Introduction
The transition to an electronic patient record (EPR) system in our hospital has introduced significant changes to documentation and workflows [1]. We aimed to analyse anaesthetic-related Datix reports over one year following the introduction of an EPR system in an obstetric unit. The primary objectives were to identify key themes, highlight learning points, and evaluate how the EPR has influenced the quality of incident documentation.
Methods
Following Caldicott Guardian approval, a retrospective review of all anaesthetic-related Datix reports was conducted for one year post-EPR implementation. Reports were categorised by event type. Particular attention was given to the level of detail provided in free-text documentation within the EPR. Data were analysed to extract key themes and identify recurring issues, focusing on learning opportunities to enhance clinical practice.
Results
Key themes of anaesthetic Datix reports are shown in the table.

Discussion
The introduction of the EPR system posed challenges for documenting anaesthetic events, with limited free-text entries reducing the clarity of case reviews. Clear and detailed documentation is critical, particularly for complex or adverse events. The findings highlighted areas for improvement in practice, including timely escalation, thorough documentation, and adherence to clinical guidelines. Educational efforts should focus on addressing documentation gaps and reinforcing the importance of detailed free-text notes within the EPR. Despite these challenges, the Datix reports provided valuable learning opportunities and reminders for safe obstetric anaesthetic care. This review shows that while the EPR streamlines documentation, it may limit the depth of information captured, highlighting the need to address these limitations and reinforce good practices to optimise patient safety and learning from adverse events.