How effective is a computer tool for predicting patients' risk of emergency admission to hospital?

Conditions

All patients from participating GP practices Not Applicable

Helen Snooks, Kerry Bailey-Jones, Deborah Burge-Jones, Jeremy Dale, Jan Davies et al. (23 authors)

Health Services and Delivery Research2018-01-0120 citations

It could be a 'Golden Goose': a qualitative study of views in primary care on an emergency admission risk prediction tool prior to implementation.

Porter A, Kingston MR, Evans BA, Hutchings H, Whitman S, Snooks H.

2016-01-0624 citations

10.1186/s12875-015-0398-3

Predictive risk stratification model: a progressive cluster-randomised trial in chronic conditions management (PRISMATIC) research protocol.

Hutchings HA, Evans BA, Fitzsimmons D, Harrison J, Heaven M, Huxley P, Kingston MR, Lewis L, Phillips C, Porter A, Russell IT, Sewell B, Warm D, Watkins A, Snooks HA.

2013-09-1820 citations

10.1186/1745-6215-14-301

Interventions

Practices that are recruited will begin as 'controls', delivering usual care without Prism. Practices will receive Prism and training randomly

after which they will be able to use Prism with clinical and technical support. The intervention being tested is made up of: Prism software

training for participating practices

clinical support for participating practices provided by two locally appointed 'GP champions', a telephone 'help desk' during working hours

and a user-friendly handbook of guidance on using Prism including links to available Community Resource Teams which work at locality level to provide multi-disciplinary health and social care support

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: Patients: All patients from participating general practices between the ages of 18 and 100 years. Professionals: Prism users (GPs, practice managers) from participating practices, NHS policy makers, NHS commissioners.

Exclusion criteria

Exclusion criteria: Patients: 1. Patients from participating practices less than 18 or more than 100 years of age. 2. Patients screened out by GPs as not to received questionnaires (e.g.patients that lack capacity, those who do not have support to help them complete the questionnaire and patients who may be caused distress by completing the questionnaire). Professionals: Outside study area.

Design outcomes

Primary

Measure	Time frame
Number of emergency admissions per patient and time to first admission	—

Secondary

Measure	Time frame
1. Primary care service use - GP practice events/event days 2. Accident and emergency attendances 3. Community care service use 4. Secondary care inpatient and outpatient episodes (including length of stays) 5. NHS implementation costs 6. Number of Prism users 7. Pattern (including frequency) of Prism use 8. Patient satisfaction 9. Predicted emergency admissions 10. Health related quality of life (SF-12) 11. Within the intervention group and at other sites: 11.1. Technical performance of the Prism tool ? predicted compared to actual emergency admissions 11.2. Practitioner, commissioner and policy maker views about Prism implementation, adoption and effects	—

Measure

Time frame

1. Primary care service use - GP practice events/event days 2. Accident and emergency attendances 3. Community care service use 4. Secondary care inpatient and outpatient episodes (including length of stays) 5. NHS implementation costs 6. Number of Prism users 7. Pattern (including frequency) of Prism use 8. Patient satisfaction 9. Predicted emergency admissions 10. Health related quality of life (SF-12) 11. Within the intervention group and at other sites: 11.1. Technical performance of the Prism tool ? predicted compared to actual emergency admissions 11.2. Practitioner, commissioner and policy maker views about Prism implementation, adoption and effects

—

Countries

United Kingdom

Contacts

Public ContactMark R Kingston

m.r.kingston@swansea.ac.uk+44 (0)1792 606 844

Outcome results

None listed