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TECHNOLOGY


performance of dialysis access (automatically analysed by newer dialysis machines and associated software) could help patients become more vigilant to signs of access failure – a problem that needs urgent treatment. Similarly, a knowledge of how phosphate levels change can help them use dietary interventions for better phosphate control. Hence, there is certainly a need for better use of specialised results and treatment data for patients’ use.


Conclusion


The digitalisation of patient care records has progressed rapidly in recent years. The resulting electronic medical records (or EHRs), however, still follow structures designed for use in the paper-based era; hence information is still being stored mostly as static text files. Although the availability of information has improved with current EHRs, patient data is not currently being utilised for their full potential benefits. Future innovations should focus on making stored clinical data more dynamic, enabling it to be utilised more efficiently for patient care. In the day-to-day care of patients, there is a growing need for better integration of smart devices that automate data entry and transmission, and for innovative ways of making such data available to healthcare workers and patients. In the context of a patient population with an ever-increasing burden of comorbidities and healthcare services financially stretched, making the best use of data may help reduce duplication of efforts and result in cost savings. Importantly, automation of data entry and storage could streamline hospital visits and may improve the quality of remote consultation – hence reducing the need for face-to-face visits. Involving patients in their care and empowering them to lead healthy lifestyles is becoming an ever-increasing priority. Increasing patient access to information contained in their medical records, in an easy to understand format, could help achieve these goals. Technologies that enable patients to access such information are ever improving, while the patients are becoming increasingly accustomed to the use of information technologies. Healthcare providers must invest more time and resources in making better use of routinely collected data – for example to automate the creation of patient reports, clinical letters, ‘take home messages’ etc. Finally, the current COVID-19 pandemic has highlighted an unprecedented need for change of practices. Minimising physical interaction between individuals and with the surrounding work environment – including paper case notes, equipment etc – now form part of daily work routine. As such, better utilisation of digital information can help in this by enabling more hospital staff to work remotely.


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2. Fresenius Medical Care. Therapy Data Management System (TDMS) (online) Available at: https:// www.freseniusmedicalcare.com/en/healthcare- professionals/renal-it/therapy-data-management- system-tdms/ (accessed 20 Sept 2020) [Internet], 2020


3. Wagner EH. Chronic disease management: what will it take to improve care for chronic illness? Eff Clin Pract 1998;1:2-4.


4. Wagner EH, Austin BT, Von Korff M. Organizing care for patients with chronic illness. Milbank Q 1996;74:511-544.


5. Renal Information Exchange Group. Renal PatientView (online) Available at: http://www. patientview.org (accessed 20 Sept 2020) [Internet], 2020


6. Hazara AM, Bhandari S. Barriers to patient participation in a self-management and education website Renal PatientView: A questionnaire- based study of inactive users. Int J Med Inform 2016;87:10-14.


7. Hazara AM, Durrans K, Bhandari S. The role of patient portals in enhancing self-care in patients with renal conditions. Clin Kidney J 2020;13:1-7.


CSJ


8. National Health Service. GP System of Choice Online (online). Available at https://digital.nhs.uk/


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9. The Patients Know Best web-portal. Available at https://patientsknowbest.com/ (accessed 20 Sept 2020).


10. Witteman HO, Zikmund-Fisher BJ. Communicating laboratory results to patients and families. Clin Chem Lab Med 2019;57:359-364.


Authors


Adil Mohammad Hazara1,2 Kassianides1,2


Sunil Bhandari1,2


Institution 1 Academic Renal Research, Hull University Teaching Hospitals NHS Trust, Hull, United Kingdom


2 Hull York Medical School, Hull, United Kingdom


Corresponding author Dr. Adil Hazara Academic Renal Research, 2nd Floor Alderson House, Hull University Teaching Hospitals NHS Trust, Hull Royal Infirmary, Anlaby Road, Hull, HU3 2JZ, United Kingdom Telephone: +44 1482 605260 Fax: +44 1482 605256 Email: adilhazara@nhs.net


NOVEMBER 2020 , Monaliza Delizo1


, Xenophon ,


©Tyler Olson - stock.adobe.com


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