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Prototype Prescribing Outlier Dashboard for West Pottergate Med Prac

At OpenPrescribing we are piloting a number of data-driven approaches to identify unusual prescribing and collect feedback on this prescribing to inform development of new tools to support prescribers and organisations to audit and review prescribing. These pilot results are provided for the interest of advanced users, although we don't know how relevant they are in practice. There is substantial variation in prescribing behaviours, across various different areas of medicine. Some variation can be explained by demographic changes, or local policies or guidelines, but much of the remaining variation is less easy to explain.

The DataLab is keen to hear your feedback on the results. You can do this by completing the following survey or emailing us at [email protected]. Please DO NOT INCLUDE IDENTIFIABLE PATIENT information in your feedback. All feedback is helpful, you can send short or detailed feedback.

This report has been developed to automatically identify prescribing patterns at a chemical level which are furthest away from “typical prescribing” and can be classified as an “outlier”. We calculate the number of prescriptions for each chemical in the BNF coding system, the count of all prescriptions within that chemical's BNF subparagraph, for prescriptions dispensed between June 2021 and December 2021. We then calculate the ratio of these counts along with the mean and standard deviation of those ratios across all Practices. From this we can calculate the “z-score”, which is a measure of how many standard deviations a given Practice is from the population mean. We then rank your “z-scores” to find the top 10 results where prescribing is an outlier for prescribing higher than its peers and those where it is an outlier for prescribing lower than its peers.

For each outlier chemical, a kernel density estimation plot of all Practice's chemical:subparagraph ratios is provided, with this Practice's ratio overlaid in red.

It is important to remember that this information was generated automatically and it is therefore likely that some of the behaviour is warranted. This report seeks only to collect information about where this variation may be warranted and where it might not, to inform research on this topic. Our full analytical method code is openly available on GitHub here.

This is a new, experimental feature. We'd love to .

Prescribing where West Pottergate Med Prac is higher than most

BNF Chemical Chemical Items BNF Subparagraph Subparagraph Items Ratio Mean std Z_Score Plots
Colestipol hydrochloride 8 Lipid-regulating drugs 2,602 0.00 0.00 0.00 11.61
Levofloxacin 8 Antibacterials 41 0.20 0.01 0.02 11.38
Meptazinol hydrochloride 106 Opioid analgesics 926 0.11 0.00 0.01 10.59
Ibuprofen lysine 5 Non-steroidal anti-inflammatory drugs 532 0.01 0.00 0.00 8.35
Celiprolol hydrochloride 23 Beta-adrenoceptor blocking drugs 1,813 0.01 0.00 0.00 8.19
Pericyazine 127 Antipsychotic drugs 934 0.14 0.00 0.02 6.87
Acarbose 7 Other antidiabetic drugs 244 0.03 0.00 0.00 5.63
Betamethasone sodium phosphate 16 Use of corticosteroids 273 0.06 0.01 0.01 5.61
Trandolapril 30 Angiotensin-converting enzyme inhibitors 1,682 0.02 0.00 0.00 5.23
Rabeprazole sodium 99 Proton pump inhibitors 2,655 0.04 0.00 0.01 5.11

Prescribing where West Pottergate Med Prac is lower than most

BNF Chemical Chemical Items BNF Subparagraph Subparagraph Items Ratio Mean std Z_Score Plots
Combined ethinylestradiol 30mcg 66 Combined hormonal contraceptives 124 0.53 0.81 0.07 -3.86
Baclofen 9 Skeletal muscle relaxants 47 0.19 0.83 0.18 -3.51
Azathioprine 13 Antiproliferative immunosuppressants 75 0.17 0.80 0.19 -3.39
Beclometasone dipropionate 231 Corticosteroids (respiratory) 801 0.29 0.58 0.12 -2.50
Losartan potassium 48 Angiotensin-II receptor antagonists 642 0.07 0.50 0.19 -2.30
Ramipril 530 Angiotensin-converting enzyme inhibitors 1,682 0.32 0.69 0.17 -2.29
Levothyroxine sodium 1,272 Thyroid hormones 1,282 0.99 1.00 0.00 -2.17
Chloramphenicol 24 Antibacterials 41 0.59 0.81 0.11 -2.07
Glucose blood testing reagents 298 Diabetic diagnostic and monitoring agents 341 0.87 0.94 0.03 -2.02
Solifenacin 29 Drugs for urinary frequency enuresis and incontinence 269 0.11 0.33 0.11 -1.97