How Cerner can help
Cerner’s UK health network team provide data-driven transformation services leveraging the Cerner suite of population health and healthcare technology solutions to support improved medicines management and safety across ICSs and PCNs.
- Identification of system-level prescribing use cases and mapped data sources
- Cerner-powered medicines management and safety improvement programmes including person-level case finding tools to support point of care management improved patient engagement
- Cerner-powered medicines use and variation analysis, including PCN educational outreach and service evaluation
1. OECD (2020), Realising the Potential of Primary Health Care, OECD Health Policy Studies, OECD Publishing, Paris.
7. NHS (2020) Delivering a net zero national health service. London. NHS
8. Audit and feedback effects on professional practice and patient outcomes (including some digital interventions): https://www.cochrane.org/CD000259/EPOC_audit-and-feedback-effects-on-professional-practice-and-patient-outcomes. A Cochrane review of 140 randomised trials found that audit and feedback produced a median 4.3% absolute improvement (interquartile range 0.5% to 16%) in health and care professionals’ compliance with desired practice, such as recommended investigations or prescribing.12 These improvement gains from audit and feedback may appear modest, but “cumulative incremental gains through repeated audit cycles can deliver transformative change” across large health and care systems.
9. Cost-effectiveness of an electronic audit and feedback intervention to improve medication safety using electronic health records and quasi-experimental methods: https://www.valueinhealthjournal.com/article/S1098-3015(20)31050-0/abstract
10. Insights from a qualitative process evaluation of a pharmacist-led electronic audit and feedback intervention to improve medication safety in primary care: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0205419
11. A systematic review of electronic audit and feedback: intervention effectiveness and use of behaviour change theory: https://link.springer.com/content/pdf/10.1186/s13012-017-0590-z.pdf. Three of seven studies found a positive effect of the e-A&F intervention on the quality of care but heterogeneity of other studies made average effects unreliable.
12. Effects of computer-aided clinical decision support systems in improving antibiotic prescribing by primary care providers: Two systematic reviews: https://pubmed.ncbi.nlm.nih.gov/25125688/ and https://www.sciencedirect.com/science/article/abs/pii/S0149291819300566
13. Computerised interventions designed to reduce potentially inappropriate prescribing in hospitalised older adults: a systematic review and meta-analysis; https://academic.oup.com/ageing/article/47/5/670/5035018
14. A pharmacist-led information technology intervention for medication errors (PINCER): a multi-centre, cluster randomised, controlled trial and cost-effectiveness analysis: https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(11)61817-5/fulltext
15. Impact of integrating pharmacists into primary care teams on health systems indicators: a systematic review: https://bjgp.org/content/69/687/e665
16. Clinical and budget impacts of changes in oral anticoagulation prescribing for atrial fibrillation: https://heart.bmj.com/content/early/2020/10/27/heartjnl-2020-317006