S de Lusignan

Summary

Affiliation: St George's
Country: UK

Publications

  1. ncbi The optimum granularity for coding diagnostic data in primary care: report of a workshop of the EFMI Primary Care Informatics Working Group at MIE 2005
    Simon de Lusignan
    EFMI Primary Care Informatics Working Group, Primary Care Informatics, Division of Community Health Sciences, St George s University of London, London, UK
    Inform Prim Care 14:133-7. 2006
  2. ncbi The Hayes principles: learning from the national pilot of information technology and core generalisable theory in informatics
    Simon de Lusignan
    Division of Population Health Sciences and Education, St George s University of London, London, UK
    Inform Prim Care 18:73-7. 2010
  3. ncbi An educational intervention, involving feedback of routinely collected computer data, to improve cardiovascular disease management in UK primary care
    S de Lusignan
    Primary Care Informatics, Division of Community Health Sciences, St George s, University of London, London, UK
    Methods Inf Med 46:57-62. 2007
  4. ncbi Audit-based education to reduce suboptimal management of cholesterol in primary care: a before and after study
    S de Lusignan
    Primary Care Informatics, Division of Community Health Sciences, St George s University of London, London SW17 ORE, UK
    J Public Health (Oxf) 28:361-9. 2006
  5. ncbi A study of cardiovascular risk in overweight and obese people in England
    Simon de Lusignan
    Primary Care Informatics, Division of Community Health Sciences, St George s University of London, London, UK
    Eur J Gen Pract 12:19-29. 2006
  6. ncbi Using computers to identify non-compliant people at increased risk of osteoporotic fractures in general practice: a cross-sectional study
    S de Lusignan
    Community Health Sciences, St George s University of London, London, UK
    Osteoporos Int 17:1808-14. 2006
  7. ncbi The roles of policy and professionalism in the protection of processed clinical data: a literature review
    Simon de Lusignan
    Primary Care Informatics, Division of Community Health Sciences, Hunter Wing, St George s Hospital Medical School, London SW17 0RE, UK
    Int J Med Inform 76:261-8. 2007
  8. ncbi The barriers to clinical coding in general practice: a literature review
    S de Lusignan
    St George s Hospital Medical School, London, UK
    Med Inform Internet Med 30:89-97. 2005
  9. ncbi Routinely collected general practice data: goldmines for research? A report of the European Federation for Medical Informatics Primary Care Informatics Working Group (EFMI PCIWG) from MIE2006, Maastricht, The Netherlands
    Simon de Lusignan
    Primary Care Informatics, Department of Community Health Sciences, St George s, University of London, London, UK
    Inform Prim Care 14:203-9. 2006
  10. ncbi Routinely-collected general practice data are complex, but with systematic processing can be used for quality improvement and research
    Simon de Lusignan
    Primary Care Informatics, Division of Community Health Sciences, St George s Hospital Medical School, London, UK
    Inform Prim Care 14:59-66. 2006

Collaborators

Detail Information

Publications94

  1. ncbi The optimum granularity for coding diagnostic data in primary care: report of a workshop of the EFMI Primary Care Informatics Working Group at MIE 2005
    Simon de Lusignan
    EFMI Primary Care Informatics Working Group, Primary Care Informatics, Division of Community Health Sciences, St George s University of London, London, UK
    Inform Prim Care 14:133-7. 2006
    ..The EFMI Primary Care Informatics Working Group held a workshop to explore interventions used across Europe to improve the data quality in primary care computerised medical records...
  2. ncbi The Hayes principles: learning from the national pilot of information technology and core generalisable theory in informatics
    Simon de Lusignan
    Division of Population Health Sciences and Education, St George s University of London, London, UK
    Inform Prim Care 18:73-7. 2010
    ..The Hayes report was written as an independent review of health and social care IT in England...
  3. ncbi An educational intervention, involving feedback of routinely collected computer data, to improve cardiovascular disease management in UK primary care
    S de Lusignan
    Primary Care Informatics, Division of Community Health Sciences, St George s, University of London, London, UK
    Methods Inf Med 46:57-62. 2007
    ..To report the lessons learned from eight years of feeding back routinely collected cardiovascular data in an educational context..
  4. ncbi Audit-based education to reduce suboptimal management of cholesterol in primary care: a before and after study
    S de Lusignan
    Primary Care Informatics, Division of Community Health Sciences, St George s University of London, London SW17 ORE, UK
    J Public Health (Oxf) 28:361-9. 2006
    ..The Primary Care Data Quality (PCDQ) programme is an audit-based educational intervention...
