The aim of the PINCER tool is to identify at-risk patients who are being prescribed drugs that are commonly and consistently associated with medication errors so that corrective action can be taken to reduce the risk of occurrence of these errors.
This tool was developed in partnership with the PINCER Trial team at The University of Nottingham. The PINCER Trial was led by Professor Tony Avery, Professor of General Practice at The University of Nottingham. The NIHR Great Manchester Patient Safety Translational Research Centre medication theme was also involved in the original development of the PINCER intervention. The results of the trial, published in The Lancet (February 2012 - see an abstract online), showed that the PINCER intervention is an effective method for reducing a range of clinically important and commonly made medication errors in primary care.
Implementing the PINCER intervention programme has been identified by government as a ‘must-do’ activity within the next five years for Academic Health Science Networks (AHSNs). The University of Nottingham (including PRIMIS) has been awarded Exploring Social Franchising and Licensing programme funding via the Health Foundation to develop a model for the national roll out of the PINCER intervention programme. Following the success of initial trial, plus smaller scale roll outs in the East Midlands and Wessex AHSNs, this model will be replicated at scale across NHS England. To effectively deliver this ‘scaling up’ programme, the team will work with a range of organisations including Clinical Commissioning Groups (CCGs), pharmacists and pharmacy technicians, GP practices and Royal Colleges as well as AHSNs.
Going forward, a joint working group is looking to unite the indicators into one tool from those that have been included in PINCER tools throughout the programme.
Find out more about medicine safety and effective healthcare research within the Division of Primary Care at the University of Nottingham, including the PINCER Trial:
Medicine safety and effective healthcare research group
The instruction guide for this quality improvement tool is available to full members only and can be found via the 'Description of audit' link on the main CHART screen.
PINCER quick guide
Evidence based summaries
Evidence based summaries for the Health Foundation
This tool includes the option to upload data to CHART Online. This allows GP practices and CCGs to compare and benchmark practice data locally and against CCG and SHA performance.
RCGP Patient Safety Toolkit
The Patient Safety Toolkit for general practice plays an important role in preventing patients from being harmed. This Toolkit consists of a number of tools that allow your practice to look at different aspects of patient safety with a view to making improvements. It covers the following areas of general practice: safe systems, safety culture, communication, patient reported problems, diagnostic safety, prescribing safety.
Please follow the link:
How to use the PINCER quality improvement tool - Dr Sarah Rodgers' (Senior Research Fellow at The University of Nottingham) presentation delivered to Wessex AHSN June 2016:
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