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Prototype Prescribing Outlier Dashboard for Dr Rk Kukar, Parkview Ctr For H&W

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 Dr Rk Kukar, Parkview Ctr For H&W is higher than most

BNF Chemical Chemical Items BNF Subparagraph Subparagraph Items Ratio Mean std Z_Score Plots
Zonisamide 64 Control of epilepsy 306 0.21 0.01 0.01 25.06
Primidone 28 Control of epilepsy 306 0.09 0.00 0.01 14.80
Clobazam 39 Control of epilepsy 306 0.13 0.01 0.01 11.39
Fluvoxamine maleate 6 Selective serotonin re-uptake inhibitors 293 0.02 0.00 0.00 10.77
Reboxetine 8 Other antidepressant drugs 209 0.04 0.00 0.00 10.61
Fluocinonide 2 Topical corticosteroids 84 0.02 0.00 0.00 8.77
Compound alginates and proprietary indigestion preparations 1 Compound Alginates and proprietary indigestion preparations 28 0.04 0.00 0.00 7.74
Metoprolol tartrate 40 Beta-adrenoceptor blocking drugs 529 0.08 0.01 0.01 7.66
Glycopyrronium bromide 5 Antispasmodic and other drugs altering gut motility 21 0.24 0.02 0.03 7.47
Nifedipine 145 Calcium-channel blockers 746 0.19 0.03 0.02 7.45

Prescribing where Dr Rk Kukar, Parkview Ctr For H&W is lower than most

BNF Chemical Chemical Items BNF Subparagraph Subparagraph Items Ratio Mean std Z_Score Plots
Neomycin sulfate 1 Nasal preparations for infection 4 0.25 0.84 0.14 -4.29
Citalopram hydrobromide 16 Selective serotonin re-uptake inhibitors 293 0.05 0.32 0.08 -3.14
Pregabalin 8 Control of epilepsy 306 0.03 0.27 0.08 -3.10
Midazolam hydrochloride 0 Drugs used in status epilepticus 9 0.00 0.80 0.28 -2.82
    Morphine sulfate 0 Opioid analgesics 83 0.00 0.20 0.08 -2.62
      Alginic acid compound preparations 27 Compound Alginates and proprietary indigestion preparations 28 0.96 1.00 0.01 -2.56
      Chloramphenicol 8 Antibacterials 15 0.53 0.81 0.11 -2.54
      Amoxicillin 101 Broad-spectrum penicillins 148 0.68 0.85 0.07 -2.53
      Hyoscine butylbromide 1 Antispasmodic and other drugs altering gut motility 21 0.05 0.33 0.12 -2.47
      Carbamazepine 0 Control of epilepsy 306 0.00 0.07 0.03 -2.44