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Table 6 Secondary outcome measures (AO = Admissions outcomes)

From: A cluster randomised stepped wedge trial to evaluate the effectiveness of a multifaceted information technology-based intervention in reducing high-risk prescribing of non-steroidal anti-inflammatory drugs and antiplatelets in primary medical care: The DQIP study protocol

Number

Denominator

Numerator

  

Trigger event plus high-risk prescription

Specific hospital admissions that were preceded by high-risk prescribing

AO-1

Patient time with GI risk factors as defined in PO- measures 1 to 6 (Table 4) #

Number of denominator patients admitted with GI bleeding who had any high risk prescription as defined in PO-measures 1 to 6 (Table 4) in the eight weeks before admission

AO-2

Patient time with heart failure as defined in PO-measure 7 (Table 4) #

Number of denominator patients admitted to hospital for HF - exacerbation who had a high-risk prescription as defined in PO-measure 7 (Table 4) in the eight weeks before admission

AO-3

Patient time with renal risk factors as defined in PO-measures 8 to 9 (Table 4)#

Number of denominator patients admitted to hospital for acute renal failure or with dehydration or diarrhoea (both defined as potentially inappropriate/ambulatory care sensitive admissions) who had any high-risk prescription as defined in PO-measures 8 to 9 (Table 4) in the eight weeks before admission

Specific hospital admissions irrespective of high-risk prescribing

AO-4

Patient time with GI risk factors as defined in PO-measures 1 to 6 (Table 4)#

Number of denominator patients, who are admitted to hospital for GI bleeding

AO-5

Patient time with heart failure as defined in PO-measure 7 (Table 4)#

Number of denominator patients, who are admitted to hospital for HF - exacerbation

AO-6

Patient time with renal risk factors as defined in PO-measures 8 to 9 (Table 4)#

Number of denominator patients, who are admitted to hospital for acute renal failure or with dehydration or diarrhoea (both defined as potentially inappropriate/ambulatory care sensitive admissions)

Any cause hospital admissions

AO-7

Patient time with GI risk factors as defined in PO-measures 1 to 6 (Table 4)#

Number of denominator patients admitted to hospital with any emergency admission

AO-8

Patient time with heart failure as defined in PO-measure 7 (Table 4)#

Number of denominator patients admitted to hospital with any emergency admission

AO-9

Patient time with renal risk factors as defined in PO-measures 8 to 9 (Table 4)#

Number of denominator patients admitted to hospital with any emergency admission

  1. # The denominator is the time that each patient is defined as having risk factors by virtue of age, disease or co-prescribing in the year before the intervention and the year of follow-up. AO measures 1 to 3 consider specific hospital admissions where patient has had a recent high-risk prescription; AO measures 4 to 6 consider specific hospital admissions irrespective of whether or not the patient has a had a recent high-risk prescription; AO measures 7 to 9 consider all emergency admissions