Process Mining in Primary Care: Avoiding Adverse Events Due to Hazardous Prescribing...The 17th World Congress of Medical and Health Informatics, 25-30 August 2019, Lyon, France

Process mining helps healthcare professionals understand processes within healthcare. While often used in secondary care, there is little work in process mining using primary care data. Serious adverse events that result from hazardous prescribing are common and costly. For example, nonsteroidal ant...

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Publicado en:Studies in Health Technology & Informatics Vol. 264; pp. 447 - 452
Autores principales: Williams, Richard, Ashcroft, Darren M., Brown, Benjamin, Rojas, Eric, Peek, Niels, Johnson, Owen
Formato: proceedings research tables/charts Journal Article
Publicado: Sage Publications Inc. 2019
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2019
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        atl: Process Mining in Primary Care: Avoiding Adverse Events Due to Hazardous Prescribing...The 17th World Congress of Medical and Health Informatics, 25-30 August 2019, Lyon, France
      aug:
        au:
          Williams, Richard
          Ashcroft, Darren M.
          Brown, Benjamin
          Rojas, Eric
          Peek, Niels
          Johnson, Owen
        affil: NIHR Greater Manchester Patient Safety Translational Research Centre, University of Manchester, Manchester, UK
      sug:
        subj:
          Inappropriate Prescribing Adverse Effects
          Adverse Drug Event Prevention and Control
          Data Mining
          Primary Health Care
          Patient Safety
          Human
          Congresses and Conferences France
          France
          Funding Source
          Antiinflammatory Agents, Non-Steroidal Adverse Effects
          Platelet Aggregation Inhibitors Adverse Effects
          Gastrointestinal Hemorrhage Risk Factors
          Health Care Costs
          United Kingdom
          Gastrointestinal Hemorrhage Prevention and Control
          Aged
          Aged, 80 and Over
          Male
          Female
          Decision Making, Clinical
          Decision Support Systems, Clinical
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: Process mining helps healthcare professionals understand processes within healthcare. While often used in secondary care, there is little work in process mining using primary care data. Serious adverse events that result from hazardous prescribing are common and costly. For example, nonsteroidal anti-inflammatory drugs (NSAIDs) and antiplatelets can cause gastro-intestinal bleeds (GiBs). Prescribing typically occurs during primary care; therefore we used this setting to attempt process mining. We extracted events (drug started, drug stopped, GiB) for understanding three prescribing pathways, and applied process mining. We found NSAIDs are often short-term prescriptions whereas antiplatelets are often long-term. This perhaps explains our finding that coprescription of gastro-protection is more prevalent for antiplatelets than NSAIDs. We identified reasons why primary care data is harder to process mine and proposed solutions. Process mining primary care data is possible and likely useful for improving patient safety and reducing costs.
      pubtype: Academic Journal
      doctype:
        proceedings
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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