  5. ncbi A study of cardiovascular risk in overweight and obese people in England
    Simon de Lusignan
    Primary Care Informatics, Division of Community Health Sciences, St George s University of London, London, UK
    Eur J Gen Pract 12:19-29. 2006
    ..To report current levels of obesity and associated cardiac risk using routinely collected primary care computer data...
  6. ncbi Using computers to identify non-compliant people at increased risk of osteoporotic fractures in general practice: a cross-sectional study
    S de Lusignan
    Community Health Sciences, St George s University of London, London, UK
    Osteoporos Int 17:1808-14. 2006
    ..National guidelines recommend bisphosphonates for secondary prevention of osteoporotic fractures; however, poor compliance may result in sub-optimal prevention...
  7. ncbi The roles of policy and professionalism in the protection of processed clinical data: a literature review
    Simon de Lusignan
    Primary Care Informatics, Division of Community Health Sciences, Hunter Wing, St George s Hospital Medical School, London SW17 0RE, UK
    Int J Med Inform 76:261-8. 2007
    ..The relevant principles were set out in a treaty of the Council of Europe and subsequent policy has been based on these. However, little has been written about implementing policy and the role of health informaticians in this process...
  8. ncbi The barriers to clinical coding in general practice: a literature review
    S de Lusignan
    St George s Hospital Medical School, London, UK
    Med Inform Internet Med 30:89-97. 2005
    ..A taxonomy is proposed to describe the barriers to clinical coding. This can be used to identify barriers to coding and facilitate the development of strategies to overcome them...
  9. ncbi Routinely collected general practice data: goldmines for research? A report of the European Federation for Medical Informatics Primary Care Informatics Working Group (EFMI PCIWG) from MIE2006, Maastricht, The Netherlands
    Simon de Lusignan
    Primary Care Informatics, Department of Community Health Sciences, St George s, University of London, London, UK
    Inform Prim Care 14:203-9. 2006
    ..Much of European primary care is computerised and many groups of practices pool data for research. Technology is making pooled general practice data widely available beyond the domain within which it is collected...
  10. ncbi Routinely-collected general practice data are complex, but with systematic processing can be used for quality improvement and research
    Simon de Lusignan
    Primary Care Informatics, Division of Community Health Sciences, St George s Hospital Medical School, London, UK
    Inform Prim Care 14:59-66. 2006
    ..Routinely collected data is an underused resource, yet little has been written about the wide range of factors that need to be taken into account if we are to infer meaning from general practice data...
  11. ncbi Relearning the lessons about the implementation of information systems in primary care: a report from the European Federation for Medical Informatics (EFMI) Special Topic Conference 2007 in Croatia
    Simon de Lusignan
    Department of Community Health Sciences, St George s, University of London, London, UK
    Inform Prim Care 15:167-8. 2007
  12. ncbi UK and Croatia: family practice, its medical records and computerisation in the context of an enlarged Europe
    Simon de Lusignan
    Division of Community Health Sciences, St George s, University of London, London, UK
    Inform Prim Care 15:169-73. 2007
    ..They are also progressively computerising family practice. We set out to identify and report where these countries might learn from each other's experience...
  13. doi Creatinine fluctuation has a greater effect than the formula to estimate glomerular filtration rate on the prevalence of chronic kidney disease
    Simon de Lusignan
    Division of Community Health Sciences, St George s, University of London, London, UK
    Nephron Clin Pract 117:c213-24. 2011
    ..This study set out to promote a systematic approach to reporting CKD prevalence...
  14. doi A method of identifying and correcting miscoding, misclassification and misdiagnosis in diabetes: a pilot and validation study of routinely collected data
    S de Lusignan
    St George s University of London, London, UK
    Diabet Med 27:203-9. 2010
    ..The aim of the study was to measure the accuracy of diabetes diagnostic data and explore the scope for identifying errors...
  15. ncbi Using an open source observational tool to measure the influence of the doctor's consulting style and the computer system on the outcomes of the clinical consultation
    Simon de Lusignan
    St George s University of London, London SW17 ORE, UK
    Stud Health Technol Inform 150:1017-21. 2009
    ..ALFA has been used to compare different brands of primary care computer systems; nurse case-load selection and consultation in psychiatry...
  16. pmc The QICKD study protocol: a cluster randomised trial to compare quality improvement interventions to lower systolic BP in chronic kidney disease (CKD) in primary care
    Simon de Lusignan
    Division of Community Health Sciences, St George s University of London, London, SW17 0RE, UK
    Implement Sci 4:39. 2009
    ..Finally, we will conduct an economic evaluation based on a comparison of the cost effectiveness of each intervention. CLINICAL TRIALS REGISTRATION: ISRCTN56023731. ClinicalTrials.gov identifier...
