This audit aimed to measure the impact of introducing and then modifying an electronic patient record (EPR) system on the uptake of HIV testing at a level 3 genitourinary medicine service. It was a retrospective case note review of all new and rebook patients attending our service in 2007 (paper records) and 2010 (EPR), and a prospective review in 2012 (following modification of the EPR). The uptake of HIV testing increased significantly from 72.8% to 78.1% following introduction of the EPR (p = 0.009), and increased further to 86.6% (p < 0.0001) following modification of the EPR. Clinics using paper notes should consider switching to EPR as a means of increasing HIV testing uptake.
British Association for Sexual Health and HIV, Medical Foundation for AIDS and Sexual Health. Standards for the management of sexually transmitted infections (STIs), www.bashh.org/documents/2513 (2010, accessed 2 June 2012).
2.
ZouHFairleyCKGuyR. The efficacy of clinic-based interventions aimed at increasing screening for bacterial sexually transmitted infections among men who have sex with men: a systematic review. Sex Transm Dis2012; 39: 382–387.
3.
BissessorMFairleyCLeslieD. Use of a computer alert increases detection of early, asymptomatic syphilis among higher-risk men who have sex with men. Clin Infect Dis2011; 53: 57–58.
4.
BrookMGBavejaTSmondulakL. The effect of electronic patient records (EPR) on the time taken to treat patients with genital Chlamydia infection. Sex Transm Infect2010; 86: 384–387.
5.
JohnsonCVMimiagaMJReisnerSL. Barriers and facilitators to routine HIV testing: perceptions from Massachusetts Community Health Center personnel. AIDS Patient Care STDS2011; 25: 647–655.
6.
WilburLHuffmanGLoftonS. The use of a computer reminder system in an emergency department universal HIV screening program. Ann Emerg Med2011; 58: S71–3.e1.
7.
WereMCShenCTierneyWM. Evaluation of computer-generated reminders to improve CD4 laboratory monitoring in sub-Saharan Africa: a prospective comparative study. J Am Med Inform Assoc2011; 18: 150–155.
8.
NaderCMTsevatJJusticeAC. Development of an electronic medical record-based clinical decision support tool to improve HIV symptom management. AIDS Patient Care STDS2009; 23: 521–529.
9.
GoetzMBHoangTBowmanC. QUERI-HIV/Hepatitis Program Group. A system-wide intervention to improve HIV testing in the Veterans Health Administration. J Gen Intern Med2008; 23: 1200–1207.
