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Low value medicines in OpenPrescribing Hospitals
How we can use OpenPrescribing Hospitals measures to look at use of low value medicines in hospitals.
OpenPrescribing
OpenPrescribing provides a search interface onto the raw English Prescribing Dataset published by the NHS Business Services Authority.
OpenPrescribing is our most widely used applied data science project, with 20,000 unique users every month. It lets any interested user explore NHS GP prescribing behaviour across the whole country, down to the level of individual doses and brands, of individual drugs, at individual practices, each month. We have a range of prespecified measures showing opportunities to improve the quality, safety, and cost effectiveness of prescribing. We also let users devise their own analyses and alerts. OpenPrescribing represents a huge amount of complex data science “under the bonnet”, with papers on our innovative methods published in BMJ and elsewhere. We have also generated a large body of research on trends and variation in clinicians’ choice of treatments, and what drives change in clinical practice, including randomised trials on our own interventions. Alongside this we have generated extensive technical and policy insights on how data can be put to good use in the NHS, where the blockers lie, and how they can be overcome.
Latest OpenPrescribing papers
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Trends and variation in andexanet alfa for the reversal of direct oral anticoagulants in NHS Trusts in England
This study explored trends and variation in the uptake of andexanet alfa for the reversal of direct oral anticoagulants in NHS Trusts in England.
Status: Preprint
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Data-Driven Identification of Potentially Successful Intervention Implementations Using 5 Years of Opioid Prescribing Data
By applying one of our existing analysis tools to a national dataset, we were able to rank NHS organisations by reduction in opioid prescribing rates. Highly ranked organisations are candidates for further qualitative research into intervention design and implementation.
Status: Published
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Educational interventions delivered to prescribing advisers to influence primary care prescribing: a very low-cost pragmatic randomised trial using routine data from OpenPrescribing.net
A low cost randomised trial of an educational intervention in CCGs to influence prescribing of low-priority items
Status: Preprint
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- OpenPrescribing
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Data-Driven Identification of Unusual Prescribing Behavior: Analysis and Use of an Interactive Data Tool Using 6 Months of Primary Care Data From 6500 Practices in England
Data-driven approaches have the potential to overcome existing biases with regard to the planning and execution of audits, interventions, and policy making within NHS organizations, potentially revealing new targets for improved health care service delivery.
Status: Published
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- OpenPrescribing
Latest OpenPrescribing blog posts
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Highlighting variation in hospitals medicines usage
How we highlight variation in hospital medicines usage in OpenPrescribing Hospitals Measures.
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Introducing OpenPrescribing Hospitals measures
An introduction to a new measures tool in OpenPrescribing Hospital.
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Improvements to how the Secondary Care Medicines Data is published
The way the Secondary Care Medicines Data is published has recently changed. This is why this is good news for OpenPrescribing Hospitals.