  17. pmc The ALFA (Activity Log Files Aggregation) toolkit: a method for precise observation of the consultation
    Simon de Lusignan
    Biomedical Informatics, Division of Community Health Sciences, St George s University of London, London SW17 0RE, UK
    J Med Internet Res 10:e27. 2008
    ..There is a lack of tools to evaluate and compare Electronic patient record (EPR) systems to inform a rational choice or development agenda...
  18. doi New patient asking for a benzodiazepine prescription
    Simon de Lusignan
    Division of Community Health Sciences, St George s, University of London, London SW17 0RE
    BMJ 337:a658. 2008
  19. doi The development of primary care information technology in the United kingdom
    Simon de Lusignan
    Division of Community Health Sciences, St George s University of London, London, United Kingdom
    J Ambul Care Manage 31:201-10. 2008
    ..This preceded the development of a National Health Service information strategy and an ambitious National Programme for IT...
  20. ncbi Achieving benefit for patients in primary care informatics: the report of a international consensus workshop at Medinfo 2007
    Simon de Lusignan
    Division of Community Health Sciences, St George s University of London, London, UK
    Inform Prim Care 15:255-61. 2007
    ..Landmark reports suggest that sharing health data between clinical computer systems should improve patient safety and the quality of care. Enhancing the use of informatics in primary care is usually a key part of these strategies...
  21. ncbi Quality and variability of osteoporosis data in general practice computer records: implications for disease registers
    S de Lusignan
    Department of Community Health Sciences, St George s Hospital Medical School, London SW17 0RE, UK
    Public Health 119:771-80. 2005
    ..To determine the extent to which routinely collected general practitioner computer data could be used to create disease registers of patients with osteoporosis, and to report any improvement in data quality since previous studies...
  22. ncbi Managers see the problems associated with coding clinical data as a technical issue whilst clinicians also see cultural barriers
    S de Lusignan
    Primary Care Informatics, Department of Community Health Sciences, Hunter Wing, St George s Hospital, Medical School, London SW17 0RE, UK
    Methods Inf Med 42:416-22. 2003
    ..This study set out to examine the barriers to recording structured information in computerised medical records; and to explore whether managers and clinicians had different perspectives in how these barriers should be overcome...
  23. ncbi Development of an assessment tool to measure the influence of clinical software on the delivery of high quality consultations. A study comparing two computerized medical record systems in a nurse run heart clinic in a general practice setting
    S de Lusignan
    Primary Care Informatics, Department of General Practice and Primary Care, St George s Hospital Medical School, London, UK
    Med Inform Internet Med 27:267-80. 2002
    ..With further refinement, this rating scale may become a useful tool that will inform software developers of the effectiveness of their programmes in the consultation, and suggest where they need development...
  24. ncbi A pilot study of radiotelemetry for continuous cardiopulmonary monitoring of patients at home
    S de Lusignan
    Department of General Practice and Primary Care, St George s Hospital Medical School, London, UK
    J Telemed Telecare 6:S119-22. 2000
    ..The system was acceptable to patients and functioned satisfactorily in the home. An important facet of home telemonitoring may turn out to be its greater reliability in collecting objective data...
  25. ncbi Variation in the recording of diabetes diagnostic data in primary care computer systems: implications for the quality of care
    Wendy Rollason
    St George s, University of London, UK
    Inform Prim Care 17:113-9. 2009
    ..However, recent quality based targets for diabetes in the UK only allow for people with Type 1 or Type 2 diabetes to be included in the disease register...
  26. doi Automated identification of miscoded and misclassified cases of diabetes from computer records
    A R Sadek
    Division of Population Health Sciences and Education, St George s University of London, London, UK
    Diabet Med 29:410-4. 2012
    ..To develop a computer processable algorithm, capable of running automated searches of routine data that flag miscoded and misclassified cases of diabetes for subsequent clinical review...
  27. ncbi Compliance and effectiveness of 1 year's home telemonitoring. The report of a pilot study of patients with chronic heart failure
    S de Lusignan
    Department of General Practice and Primary Care, Hunter Wing, St George s Hospital Medical School, SW17 0RE, London, UK
    Eur J Heart Fail 3:723-30. 2001
    ..First, they had a cardiologist's assessment. They were then randomised into telemonitored patients who measured pulse, BP, weight and video consulted, and controls...
  28. ncbi Does a higher 'quality points' score mean better care in stroke? An audit of general practice medical records
    Peter Huw Williams
    St George s Hospital Medical School, London, UK
    Inform Prim Care 14:29-40. 2006
    ..This consists of financially remunerated 'quality points' for specific disease areas, including stroke. Achievement of these quality points is measured by extracting a limited list of computer codes from practice computer systems...
