Developing the infrastructure to support the optimisation of antibiotic prescribing using the learning healthcare system to improve healthcare services in the provision of primary care in England. Issue 1 (21st June 2020)

• Record Type: Journal Article
• Authors: Palin, Victoria; Tempest, Edward; Mistry, Chirag; van Staa, Tjeerd P
• Is Part Of: BMJ health & care informatics. Volume 27:Issue 1(2020)
• Publication Date: 2020-06-21
• Subjects: medical informatics -- patient care -- primary health care -- public health -- information systems; Medical informatics -- Great Britain -- Periodicals; Information storage and retrieval systems -- Medical care -- Periodicals; Primary care (Medicine) -- Great Britain -- Data processing -- Periodicals; 362.10285
• DOI: 10.1136/bmjhci-2020-100147
• Languages: English
• ISSNs: 2632-1009

Abstract

Abstract : Introduction: The learning healthcare system (LHS) underpinned by data analysis and feedback to clinical care providers is thought to improve quality of care. The work aimed to implement an LHS for antibiotic prescribing in primary care in England. Method: Deidentified patient-level data from general practices were processed and analysed at regular intervals (fortnightly increments). A dashboard application was developed and implemented displaying analytical graphics to give periodic feedback to clinicians, tailored to each clinical site. Benchmarking parameters were established by the analysis of two large national primary care datasets allowing peer-to-peer comparisons. To date, the dashboard is available to 70 English practices. Conclusions: Successful implementation and uptake of the secure technical LHS infrastructure for the analysis and feedback to clinicians of their antibiotic prescribing demonstrate a great appetite for this type of frequent prescribing review in primary care, combining advanced data analytics with tailored feedback.