SMASH! The Salford medication safety dashboard

Patient safety is vital to well-functioning health systems. A key component is safe prescribing, particularly in primary care where most medications are prescribed. Previous research demonstrated that the number of patients exposed to potentially hazardous prescribing can be reduced by interrogating...

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Veröffentlicht in:BMJ health & care informatics Jg. 25; H. 3; S. 183 - 193
Hauptverfasser: Williams, Richard, Keers, Richard, Gude, Wouter T., Jeffries, Mark, Davies, Colin, Brown, Benjamin, Kontopantelis, Evangelos, Avery, Anthony J., Ashcroft, Darren M., Peek, Niels
Format: Journal Article
Sprache:Englisch
Veröffentlicht: England BMJ Publishing Group LTD 18.10.2018
BCS, The Chartered Institute for IT
Schlagworte:
dashboard
Design
drug prescriptions
Drug stores
electronic audit & feedback
Electronic health records
Feedback
Health informatics
Information technology
Intervention
Medical errors
Patient safety
Primary care
Software
User interface
United Kingdom > UK
Patient safety
drug prescriptions
electronic audit & feedback
dashboard
ISSN:2632-1009, 2058-4563, 2058-4555, 2632-1009, 2058-4563
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Zusammenfassung:Patient safety is vital to well-functioning health systems. A key component is safe prescribing, particularly in primary care where most medications are prescribed. Previous research demonstrated that the number of patients exposed to potentially hazardous prescribing can be reduced by interrogating the electronic health record (EHR) database of general practices and providing feedback to general practitioners in a pharmacist-led intervention. We aimed to develop and roll out an online dashboard application that delivers this audit and feedback intervention in a continuous fashion. Based on initial system requirements we designed the dashboard's user interface over 3 iterations with 6 general practitioners (GPs), 7 pharmacists and a member of the public. Prescribing safety indicators from previous work were implemented in the dashboard. Pharmacists were trained to use the intervention and deliver it to general practices. A web-based electronic dashboard was developed and linked to shared care records in Salford, UK. The completed dashboard was deployed in all but one (n=43) general practices in the region. By November 2017, 36 pharmacists had been trained in delivering the intervention to practices. There were 135 registered users of the dashboard, with an average of 91 user sessions a week. We have developed and successfully rolled out of a complex, pharmacist-led dashboard intervention in Salford, UK. System usage statistics indicate broad and sustained uptake of the intervention. The use of systems that provide regularly updated audit information may be an important contributor towards medication safety in primary care.
Bibliographie:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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ISSN:2632-1009
2058-4563
2058-4555
2632-1009
2058-4563
DOI:10.14236/jhi.v25i3.1015