  29. ncbi An educational intervention to improve data recording in the management of ischaemic heart disease in primary care
    Simon de Lusignan
    Primary Care Informatics, Department of General Practice and Primary Care, St George s Hospital Medical School, London SW17 0RE
    J Public Health (Oxf) 26:34-7. 2004
    ..The aim of this study was to examine the effect of an educational intervention on data quality in primary care...
  30. pmc The feasibility of using pattern recognition software to measure the influence of computer use on the consultation
    Simon de Lusignan
    Primary Care Informatics, Department of Community Health Sciences, Hunter Wing, St George s Hospital Medical School, London, SW17 ORE, UK
    BMC Med Inform Decis Mak 3:12. 2003
    ..If this proved possible it would provide, for the first time, an objective quantitative measure of computer use and a measure of the attention and responsiveness of the general practitioner towards the patient...
  31. ncbi An eight-step method for assessing diagnostic data quality in practice: chronic obstructive pulmonary disease as an exemplar
    Edwin R Faulconer
    Primary Care Informatics, Department of Community Health Sciences, St George s Hospital Medical School, London SW17 0RE, UK
    Inform Prim Care 12:243-54. 2004
    ..Its management is shifting from the secondary to the primary care setting. The quality of data is known to vary between practices, and individual practices need to be able to assess their data quality...
  32. ncbi Using three-channel video to evaluate the impact of the use of the computer on the patient-centredness of the general practice consultation
    Alice Theadom
    Primary Care Informatics, Department of Community Health Sciences, Hunter Wing, St George s Hospital Medical School, London SW17 0RE, UK
    Inform Prim Care 11:149-56. 2003
    ..Implications for the three-channel video technique for training, monitoring GP competence and providing feedback are discussed...
  33. ncbi A survey to identify the clinical coding and classification systems currently in use across Europe
    S de Lusignan
    Primary Care Informatics, General Practice and Primary Care, St George s Hospital Medical School, London, SW17 ORE, England
    Stud Health Technol Inform 84:86-9. 2001
    ..We sought to identify what systems are currently used and to what extent they were subject to local adaptation...
  34. ncbi End-digit preference in blood pressure recordings of patients with ischaemic heart disease in primary care
    S de Lusignan
    Primary Care Informatics, Department of Community Health Sciences, St George s Hospital Medical School, London, UK
    J Hum Hypertens 18:261-5. 2004
    ..This is strongly for the end-digit zero. However, there is more use of other end-digits, notably 8 and 5. This bias potentially carries important treatment consequences for this high-risk population...
  35. ncbi The feasibility of using UML to compare the impact of different brands of computer system on the clinical consultation
    Pushpa Kumarapeli
    Primary Care Informatics, Division of Community Health Sciences, St George s University of London, UK
    Inform Prim Care 15:245-53. 2007
    ..Unified Modelling Language (UML) is a standard modelling and specification notation widely used in software engineering...
  36. ncbi Identifying patients with chronic kidney disease from general practice computer records
    Simon de Lusignan
    Primary Care Informatics, Department of Community Health Sciences, Hunter Wing, St George s Hospital Medical School, London SW17 0RE
    Fam Pract 22:234-41. 2005
    ..The New Opportunities for Early Renal Intervention by Computerised Assessment (NEOERICA) project aimed to assess whether people with undiagnosed CKD who might benefit from early intervention could be identified from GP computer records...
  37. ncbi Codes, classifications, terminologies and nomenclatures: definition, development and application in practice
    Simon de Lusignan
    Primary Care Informatics, Department of Community Health Sciences, St George s Hospital Medical School, London, UK
    Inform Prim Care 13:65-70. 2005
    ..The Working Group wishes to encourage shared definitions and an understanding of the practical application of structured data to improve quality in clinical practice...
  38. ncbi Preventing stroke in people with atrial fibrillation: a cross-sectional study
    Simon de Lusignan
    Primary Care Informatics, Department of Community Health Sciences, St George s Hospital Medical School, London SW17 ORE, UK
    J Public Health (Oxf) 27:85-92. 2005
    ..This study set out to identify the patients with atrial fibrillation and modifiable risk factors for stroke...
  39. ncbi Ethnicity recording in general practice computer systems
    P Kumarapeli
    Primary Care Informatics, Division of Community Health Sciences, St George s University of London, London SW17 0RE, UK
    J Public Health (Oxf) 28:283-7. 2006
    ..Ethnicity data in general practice (GP) computerized medical records can be utilized to audit equity in health care...
  40. doi Trends and transient change in end-digit preference in blood pressure recording: studies of sequential and longitudinal collected primary care data
    O N Alsanjari
    Cardiology, Harefield Hospital, Middlesex, UK
    Int J Clin Pract 66:37-43. 2012
    ..End-digit preference (EDP) is a known cause of inaccurate BP recording. Distortion has been reported around pay-for-performance (P4P) indicators...
