Impact case studies
Our research is already making an impact on patient safety.
Reducing prescribing errors through digital solutions
- The PINCER intervention has been included in the National Institute for Health and Care Excellence (NICE) 'Medicines Optimisation Clinical Guideline' and could prevent 1,375 serious harms per year, saving the NHS over £3 million annually. It is being used increasingly across the NHS, for example by the Wessex Academic Health Science Network and the East Midlands Academic Health Science Network. It was identified as one of seven AHSN programmes that will be adopted nationally across the AHSN Network in 2018-20.
- Used a Medication Safety Dashboard in general practices in Salford as a missed opportunity detector, which has already resulted in fewer patients at risk of potentially hazardous prescribing.
Reducing patients at risk from prescribing
- Shown high variation between prescribing safety in general practices by over 2,000 GPs, indicating changes in practice that create improvement through targeted practice level intervention.
- Development of a risk management learning resource to support pharmacy teams across England. Researchers in the Medication Safety theme worked with the Centre for Pharmacy Postgraduate Education (CPPE) to develop learning resources for pharmacists. The resulting Risk Management guide was sent to 67,500 pharmacy professionals as part of the 2018 CPPE Patient Safety learning campaign. See the full impact case study (pdf).
Reducing suicide rates
- Made safety recommendations for mental health services that have been associated with falls in suicide rates and suicide on psychiatric inpatient units, which have been implemented.
- Publication of an influential paper in BMJ: ‘Incidence, clinical management, and mortality risk following self-harm among children and adolescents: cohort study in primary care’. Findings from the paper received extensive media coverage, as well as having ongoing and potential impact on policy. See the full impact case study (pdf).
Testing new ways of using mobile technology to deliver safer care
- Provided ClinTouch, an innovative new way of supporting people with psychosis, a serious mental health disorder, through helping to improve self-management of their condition. This won the Outstanding Innovation category of the SEE Change Awards for Social Entrepreneurship.
Making people with multimorbidity feel safer
- We have co-designed an online resource on healthtalk.org for people living with multimorbidity (having two or more chronic medical conditions) about the challenges they experience.
- Improved the care of long term conditions (e.g. hypertension, chronic kidney disease, and atrial fibrillation) through the Performance Improvement plaN GeneratoR (PINGR), an electronic system that systematically compares patient’s medical records to best practice guidelines and suggests actions that could be taken for individual patients and the wider GP practice.
- Put health data on trial (PDF) by investigating public attitudes to data sharing, with the results presented to a high level delegation including the National Data Guardian (Dame Fiona Caldicott) and the All-Party Parliamentary Group on Medical Research.
Patient Safety Toolkit
- We have co-designed and tested a Patient Safety Toolkit for general practices that is important in preventing patients from being harmed. It is designed to be used by any general practice in the UK and covers safe systems, safety culture, communication, patient reported problems, diagnostic safety and prescribing safety.
- Paper published in Journal of Patient Safety: A Patient Safety Toolkit for Family Practices