Research Topics
| Simon de LusignanSummaryAffiliation: University of Surrey Country: UK Publications
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Detail Information
Publications
Association of anaemia in primary care patients with chronic kidney disease: cross sectional study of quality improvement in chronic kidney disease (QICKD) trial dataOlga Dmitrieva
Department of Health Care Management and Policy, University of Surrey, Guildford, Surrey, GU2 7XH, UK
BMC Nephrol 14:24. 2013..Anaemia is a known risk factor for cardiovascular disease and treating anaemia in chronic kidney disease (CKD) may improve outcomes. However, little is known about the scope to improve primary care management of anaemia in CKD...
Conducting requirements analyses for research using routinely collected health data: a model driven approachSimon de Lusignan
Department of Health Care Management and Policy, University of Surrey, UK
Stud Health Technol Inform 180:1105-7. 2012....- Disparities in testing for renal function in UK primary care: cross-sectional studySimon de Lusignan
Department of Health Care Policy and Management, School of Management, University of Surrey, Guildford GU2 7XH, UK
Fam Pract 28:638-46. 2011..4%, respectively. CKD is largely asymptomatic, detected following renal function testing and important because associated with increased mortality and morbidity, especially in people with diabetes and proteinuria... - Business Process Modelling is an Essential Part of a Requirements Analysis. Contribution of EFMI Primary Care Working GroupS de Lusignan
Department of Health Care Management and Policy, University of Surrey, Guildford, Surrey, UK E mail
Yearb Med Inform 7:34-43. 2012..To perform a requirements analysis of the barriers to conducting research linking of primary care, genetic and cancer data... - Defining datasets and creating data dictionaries for quality improvement and research in chronic disease using routinely collected data: an ontology-driven approachSimon de Lusignan
Primary Care and Clinical Informatics, Department of Health Care Management and Policy, University of Surrey, Guildford, UK
Inform Prim Care 19:127-34. 2011..The burden of chronic disease is increasing, and research and quality improvement will be less effective if case finding strategies are suboptimal... - Quality achievement and disease prevalence in primary care predicts regional variation in renal replacement therapy (RRT) incidence: an ecological studyNeil Dhoul
Peninsula College of Medicine and Dentistry, Universities of Exeter and Plymouth, Plymouth, UK
Nephrol Dial Transplant 27:739-46. 2012..Financially, incentivized quality initiatives for primary care include pay-for-performance (P4P) in DM and HT. Our aim was to examine any effect of disease prevalence and P4P on RRT incidence and regional variation... - What are the barriers to conducting international research using routinely collected primary care data?Simon de Lusignan
Primary Care Informatics, St George s University of London, London, UK
Stud Health Technol Inform 165:135-40. 2011..Primary care is computerized with routine data recorded at the point or care. Secondary use of these data includes: genetic study, epidemiology and clinical trials. However, there are relatively few international studies... - Key Concepts to Assess the Readiness of Data for International Research: Data Quality, Lineage and Provenance, Extraction and Processing Errors, Traceability, and Curation. Contribution of the IMIA Primary Health Care Informatics Working GroupS de Lusignan
Clinical Informatics, Department of Health Care Management and Policay, School of Management, University of Surrey, Guildford GU2 7XH, Tel 44 1483 683089 Fax 44 1483 301132 E mail Web www clininf eu
Yearb Med Inform 6:112-20. 2011..To define the key concepts which inform whether a system for collecting, aggregating and processing routine clinical data for research is fit for purpose... 
