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2015 marked the start of our involvement in PINCER, an intervention developed by academics at the University of Nottingham designed to reduce medication errors in primary care. By leveraging information technology and providing targeted support to healthcare providers, the PINCER intervention reduces clinically significant medication errors and enhances patient safety. During 2015-2017, PRIMIS supported the scale and spread of PINCER across the East Midlands, including the introduction of new approaches to searching patient records. In 2016, a short life working group of the World Health Organisation (WHO) recommended the national roll out of PINCER and in 2017, PRIMIS was selected by the Health Foundation to participate in its Exploring Social Franchising programme. Using social franchising as a mechanism for the replication, scale and spread of PINCER paved the way for national roll out.
The national rollout of PINCER, coordinated by PRIMIS in collaboration with the Academic Health Science Network (our franchisees), took place between 2018-2022. During this period, over 23 million patient records were searched using PRIMIS tools and over 1,500 health care professionals were trained by PRIMIS. Findings from the national roll out showed comparable reductions in medication errors to that observed in the original research, demonstrating the successful replication of the intervention at scale.
The adoption of SNOMED CT by GP practices in England in 2020 marked a significant step toward achieving interoperability and standardization in primary care electronic health records. By offering training, technical assistance, tool development and through advocacy efforts, PRIMIS played a key role in promoting the adoption and integration of SNOMED CT.
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