Informatics for Improvement
Pharmacist and Data-driven Quality Improvement in Primary Care (P-DQIP): a qualitative study of implementation barriers and facilitators from the perspective of practice pharmacists
What we know
Preventable drug related harm accounts for 4% of emergency hospital admissions, of which two thirds could be prevented by better systems for managing patients with risky prescribing.
The DQIP1 trial has demonstrated that an informatics tool that remotely identifies patients with high-risk prescribing of antiplatelets and non-steroidal anti-inflammatory drugs (NSAIDs) from general practices’ electronic medical records combined with education and financial incentives can reduce such prescribing and related emergency admissions (Dreischulte et al., 2012). The overall aim of the P-DQIP programme is to expand the scope of the DQIP informatics tool to include patients with risky polypharmacy and make the intervention sustainable by involving NHS employed already affiliated pharmacists in the review process. The key behaviour targeted is the pro-active identification and management of patients identified to be at an increased risk of adverse drug events.
Figure 1: Intended process for pharmacist-led medication review as part of the P-DQIP intervention (in black) and implementation processes (in blue). (DTR = Drug Therapy Risk).