Detecting referral and selection bias by the anonymous linkage of practice, hospital and clinic data using Secure and Private Record Linkage (SAPREL): case study from the evaluation of the Improved Access to Psychological Therapy (IAPT) serviceSimon de Lusignan
Department of Health Care Management and Policy, University of Surrey, Guildford, GU2 7XH, UK
BMC Med Inform Decis Mak 11:61. 2011..However, researchers do not have permission to browse and link these data without the patients' consent...- A study of cardiovascular risk in overweight and obese people in EnglandSimon 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... - Using three-channel video to evaluate the impact of the use of the computer on the patient-centredness of the general practice consultationAlice 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... - Routinely-collected general practice data are complex, but with systematic processing can be used for quality improvement and researchSimon 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... - Consistent data recording across a health system and web-enablement allow service quality comparisons: online data for commissioning dermatology servicesOlga Dmitrieva
Clinical Informatics and Health Outcomes Research Group, Department of Health Care Management and Policy, University of Surrey, Guildford, GU2 7XH, UK
Stud Health Technol Inform 174:84-8. 2012..Standardized datasets collected across large health enterprises when web enabled can readily benchmark local services and inform commissioning decisions... - The ALFA (Activity Log Files Aggregation) toolkit: a method for precise observation of the consultationSimon 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... - Addressing modifiable risk factors for coronary heart disease in primary care: an evidence-base lost in translationSafia 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... - Confidence and quality in managing CKD compared with other cardiovascular diseases and diabetes mellitus: a linked study of questionnaire and routine primary care dataMohammad A Tahir
Primary Care Informatics, Division of Public Health Sciences and Education, St George s University of London, Cranmer Terrace, London SW17 0RE, UK
BMC Fam Pract 12:83. 2011..Our objective is to compare practitioner confidence and achievement of quality indicators for CKD with hypertension and diabetes... - 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 consultationSimon 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... - The Primary Care Electronic Library: RSS feeds using SNOMED-CT indexing for dynamic content deliveryJudas Robinson
Division of Community Health Sciences, St George's - University of London, London, UK
Inform Prim Care 14:247-52. 2006..This method could be utilised dynamically to supply digital library resources to a clinical system with SNOMED-CT data used as the standard of reference... - Creatinine fluctuation has a greater effect than the formula to estimate glomerular filtration rate on the prevalence of chronic kidney diseaseSimon 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... - The feasibility of using UML to compare the impact of different brands of computer system on the clinical consultationPushpa 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... - A system for solution-orientated reporting of errors associated with the extraction of routinely collected clinical data for research and quality improvementGeorgios Michalakidis
Department of Computing, University of Surrey, Guildford, UK
Stud Health Technol Inform 160:724-8. 2010..We extract, pseudonymise and link data from heterogeneous distributed databases; inevitably encountering errors and problems... - Preventing stroke in people with atrial fibrillation: a cross-sectional studySimon 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... - Abnormal lipids in high-risk patients achieving cholesterol targets: a cross-sectional study of routinely collected UK general practice dataJonathan 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... - Problems with primary care data quality: osteoporosis as an exemplarSimon 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... - Referral to a new psychological therapy service is associated with reduced utilisation of healthcare and sickness absence by people with common mental health problems: a before and after comparisonSimon de Lusignan
Department of Health Care Management and Policy, University of Surrey, Guildford, UK
J Epidemiol Community Health 66:e10. 2012..This is the first study to look at the impact of IAPT on health service utilisation and sickness absence using routine data... - Lessons from the English National Programme for IT about structure, process and utilityMatthew Swindells
Global Consulting, Cerner, London, UK
Stud Health Technol Inform 174:17-22. 2012..Learning the lessons from the UK and other large system deployments might enable other countries to leap to the forefront of health care computing... - 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 NetherlandsSimon 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... - Using surrogate markers in primary electronic patient record systems to confirm or refute the diagnosis of diabetesAshkan 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... - Online resources for chronic kidney disease (CKD) for primary carePushpa Kumarapeli
Primary Care Informatics, St George's - University of London, London, UK
Inform Prim Care 14:139-42. 2006 - The use of routinely collected computer data for research in primary care: opportunities and challengesSimon de Lusignan
Primary Care Informatics, Division of Community Health Sciences, St George s Hospital Medical School, London, UK
Fam Pract 23:253-63. 2006..However, gaps exist in the literature about how to find relevant data, select appropriate research methods and ensure that the correct inferences are drawn... - Does a higher 'quality points' score mean better care in stroke? An audit of general practice medical recordsPeter 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... - An eight-step method for assessing diagnostic data quality in practice: chronic obstructive pulmonary disease as an exemplarEdwin 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..The sensitivity of the use of the diagnostic code was 79%, and the positive predictive value 75.3%. CONCLUSIONS: The method provides a tool to help practices and localities assess their diagnostic data quality... - The roles of policy and professionalism in the protection of processed clinical data: a literature reviewSimon 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... - Measuring the impact of different brands of computer systems on the clinical consultation: a pilot studyCharlotte 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... - UK and Croatia: family practice, its medical records and computerisation in the context of an enlarged EuropeSimon 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... - Data-modelling and visualisation in chronic kidney disease (CKD): a step towards personalised medicineNorman Poh
Centre for Vision, Speech and Signal Processing CVSSP, University of Surrey, Guildford, Surrey, UK
Inform Prim Care 19:57-63. 2011..In chronic kidney disease (CKD) at the population level there is steady decline in renal function with increasing age; and progressive CKD has been defined as marked variation from this rate of decline... - Triumph of hope over experience: learning from interventions to reduce avoidable hospital admissions identified through an Academic Health and Social Care NetworkVictoria Woodhams