  41. ncbi Using Unified Modelling Language (UML) as a process-modelling technique for clinical-research process improvement
    P Kumarapeli
    St George s University of London, London UK
    Med Inform Internet Med 32:51-64. 2007
    ..Process modelling provided a rational basis for the critical appraisal of a clinical data processing system; its potential maybe underutilized within health care...
  42. ncbi Using UMLS to map from a library to a clinical classification: Improving the functionality of a digital library
    Judas Robinson
    Primary Care Informatics, Division of Community Health Sciences, St George s, University of London, Cranmer Terrace, London, SW17 0RE
    Stud Health Technol Inform 121:86-95. 2006
    ..Such a mapping would aid healthcare professionals to retrieve relevant data from our digital library as it would enable links between clinical systems and indexed material...
  43. ncbi The use of routinely collected computer data for research in primary care: opportunities and challenges
    Simon de Lusignan
    Primary Care Informatics, Division of Community Health Sciences, St George s Hospital Medical School, London, UK
    Fam Pract 23:253-63. 2006
    ..This paper reviews how data are stored in primary care computer systems; current use of large primary care research databases; and, the opportunities and challenges for using routinely collected primary care data in research...
  44. ncbi Using surrogate markers in primary electronic patient record systems to confirm or refute the diagnosis of diabetes
    Ashkan Bagheri
    St George s, University of London, London, UK
    Inform Prim Care 17:121-9. 2009
    ..However, there is disparity in the prevalence of diabetes found in epidemiological studies compared with that reported through the UK's national quality improvement scheme...
  45. ncbi Specific classification of elibrary resources says more about users' preferences
    Judas Robinson
    St George s, University of London, Cranmer Terrace, London, SW17 0RE
    Stud Health Technol Inform 124:719-24. 2006
    ..Over 1,000 resources in the Primary Care Electronic Library (PCEL - www.pcel.info) were classified with MeSH...
  46. ncbi Three steps to data quality
    Krish Thiru
    St Mary s Hospital NHS Trust, London, UK
    Inform Prim Care 11:95-102. 2003
    ..In an attempt to provide data of adequate quality to support such operational needs, increasing emphasis is being placed on the standardisation of data recording...
  47. ncbi The Primary Care Electronic Library: RSS feeds using SNOMED-CT indexing for dynamic content delivery
    Judas Robinson
    Division of Community Health Sciences, St George s University of London, London, UK
    Inform Prim Care 14:247-52. 2006
    ..The library is thus searchable using MeSH or SNOMED-CT. Our syndicate partner wished to have remote access to PCEL coronary heart disease (CHD) information resources based on SNOMED-CT search terms...
  48. ncbi The role of informatics in continuing professional development and quality improvement in primary care
    S de Lusignan
    Department of Community Health Sciences, St George s Hospital Medical School, London, UK
    J Postgrad Med 49:163-5. 2003
  49. doi Addressing modifiable risk factors for coronary heart disease in primary care: an evidence-base lost in translation
    Safia Debar
    Division of Community Health Sciences, St George s University of London, Cranmer Terrace, London, SW17 0RE, UK
    Fam Pract 27:370-8. 2010
    ..Risk factors for cardiovascular disease can be modified in primary care. Electronic patient record (EPR) systems include embedded cardiovascular risk factor calculators and should facilitate this process...
  50. ncbi Assessing the impact of recording quality target data on the GP consultation using multi-channel video
    Maigaelle V Moulene
    Primary Care Informatics, Division of Community Health Sciences, St George University of London, United Kingdom
    Stud Health Technol Inform 129:1132-6. 2007
    ..In the UK routinely collected computerized clinical data is used to assess progress towards financially incentivised quality targets for chronic disease management including hypertension...
  51. ncbi Are we setting about improving the safety of computerised prescribing in the right way? A workshop report
    Arash Vaziri
    St George s, University of London, London SW17 0RE, UK
    Inform Prim Care 17:175-82. 2009
    ..However, despite the near universal availability of computerised prescribing support in the UK, errors continue...
  52. ncbi Measuring the impact of different brands of computer systems on the clinical consultation: a pilot study
    Charlotte Refsum
    Primary Care Informatics, Division of Community Health Sciences, St George s, University of London, London, UK
    Inform Prim Care 16:119-27. 2008
    ..A new method has been developed for assessing the impact of the computer on doctor-patient interaction through detailed observation of the consultation and computer use...
