Improving Pre-emptive Prescribing to Relieve Patient Discomfort Occurring Out of Hours

"Junior doctors are commonly asked to prescribe simple medications for symptom relief for patients out of hours. Unfortunately, time constraints and other pressures may lead to delays before the medications are prescribed. A quality improvement project was conducted at a large university teaching hospital to establish the extent of the problem, with the aim of finding measures to improve preemptive prescribing for patients."

Improving Pre-emptive Prescribing to Relieve Patient Discomfort Occurring Out of Hours
R Williams, F Herbert, A Orme, G Casswell

BMJ Quality Improvement Reports 2016;5: doi:10.1136/bmjquality.u206301.w3757

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Medicines Optimisation Peer Review Programme

"The aim of Medicines Optimisation Peer Reviews is to influence prescribers and their decision making processes to ensure evidence-based, safe, cost effective prescribing ensuring optimal clinical outcomes for Wigan patients."

Medicines Optimisation Peer Review Programme - engaging GP practices to deliver medicines optimisation and implement NICE guidance
Wigan Borough Clinical Commissioning Group
NICE Shared Learning
March 2015

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Oxygen Delivery on Medical Wards

"This quality improvement project attempted to improve oxygen prescribing and subsequent dose adjusting on various medical wards."

Oxygen Delivery on Medical Wards
C Dickson
BMJ Quality Improvement Report 2015;4: doi:10.1136/bmjquality.u206934.w2785

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Improving the compliance of extended venous thromboembolism prophylaxis following cancer resections

"Visual reminder is a simple yet effective tool to improve awareness among junior doctors on the importance of extended venous thromboembolism prophylaxis in cancer patients."

A persuasive intervention: improving the compliance of extended venous thromboembolism prophylaxis following cancer resections in a tertiary colorectal and hepatobiliary unit
YP Yong, A Karangizi, A Banerjea
BMJ Quality Improvement Reports 2014;3: doi:10.1136/bmjquality.u202594.w2216

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Improving diabetes care through examining, advising, and prescribing

"We will conduct a two-armed cluster randomised controlled trial in 44 general practices in the North East of England to evaluate a theory-based behaviour change intervention. We will target improvement in six underperformed clinical behaviours highlighted in quality standards for type 2 diabetes"

Improving diabetes care through examining, advising, and prescribing (IDEA): protocol for a theory-based cluster randomised controlled trial of a multiple behaviour change intervention aimed at primary healthcare professionals
J Presseau, G Hawthorne, FF Sniehotta, N Steen, JJ Francis, M Johnston, J Mackintosh, JM Grimshaw, E Kaner, M Elovainio, M Deverill, T Coulthard, H Brown, M Hunter, MP Eccles
Implementation Science, 2014, 9: 61

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Proton pump inhibitors: potential cost reductions by applying prescribing guidelines

"There are opportunities for substantial cost savings in relation to proton pump inhibitors prescribing if implementation of clinical guidelines in terms of generic substitution and step-down therapy is implemented on a national basis."

Proton pump inhibitors: potential cost reductions by applying prescribing guidelines
C Cahir, T Fahey, L Tilson, C Teljeur, K Bennett
BMC Health Services Research, 2012, 12:408

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Use of NICE appraised medicines in the NHS in England

"As part of the Pharmaceutical Price Regulation Scheme (PPRS) agreement which came into operation on 1 January 2009, the Department of Health (DH) and the Association of the British Pharmaceutical Industry agreed that the DH would review the variation in uptake of selected medicines in the NHS in England."

Use of NICE appraised medicines in the NHS in England – 2010 and 2011, experimental statistics
The Information Centre for Health and Social Care
October 2012

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