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SMASH! The Salford medication safety dashboard
Richard Williams1, Richard Keers2, Wouter T Gude3
1NIHR Greater Manchester Patient Safety Translational Research Centre (PSTRC), University of Manchester. richard.williams2@manchester.ac.uk.
Journal of Innovation in Health Informatics
|November 7, 2018
Summary
A new online dashboard intervention, led by pharmacists, was developed to improve safe prescribing in primary care. This system successfully reduced hazardous prescribing by providing continuous audit and feedback to general practitioners.
Area of Science:
- Health Informatics
- Medication Safety
- Primary Care Research
Background:
- Patient safety is crucial for effective healthcare systems.
- Safe prescribing, especially in primary care, is a key component of patient safety.
- Pharmacist-led interventions using electronic health record (EHR) data can reduce hazardous prescribing.
Purpose of the Study:
- To develop and implement an online dashboard for continuous audit and feedback on prescribing practices.
- To improve medication safety in primary care through a pharmacist-led intervention.
Main Methods:
- Dashboard user interface designed iteratively with general practitioners (GPs) and pharmacists.
- Prescribing safety indicators integrated into the dashboard.
- Pharmacists trained to deliver the intervention to general practices.
Main Results:
- A web-based electronic dashboard was developed and deployed in 43 general practices in Salford, UK.
- 36 pharmacists were trained, and 135 users registered, with high weekly session averages.
- The intervention demonstrated broad and sustained uptake.
Conclusions:
- A complex, pharmacist-led dashboard intervention was successfully developed and implemented.
- The system showed significant usage, indicating its potential for improving medication safety.
- Regularly updated audit information via such systems may enhance primary care medication safety.
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