Department of Health Care Management and Policy, University of Surrey, Guildford, GU2 7XH, UK
BMC Health Serv Res 12:153. 2012..Reducing avoidable use of expensive secondary care services, especially high cost admissions where no procedure is carried out, has become a focus for the commissioners of healthcare... - Codes, classifications, terminologies and nomenclatures: definition, development and application in practiceSimon 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... - A system of metadata to control the process of query, aggregating, cleaning and analysing large datasets of primary care dataJeremy van Vlymen
Primary Care Informatics, St George's-University of London, London, UK
Inform Prim Care 13:281-91. 2005..This paper sets out to demystify our data processing method and makes the PCDQ metadata system available to clinicians and data processors who might wish to adopt it... - Procuring interoperability at the expense of usability: a case study of UK National Programme for IT assurance processPaul Krause
Software Engineering, University of Surrey, Guildford, Surrey, UK
Stud Health Technol Inform 155:143-9. 2010..The UK's National Programme for IT has made great strides in achieving interoperability; through linkage to a national electronic spine. However, there has been criticism of the usability of the applications in the clinical environment... - The Primary Care Electronic Library (PCEL) five years on: open source evaluation of usageJudas Robinson
Primary Care Informatics, St George's-University of London, London, UK
Inform Prim Care 13:271-80. 2005..CONCLUSIONS: Open source tools provide useful data which can be used to evaluate online resources. Improving the functionality of PCEL has been associated with increased use... - The development of primary care information technology in the United kingdomSimon 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... - Reducing coronary risk by raising HDL-cholesterol: risk modelling the addition of nicotinic acid to existing therapyJonathan 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... - Web-based health applications provide useful and cost-effective tools; however, they should include key clinical variables and incorporate a coding or classification systemSimon 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 - Using UMLS to map from a library to a clinical classification: Improving the functionality of a digital libraryJudas 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... - A knowledge audit of the managers of primary care organizations: top priority is how to use routinely collected clinical data for quality improvementSimon 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... - Using routinely collected data to evaluate a leaflet campaign to increase the presentation of people with memory problems to general practice: a locality based controlled studyTom Chan
Division of Population Health Sciences and Education, St George s University of London, London, UK
Inform Prim Care 18:189-96. 2010..The Alzheimer's Society wished to raise awareness that people with memory problems may benefit from early assessment and diagnosis, so that appropriate measures could be put in place and management improved... - The Hayes principles: learning from the national pilot of information technology and core generalisable theory in informaticsSimon 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... - Three steps to data qualityKrish 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... - The optimum granularity for coding diagnostic data in primary care: report of a workshop of the EFMI Primary Care Informatics Working Group at MIE 2005Simon 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... - The QICKD study protocol: a cluster randomised trial to compare quality improvement interventions to lower systolic BP in chronic kidney disease (CKD) in primary careSimon 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... - The feasibility of using pattern recognition software to measure the influence of computer use on the consultationSimon 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... - Lessons from the implementation of a near patient anticoagulant monitoring service in primary careSimon 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... - Moving to paperlessness: a case study from a large general practiceStephen 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... - Defining datasets and creating data dictionaries for quality improvement and research in chronic disease using routinely collected data: an ontology-driven approachSimon de Lusignan
Professor of Primary Care and Clinical Informatics, Department of Health Care Management and Policy, University of Surrey, Guildford, UK
Inform Prim Care 19:127-34. 2012..The burden of chronic disease is increasing, and research and quality improvement will be less effective if case finding strategies are suboptimal... - Using routine data to conduct small area health needs assessment through observing trends in demographics, recording of common mental health problems (CMHPs) and sickness certificates: longitudinal analysis of a northern and London localityTom Chan
Department of Health Care Management and Policy, University of Surrey, Guildford, UK
Inform Prim Care 18:273-82. 2010..Many practices in the UK have computerised information dating back to the 1990s. These health records provide contemporaneous collected longitudinal data for analysis of health trends and their management in primary care over time... - Achieving benefit for patients in primary care informatics: the report of a international consensus workshop at Medinfo 2007Simon 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... - Physician assistants in English primary care teams: a surveyVari M Drennan
Faculty of Health and Social Care Sciences, St George s University of London and Kingston University, London, UK
J Interprof Care 26:416-8. 2012..The scope of the survey was limited and questions remain as to patient and professional responses to a new professional group within English primary care... - Variability in selecting patients to manage in the community: a service evaluation of community matron's case-finding strategiesSharon Hall
Division of Population Health Sciences and Education, St George s University of London, UK
Fam Pract 28:414-21. 2011..Computerized scoring systems have been developed to help with case finding... - Low-cost three-channel video for assessment of the clinical consultationIan Sheeler
St George s University of London, London, UK
Inform Prim Care 15:25-31. 2007..It is now affordable as well as feasible to use a budget set-up three-channel video system for training clinicians and assessing the impact of the computer on the consultation... - Do primary care professionals work as a team: a qualitative studyAdrienne 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... - 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 CroatiaSimon de Lusignan
Department of Community Health Sciences, St George's, University of London, London, UK
Inform Prim Care 15:167-8. 2007 - A simple approach to improve recording of concerns about child maltreatment in primary care records: developing a quality improvement interventionJenny Woodman
UCL Institute of Child Health, MRC Centre of Epidemiology for Child Health and Centre for Evidence Based Child Health, London
Br J Gen Pract 62:e478-86. 2012..Information is lacking on how concerns about child maltreatment are recorded in primary care records... - 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... - The National Health Service and the internetSimon 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