EHR-Integrated CathPCI and Chest Pain MI Registry at a Tertiary Care Center in Pakistan

巴基斯坦一家三级医疗中心整合电子病历的经皮冠状动脉介入治疗和胸痛心肌梗死登记研究

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Abstract

BACKGROUND: Since 2012, our institute has contributed data to the National Cardiovascular Data Registry's CathPCI and Chest Pain-MI registries using manual forms and semidigital tools. PROJECT RATIONALE: Manual data entry across 4 registries by 3 research assistants led to workflow delays, duplication, and quality gaps. A centralized, electronic health record (EHR)-integrated solution was needed to improve accuracy, reduce redundancy, and streamline compliance reporting. PROJECT SUMMARY: We developed and launched Cardiopulse.pk, a fully paperless digital registry integrated with the hospital's EHR. The platform unified CathPCI and Chest Pain-MI data collection, enabled direct role-based entry, automated patient data transfer, and included built-in validation and skipping logic. It eliminated manual duplication, reduced research assistant workload by 67%, and improved data accuracy (from 60% to 95%) and completeness (from 40% to 100%). Historical data from 2012 to 2024 were successfully migrated. TAKE-HOME MESSAGE: This project shows that EHR-integrated digital registries can significantly enhance data quality, efficiency, and clinical ownership, and the outcomes can serve as a scalable model for other institutions.

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