  53. ncbi Online resources for chronic kidney disease (CKD) for primary care
    Pushpa Kumarapeli
    Primary Care Informatics, St George s University of London, London, UK
    Inform Prim Care 14:139-42. 2006
  54. ncbi A knowledge audit of the managers of primary care organizations: top priority is how to use routinely collected clinical data for quality improvement
    Simon de Lusignan
    Primary Care Informatics, Department of Community Health Sciences, St George s Hospital Medical School, London, UK
    Med Inform Internet Med 30:69-80. 2005
    ..The biggest gap in current knowledge identified is how to perform needs assessment and quality improvement using aggregated routinely collected, general practice computer data...
  55. ncbi The validity of searching routinely collected general practice computer data to identify patients with chronic kidney disease (CKD): a manual review of 500 medical records
    Sobana Anandarajah
    St George s, University of London, London SW17 0RE, UK
    Nephrol Dial Transplant 20:2089-96. 2005
    ..We therefore manually searched through all the records of patients with stages 3-5 CKD in one practice, to test the validity of the computer generated diagnosis and to see if other relevant information was missed by the computer search...
  56. ncbi Introduction to the Primary Care Informatics Working Group of the European Federation for Medical Informatics (EFMI)
    Simon de Lusignan
    EFMI Primary Care Informatics Working Group, Department of Community Health Sciences, Hunter Wing, St George s Hospital Medical School, London SW17 0RE, UK
    Inform Prim Care 11:175-6. 2003
  57. ncbi Comprehensive computerised primary care records are an essential component of any national health information strategy: report from an international consensus conference
    Simon de Lusignan
    European Federation for Medical Informatics EFMI and Primary Care Informatics, Department of Community Health Sciences, St George s Hospital Medical School, London SW17 0RE, UK
    Inform Prim Care 12:255-64. 2004
    ..These principles and examples of their practical application were largely derived from the extensive knowledge base which has been built up in countries that have developed PCI over the last one to two decades...
  58. ncbi The Primary Care Electronic Library (PCEL) five years on: open source evaluation of usage
    Judas Robinson
    Primary Care Informatics, St George s University of London, London, UK
    Inform Prim Care 13:271-80. 2005
    ..Site development requires an understanding of usage; this paper reports the use of open source tools to evaluate usage. This evaluation was conducted during a six-month period of development of PCEL...
  59. ncbi A system of metadata to control the process of query, aggregating, cleaning and analysing large datasets of primary care data
    Jeremy van Vlymen
    Primary Care Informatics, St George s University of London, London, UK
    Inform Prim Care 13:281-91. 2005
    ..These variables are not just single columns of data--all are extracted as code plus date, while others are code-date-value. Metadata has the potential to improve the reliability of processing large datasets...
  60. ncbi Commentary: Improve the quality of the consultation
    Simon de Lusignan
    Primary Care Informatics, Department of Community Health Sciences, Hunter Wing, St George s Hospital Medical School, London SW17 0RE
    BMJ 326:202-6. 2003
  61. pmc What is primary care informatics?
    Simon de Lusignan
    Primary Care Informatics, Department of Community Health Sciences, Hunter Wing, St George s Hospital Medical School, London SW17 0RE, England
    J Am Med Inform Assoc 10:304-9. 2003
    ..Primary care informatics is defined as a science and as a subset of health informatics. The proposed definition is intended to focus the development of a generalizable core theory for this informatics subspecialty...
  62. ncbi Abnormal lipids in high-risk patients achieving cholesterol targets: a cross-sectional study of routinely collected UK general practice data
    Jonathan Belsey
    Primary Care Informatics, Division of Community Health Sciences, St George s University of London, London, UK
    Curr Med Res Opin 24:2551-60. 2008
    ..This analysis explores what proportion of the UK population with cardiovascular disease (CVD) and TC levels at or below target may still be at risk because of residual dyslipidaemia...
  63. pmc Does feedback improve the quality of computerized medical records in primary care?
    Simon de Lusignan
    St George s Hospital Medical School, London, UK
    J Am Med Inform Assoc 9:395-401. 2002
    ..Data quality markers are collated and fed back to the participating general practitioners. The authors examined whether this feedback had a significant effect on data quality...
  64. ncbi Web-based health applications provide useful and cost-effective tools; however, they should include key clinical variables and incorporate a coding or classification system
    Simon de Lusignan
    Primary Care Informatics, Department of Community Health Sciences, St George s Hospital Medical School, London, UK
    Inform Prim Care 13:42-4. 2005
  65. ncbi Variation in clinical coding lists in UK general practice: a barrier to consistent data entry?
    Tracy Waize Tai
    St George s, University of London, UK
    Inform Prim Care 15:143-50. 2007
    ..Routinely collected general practice computer data are used for quality improvement; poor data quality including inconsistent coding can reduce their usefulness...
