Right Decision Service pilot concludes

The Digital Health & Care Innovation Centre (DHI) has concluded its pilot of the Right Decision Service, delivering patient-specific, high risk prescribing decision support, in primary care systems in 12 practices in NHS Lothian and NHS Tayside.

The results show that clinicians strongly endorse the future roll-out of the platform.

The pilot gives a direct message that the decision support platform is clinically valuable and improves patient safety.

This affirmation of clinical benefit is accompanied by clear recommendations for maximising impact in a wider roll-out.

82% of pilot participants found the platform helpful in identifying and helping to mitigate potential harm to patients and wish to continue using the decision support service.

They highlighted many examples of patient safety issues mitigated by the platform, including:

• Identifying a patient with atrial fibrillation who should have been on anticoagulation
• Stopping apixaban in a patient also taking aspirin
• Stopping anti-hypertensives in patients with low blood pressure
• Initiating a review of diabetic medicines in patients with improved HbA1c
• Enabling review of patients without of range electrolytes
• Identifying the use of corticosteroids without bone protection

The decision support team is now implementing the recommendations from the pilot as part of the UK CA marking process, prior to a wider roll-out.

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