary purposes and research, additional skills are required as part of the senior information officer team, particularly in academic health care institutions.

Objective: Here we present the role of the Chief Research Information Officer (CRIO), as an emerging, and important, component of the senior information team.