OpenPrescribing papers
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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
Categories
- OpenPrescribing
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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.
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- OpenPrescribing
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Identifying Patterns of Clinical Interest in Clinicians' Treatment Preferences: Hypothesis-free Data Science Approach to Prioritizing Prescribing Outliers for Clinical Review
A new method for prioritizing prescribing outliers for clinical review with discussion of two illustrative examples of anti-psychotics
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- OpenPrescribing
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Impact of Electronic Health Record Interface Design on Unsafe Prescribing of Ciclosporin, Tacrolimus, and Diltiazem: Cohort Study in English National Health Service Primary Care
JMIR EHR design paper
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- OpenPrescribing
- Policy Insights
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Suboptimal prescribing behaviour associated with clinical software design features: a retrospective cohort study in English NHS primary care
EHR design paper
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- OpenPrescribing
- Research Integrity
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Prescription of suboptimal statin treatment regimens: a retrospective cohort study of trends and variation in English primary care
BJGP statins paper
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- OpenPrescribing
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The NHS deserves better use of hospital medicines data
Hospitals Data BMJ Paper
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- OpenPrescribing
- Policy Insights
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Trends and variation in unsafe prescribing of methotrexate: a cohort study in English NHS primary care.
Describing trends and geographical variation in methotrexate prescribing that breaches national safety recommendation
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- OpenPrescribing
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Variation in responsiveness to warranted behaviour change among NHS clinicians: novel implementation of change detection methods in longitudinal prescribing data
Determining how clinicians vary in their response to new guidance on existing or new interventions
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- OpenPrescribing
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Impact of Chief Medical Officer activity on prescribing of antibiotics in England: an interrupted time series analysis
Determining if there was a measurable impact from the 5 year antimicrobial resistance strategy on overall antibiotic prescribing in NHS primary care in England.
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- OpenPrescribing
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Is Use of Homeopathy Associated With Poor Prescribing in English Primary Care? A Cross-Sectional Study
Prescribing of homeopathy still occurs in a small minority of English general practices. We hypothesised that practices that prescribe any homeopathic preparations might differ in their prescribing of other drugs.
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- OpenPrescribing
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Do doctors in dispensing practices with a financial conflict of interest prescribe more expensive drugs? A cross-sectional analysis of English primary care prescribing data.
Reducing antibiotic overuse is a key NHS priority. The majority of antibiotics are prescribed in primary care
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- OpenPrescribing
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Measuring the Impact of an Open Web-Based Prescribing Data Analysis Service on Clinical Practice: Cohort Study on NHS England Data
Measuring the impact of OpenPrescribing being viewed on subsequent prescribing.
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- OpenPrescribing
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Why did some practices not implement new antibiotic prescribing guidelines on urinary tract infection? A cohort study and survey in NHS England primary care
Describing trends and geographical variation in prescribing of trimethoprim and nitrofurantoin to treat urinary tract infections
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- OpenPrescribing
- Policy Insights
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Opioid prescribing trends and geographical variation in England, 1998–2018: a retrospective database study
Our findings support calls for greater action to promote best practice in chronic pain prescribing and to reduce geographical variation.
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- OpenPrescribing
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Six months on – NHS England needs to focus on dissemination, implementation and audit of its Low-Priority Initiative
JRSM letter
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- OpenPrescribing
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Time trends and geographical variation in prescribing of antibiotics in England 1998–2017
Despite a general trend towards more optimal antibiotic prescribing, considerable geographical variation persists across England's practices and CCGs.
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- OpenPrescribing
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Reply to Comment on 'Impact of NICE guidance on tamoxifen prescribing in England 2011–2017: an interrupted time series analysis'
Replying to comment on paper: 'Impact of NICE guidance on tamoxifen prescribing in England 2011–2017: an interrupted time series analysis'
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- OpenPrescribing
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Detecting Change in Comparison to Peers in NHS Prescribing Data: a Novel Application of Cumulative Sum Methodology
The CUSUM method appears to effectively discriminate between random noise and sustained change in prescribing behaviour. This method aims to allow practices and CCGs to be informed of important changes quickly, with a view to improve their prescribing behaviour.
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- OpenPrescribing
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Pregabalin: what the patent litigation means for doctors and drug companies
Explaining the arguments over the Pregabalin patent case and explore the wider implications for the NHS and drug development
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- OpenPrescribing
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The clinician impact and financial cost to the NHS of litigation over pregabalin: a cohort study in English primary care
Describing the variation in prescribing of pregabalin as branded Lyrica, geographically and over time
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- OpenPrescribing
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Trends and variation in prescribing of low-priority treatments identified by NHS England: a cross-sectional study and interactive data tool in English primary care
Prescribing of low-value treatments is extensive but varies widely by treatment, geographic area and individual practice. Despite a fall in prescription numbers, the overall cost of prescribing for low-value items has risen.
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- OpenPrescribing
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Time trends and geographical variation in prescribing of drugs for diabetes in England from 1998 to 2017
Our findings strongly support the case for comparative effectiveness trials of current diabetes drugs.
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- OpenPrescribing
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Impact of NICE guidance on tamoxifen prescribing in England 2011–2017: an interrupted time series analysis
Measuring the uptake of tamoxifen, and the alternative raloxifene, in national prescribing data sets
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- OpenPrescribing
- Policy Insights
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Trends, geographical variation and factors associated with prescribing of gluten-free foods in English primary care: a cross-sectional study
Gluten-free prescribing is in a state of flux, with substantial clinically unwarranted variation between practices and CCGs.
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- OpenPrescribing
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OpenPrescribing: normalised data and software tool to research trends in English NHS primary care prescribing 1998–2016
Publicly available data can be made accessible through interactive online tools to help researchers and policy-makers explore time trends in prescribing.
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- OpenPrescribing
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New mechanism to identify cost savings in English NHS prescribing: minimising 'price per unit', a cross-sectional study
We have developed a new method to identify and enable large potential cost savings within NHS community prescribing. Given the current pressures on the NHS, it is vital that these potential savings are realised.
Categories
- OpenPrescribing