Beverley Ellis

TL;DR: Investigating the effect of providing patients online access to their electronic health record (EHR) and linked transactional services on the provision, quality and safety of healthcare found patient online access and services offer increased convenience and satisfaction.

TL;DR: These services positively impacted on patient safety, although there were variations of record access and use by specific ethnic and socioeconomic groups, and patients using online services reported increased convenience and satisfaction.

TL;DR: In this article, a systematic review was conducted that focused on all studies about online record access and transactional services in primary care and patients reported improved satisfaction with online access and services compared with standard provision.

TL;DR: Key elements and characteristics of complex adaptive systems (CAS) relevant to implementing clinical governance are identified, drawing on lessons from quality improvement programmes and the use of informatics in primary care.

TL;DR: A new socio-technical model for effective quality improvement and clinical governance is described, which contextualises the origins of clinical governance and the trend towards collaborative partnerships and federated models of practice, enabled by developments in primary care informatics.