  66. pmc Quality-improvement strategies for the management of hypertension in chronic kidney disease in primary care: a systematic review
    Hugh Gallagher
    Division of Community Health Sciences, HunterWing, St George s, University of London, London SW17 0RE
    Br J Gen Pract 60:e258-65. 2010
    ..However, no systematic review has been conducted to explore the effectiveness of quality-improvement interventions to lower blood pressure in people with CKD...
  67. ncbi Problems with primary care data quality: osteoporosis as an exemplar
    Simon de Lusignan
    Primary Care Informatics, Department of Community Health Sciences, St George s Hospital Medical School, London, UK
    Inform Prim Care 12:147-56. 2004
    ..To report problems implementing a data quality programme in osteoporosis...
  68. pmc How ready is general practice to improve quality in chronic kidney disease? A diagnostic analysis
    Iain Crinson
    St Georges, University of London, London
    Br J Gen Pract 60:403-9. 2010
    ....
  69. doi Miscoding, misclassification and misdiagnosis of diabetes in primary care
    S de Lusignan
    Department of Health Care Management and Policy, Faculty of Business, Economics and Law, University of Surrey, Guildford, UK
    Diabet Med 29:181-9. 2012
    ..To determine the effectiveness of self-audit tools designed to detect miscoding, misclassification and misdiagnosis of diabetes in primary care...
  70. ncbi An informatics benchmarking statement
    K Pigott
    Biomedical Informatics, Division of Community Health Sciences, St George s University of London, London SW17 ORE, UK
    Methods Inf Med 46:394-8. 2007
    ..George's has developed a first benchmarking statement - which defines the skills knowledge and understanding a biomedical informatics student should acquire by the time they complete the course...
  71. pmc The National Health Service and the internet
    Simon de Lusignan
    Primary Care Informatics, Department of Community Health Sciences, Hunter Wing, St George s Hospital Medical School, London SW17 0RE, UK
    J R Soc Med 96:490-3. 2003
  72. ncbi Lessons from the implementation of a near patient anticoagulant monitoring service in primary care
    Simon de Lusignan
    Primary Care Informatics, Department of Community Health Sciences, St George s Hospital Medical School, London, UK
    Inform Prim Care 12:27-33. 2004
    ..To evaluate the implementation of a primary care, nurse-led, near patient anticoagulant monitoring service...
  73. ncbi A knowledge-management model for clinical practice
    S de Lusignan
    Primary Care Informatics, Department of Community Health Sciences, St George s Hospital Medical School, London SW17 0RE, UK
    J Postgrad Med 48:297-303. 2002
  74. ncbi Reducing coronary risk by raising HDL-cholesterol: risk modelling the addition of nicotinic acid to existing therapy
    Jonathan Belsey
    Primary Care Informatics, Division of Community Health Sciences, St George s University of London, London, UK
    Curr Med Res Opin 24:2703-9. 2008
    ..This study set out to model the impact of nicotinic acid therapy on cardiovascular risk in these patients, based on Framingham risk assessments on a cohort of patients drawn from UK general practitioner records...
  75. ncbi Prescribing support software recommends more expensive prescriptions
    Simon de Lusignan
    Division of Community Health Sciences, St George s University of London, UK
    Inform Prim Care 16:61-2. 2008
  76. ncbi Do primary care professionals work as a team: a qualitative study
    Adrienne Shaw
    Department of Community Health Sciences, St George s Hospital Medical School, London, UK
    J Interprof Care 19:396-405. 2005
    ..It highlights the need for more sustained educational and quality improvement initiatives to encourage greater collaboration and understanding between healthcare professionals...
  77. pmc General practitioners believe that hypnotherapy could be a useful treatment for irritable bowel syndrome in primary care
    Stephen Cox
    Gillets Surgery, Deanland Road, Balcome, West Sussex, RH17 6PH, UK
    BMC Fam Pract 5:22. 2004
    ..Irritable bowel syndrome is a common condition in general practice. It occurs in 10 to 20% of the population, but less than half seek medical assistance with the complaint...
  78. ncbi Developing primary care informatics
    Simon de Lusignan
    Inform Prim Care 16:1-2. 2008
  79. ncbi The cost of implementing UK guidelines for the management of chronic kidney disease
    Bernhard Klebe
    Department of Renal Medicine, Kent and Canterbury Hospital, East Kent Hospitals NHS Trust, and Computing Laboratory, University of Kent, Canterbury, Kent CT1 3NG, UK
    Nephrol Dial Transplant 22:2504-12. 2007
    ..In the UK, guidelines have been developed to facilitate case identification and management. Our aim was to estimate the annualized cost of implementation of the guidelines on newly identified CKD cases...
