Evidence map›Paper›PMID 34226173›Full record

ArticleBJGP open2021

Strategies supporting sustainable prescribing safety improvement interventions in English primary care: a qualitative study.

Azwa Shamsuddin, Mark Jeffries, Aziz Sheikh, Libby Laing, Nde-Eshimuni Salema, Anthony J Avery, Antony Chuter, Justin Waring, Richard N Keers

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BJGP open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.5field-weighted citation impact, top 38% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 7 citations in OpenAlex.

  1. Trial
  2. Article
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  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 4 countries.

Azwa ShamsuddinCentre for Medical Informatics, Usher Institute, University of Edinburgh, Edinburgh, UK azwashamsuddin88@gmail.com.ORCID http://orcid.org/0000-0003-2400-5888
Mark JeffriesCentre for Pharmacoepidemiology and Drug Safety, Division of Pharmacy and Optometry, School of Health Sciences, University of Manchester, Manchester, UK.
Aziz SheikhCentre for Medical Informatics, Usher Institute, University of Edinburgh, Edinburgh, UK.
Libby LaingDivision of Primary Care, School of Medicine, University of Nottingham, Nottingham, UK.ORCID http://orcid.org/0000-0003-2930-9311
Nde-Eshimuni SalemaNational Institute for Health Research Greater Manchester Primary Care Patient Safety Translational Research Centre, University of Manchester, Manchester Academic Health Sciences Centre, Manchester, UK.
Anthony J AveryNational Institute for Health Research Greater Manchester Primary Care Patient Safety Translational Research Centre, University of Manchester, Manchester Academic Health Sciences Centre, Manchester, UK.
Antony ChuterCentre for Medical Informatics, Usher Institute, University of Edinburgh, Edinburgh, UK.
Justin WaringSchool of Social Policy, Health Services Management Centre, University of Birmingham, Birmingham, UK.
Richard N KeersCentre for Pharmacoepidemiology and Drug Safety, Division of Pharmacy and Optometry, School of Health Sciences, University of Manchester, Manchester, UK.
Institute for Medical Informatics and Biostatistics · CHUniversity of Nottingham · GBGreater Manchester Mental Health NHS Foundation Trust · GBManchester Academic Health Science Centre · GBUniversity of Birmingham · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWhile the use of prescribing safety indicators (PSI) can reduce potentially hazardous prescribing, there is a need to identify actionable strategies for the successful implementation and sustainable delivery of PSI-based interventions in general practice.

aimTo identify strategies for the successful implementation and sustainable use of PSI-based interventions in routine primary care. DESIGN &

settingQualitative study in primary care settings across England.

methodAnchoring on a complex pharmacist-led IT-based intervention (PINCER) and clinical decision support (CDS) for prescribing and medicines management, a qualitative study was conducted using sequential, multiple methods. The methods comprised documentary analysis, semi-structured interviews, and online workshops to identify challenges and possible solutions to the longer-term sustainability of PINCER and CDS. Thematic analysis was used for the documentary analysis and stakeholder workshops, while template analysis was used for the semi-structured interviews. Findings across the three methods were synthesised using the RE-AIM (reach, efficacy, adoption, implementation, and maintenance) framework.

resultsForty-eight documents were analysed, and 27 interviews and two workshops involving 20 participants were undertaken. Five main issues were identified, which aligned with the adoption and maintenance dimensions of RE-

aimfitting into current context (adoption); engaging hearts and minds (maintenance); building resilience (maintenance); achieving engagement with secondary care (maintenance); and emphasising complementarity (maintenance).

conclusionExtending ownership of prescribing safety beyond primary care-based pharmacists, and achieving greater alignment between general practice and hospital prescribing safety initiatives, is fundamental to achieve sustained impact of PSI-based interventions in primary care.

Indexed as

general practiceimplementationpatient safetyprescribing safetyprimary health caresustainability

Identifiers

PMID34226173
PMCPMC8596313
OpenAlexW3180622737

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.