Table 4 Facilitators and barriers encountered during the development of a repository for pandemic surveillance and research based on electronic health records
Facilitators and barriers found in this study | Finding relates to | Leads to lesson | ||
|---|---|---|---|---|
Legal requirement | Contextual circumstance | Fitness for purpose | ||
Care zone | ||||
Changes in national SARS‐CoV‐2 testing policy | x | x | 2, 9 | |
Use of several different electronic health record systems within the sector | x | x | 2, 3, 5, 6, 9 | |
Perceived urgency of recording COVID-19 information in a standardized manner in the EHR system | x | x | 4, 7, 9 | |
From care zone to database zone | ||||
Asking all nursing home residents for explicit consent cannot reasonably be expected in an urgent situation | x | x | x | 1, 4, 9 |
Uncertainty regarding the legal requirements for extracting data from electronic health records | x | x | 1, 4, 9 | |
Inter-organizational collaboration to create a broad base of support in the nursing home sector | x | x | 4, 5, 9 | |
Early and close involvement of vendors of electronic health record systems | x | x | 2, 3, 5, 9 | |
Coordination and communication between the consortium partners | x | x | 5, 9 | |
Providing complete and understandable information to nursing homes’ boards of directors | x | x | x | 1, 2, 4, 6, 7, 8, 9 |
Prioritizing care provision over participating in a surveillance | x | x | 2, 3, 4, 7, 9 | |
The existence of multiple COVID-19 monitors raised questions | x | x | 2, 4, 6, 9 | |
From database to research zone | ||||
No up-to-date list of all nursing home organizations in the Netherlands | x | x | 8, 9 | |
Data quality requires improvement | x | x | 9 | |