The aim of the PINCER quality improvement 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.
If the result of running the quality improvement tool identifies any gaps in the practice’s information management procedures these will need to be addressed to improve the future quality of data in the patient’s electronic records and ultimately improve patient safety.
The latest version of the PINCER quality improvement tool (July 2015) was updated to search solely for currently registered patients so that only existing potential prescribing errors are highlighted, in order to better support practices in identifying trends in potential prescribing errors by providing clearer contemporary results.
This quality improvement 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.
Please note: This popular tool was originally freely available to all PRIMIS Hub users from February 2013 to July 2015 at which time funding to support its delivery ceased. PRIMIS recognised that to withdraw the PINCER audit tool availability would potentially impact on practices and localised medicines optimisation programmes alike but has had to introduce a cost to cover hosting and maintenance. The addition of CHART Online functionality has been included within this latest version.
The PINCER tool was commissioned by the University of Nottingham’s PINCER research team and the original version of the tool searched on all patients from the practice list, including those that had left or had died. This allowed retrospective analysis of all patient records.
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
A twelve month licence for the PINCER tool can be purchased either individually or as a bulk purchase on behalf of a number of practices.
Obtaining help and information
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
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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