  80. ncbi Biomedical Informatics: developing university, healthcare and industrial partnerships
    Simon de Lusignan
    Inform Prim Care 14:255-6. 2006
  81. ncbi Breaking the first law of informatics: the Quality and Outcomes Framework (QOF) in the dock
    Simon de Lusignan
    Inform Prim Care 14:153-6. 2006
  82. ncbi Kidney disease management in UK primary care: guidelines, incentives and information technology
    Bernhard Klebe
    Department of Renal Medicine, Kent and Canterbury Hospital, Ethelbert Road, Canterbury, Kent, CT1 3NG
    Fam Pract 24:330-5. 2007
    ..Many principles may be extended to the management of any chronic disease. While new developments are necessary to improve care, wider implementation is required to be able to see if improved outcomes are achieved...
  83. ncbi Moving to paperlessness: a case study from a large general practice
    Stephen Carr-Bains
    The Student Health Centre, University of Surrey, Guildford GU2 7XH, UK
    Inform Prim Care 11:157-63; discussion 163-5. 2003
    ..The practice is now fit to be part of any move towards integration of records within its local health community, and can demonstrate from its computer records that it meets the quality targets for primary care...
  84. ncbi Management of cardiovascular risk factors in people with diabetes in primary care: cross-sectional study
    Alide Petri
    Department of Primary Care and Social Medicine, Imperial College Faculty of Medicine, Charing Cross Campus, Reynolds Building, St Dunstan s Road, London W6 8RP, UK
    Public Health 120:654-63. 2006
    ..The management of cardiovascular risk factors in people with diabetes in primary care was compared with National Institute of Clinical Excellence guidelines...
  85. ncbi A model for patient-centred nurse consulting in primary care
    Simon de Lusignan
    Department of General Practice and Primary Care, St George s Hospital Medical School, London
    Br J Nurs 12:85-90. 2003
    ..The model was developed as part of a research project on the influence of customized computer software used on nurse consultations with patients with heart disease...
  86. pmc Chronic kidney disease: a new priority for primary care
    Gabriela B Gomez
    Br J Gen Pract 56:908-10. 2006
  87. pmc e-Prescribing, efficiency, quality: lessons from the computerization of UK family practice
    Charles P Schade
    West Virginia Medical Institute, Charleston, WV 25304, USA
    J Am Med Inform Assoc 13:470-5. 2006
    ..These features include electronic prescribing, improved quality and consistency of care, practice efficiencies that have both timesaving and revenue generating effects, and potential shielding from malpractice claims...
  88. ncbi UK's National Programme for IT welcomes recommendation for a more sociotechnical approach to evaluation: a commentary on the Greenhalgh evaluation of the summary care record
    Simon de Lusignan
    Inform Prim Care 16:75-7. 2008
  89. ncbi Does screening for loss of lung function help smokers give up?
    Sally Wells
    Department of Community Health Science, St George s Hospital Medical School, London
    Br J Nurs 12:744-50. 2003
    ..Further research is needed to discover whether such an intervention would be cost-effective...
  90. ncbi An evaluation of general practice websites in the UK
    Alistair Howitt
    Warders Medical Centre, East Street, Tonbridge, Kent TN9 1LA, UK
    Fam Pract 19:547-56. 2002
    ..Previously developed rating instruments to assess medical websites have been criticized for failing to report their reliability and validity...
  91. ncbi Nurses and IT: a survey of use among community clinical staff
    Tom Chan
    Surrey and Hampshire Borders NHS Trust, Frimley, Surrey
    Prof Nurse 19:449-52. 2004
    ..Provision of IT was poor across all the staff studied, with health visitors and community nurses lagging slightly behind others. The reasons for the low levels of use need further research so that barriers to using IT can be overcome...
  92. ncbi Why general practitioners do not implement evidence. Learning environments must be created that capitalise on teams' wealth of knowledge
    Simon de Lusignan
    BMJ 324:674. 2002
  93. pmc The effectiveness of blood tests in detecting secondary osteoporosis or mimicking conditions in postmenopausal women
    Alun Cooper
    Bridge Medical Centre, Crawley, West Sussex
    Br J Gen Pract 52:311-3. 2002
    ..Only three of these patients (2.8%) had blood test results that revealed a potential secondary cause. The rates of positive findings are low; further research is needed to see if they are justified in postmenopausal women...
  94. ncbi Overcoming the barriers to using information systems
    Tom Chan
    Surrey Hampshire Borders NHS Trust
    Nurs Times 100:44-6. 2004
    ..To identify any barriers to the use of information technology by community nurses, such as poor access, insufficient time and a lack of appropriate skills...