Electronic patient record (EPR) systems – thematic review

Published
Published 27 November 2025
NHS staff Communication and decision making Medical devices

We have completed a thematic review of 50 HSSIB reports to identify specific patient safety issues and learning related to electronic patient record (EPR) systems. The report includes a safety observation and local-level learning prompts around safe selection and procurement, implementation and ongoing optimisation of EPR systems.

1 observation
4 learning prompts

Safety Observations (1)

National bodies responsible for providing digital advice and guidance to NHS organisations can improve patient safety by clarifying consistent definitions for design-related IT terms – such as usability and functionality – and sharing guidance on how to apply design principles to electronic patient record system configuration and optimisation.

Learning Prompts (4)

How does your organisation identify requirements for an EPR system to account for organisational and user (patients and staff) needs?
How does your organisation identify whether an EPR system can perform the tasks needed to meet organisational requirements and meet expected national standards ?
How does your organisation identify whether an EPR system meets relevant standards, such as those that support clinical risk management and interoperability?
How does your organisation ensure relevant information is requested from manufacturers and scrutinised during the selection and procurement of systems?