Simon de Lusignan

Summary

Affiliation: University of Surrey
Country: UK

Publications

  1. pmc Evaluating tools to support a new practical classification of diabetes: excellent control may represent misdiagnosis and omission from disease registers is associated with worse control
    N Hassan Sadek
    Department of Health Care Management and Policy, Surrey University, Guildford, UK Department of Health Sciences, University of Leicester, Leicester, UK
    Int J Clin Pract 66:874-82. 2012
  2. pmc Informatics as tool for quality improvement: rapid implementation of guidance for the management of chronic kidney disease in England as an exemplar
    Simon de Lusignan
    Department of Health Care Management and Policy, University of Surrey, Guildford, UK
    Healthc Inform Res 19:9-15. 2013
  3. doi Getting on with your computer is associated with job satisfaction in primary care: entrants to primary care should be assessed for their competency with electronic patient record systems
    Simon de Lusignan
    Primary Care and Clinical Informatics, Department of Health Care Management and Policy, University of Surrey GUILDFORD Surrey GU2 7XH, UK
    Inform Prim Care 21:i-iii. 2013
  4. pmc Audit-based education lowers systolic blood pressure in chronic kidney disease: the Quality Improvement in CKD (QICKD) trial results
    Simon de Lusignana
    Department of Health Care Management and Policy, University of Surrey, Guildford, UK
    Kidney Int 84:609-20. 2013
  5. pmc Predicting the prevalence of chronic kidney disease in the English population: a cross-sectional study
    Benjamin Kearns
    School of Health and Related Research, University of Sheffield, Sheffield S1 4DA, UK
    BMC Nephrol 14:49. 2013
  6. pmc The contribution of physician assistants in primary care: a systematic review
    Mary Halter
    Faculty of Health and Social Care Sciences, Kingston University and St George s, University of London, Cranmer Terrace, London SW17 0RE, UK
    BMC Health Serv Res 13:223. 2013
  7. ncbi The Evidence-base for Using Ontologies and Semantic Integration Methodologies to Support Integrated Chronic Disease Management in Primary and Ambulatory Care: Realist Review. Contribution of the IMIA Primary Health Care Informatics WG
    H Liyanage
    University of Surrey, Clinical Informatics and Health Outcomes Research Group, Department of Health Care Policy and Management, Guildford, Surrey GU2 7XH, United Kingdom E mail
    Yearb Med Inform 8:147-54. 2013
  8. pmc Improving the management of people with a family history of breast cancer in primary care: before and after study of audit-based education
    Imran Rafi
    Division of Population Health Sciences and Education, St George s, University of London, Cranmer Terrace, London SW17 0RE, UK
    BMC Fam Pract 14:105. 2013
  9. ncbi A comparison of English and French approaches to providing patients access to Summary Care Records: scope, consent, cost
    Simon de Lusignan
    Clinical Informatics, University of Surrey, Guildford, UK
    Stud Health Technol Inform 186:61-5. 2013
  10. pmc Referral for psychological therapy of people with long term conditions improves adherence to antidepressants and reduces emergency department attendance: controlled before and after study
    Simon de Lusignan
    Department of Health Care Management and Policy, University of Surrey, Guildford GU2 7XH, UK
    Behav Res Ther 51:377-85. 2013

Detail Information

Publications94

  1. pmc Evaluating tools to support a new practical classification of diabetes: excellent control may represent misdiagnosis and omission from disease registers is associated with worse control
    N Hassan Sadek
    Department of Health Care Management and Policy, Surrey University, Guildford, UK Department of Health Sciences, University of Leicester, Leicester, UK
    Int J Clin Pract 66:874-82. 2012
    ..To conduct a service evaluation of usability and utility on-line clinical audit tools developed as part of a UK Classification of Diabetes project to improve the categorisation and ultimately management of diabetes...
  2. pmc Informatics as tool for quality improvement: rapid implementation of guidance for the management of chronic kidney disease in England as an exemplar
    Simon de Lusignan
    Department of Health Care Management and Policy, University of Surrey, Guildford, UK
    Healthc Inform Res 19:9-15. 2013
    ..A realist review of how informatics has been a mechanism for national implementation of guidance for the improved management of CKD...
  3. doi Getting on with your computer is associated with job satisfaction in primary care: entrants to primary care should be assessed for their competency with electronic patient record systems
    Simon de Lusignan
    Primary Care and Clinical Informatics, Department of Health Care Management and Policy, University of Surrey GUILDFORD Surrey GU2 7XH, UK
    Inform Prim Care 21:i-iii. 2013
    ....
  4. pmc Audit-based education lowers systolic blood pressure in chronic kidney disease: the Quality Improvement in CKD (QICKD) trial results
    Simon de Lusignana
    Department of Health Care Management and Policy, University of Surrey, Guildford, UK
    Kidney Int 84:609-20. 2013
    ..Thus, individuals receiving ABE are more likely to achieve a lower blood pressure than those receiving only usual practice. The findings should be interpreted with caution due to the wide confidence intervals. ..
  5. pmc Predicting the prevalence of chronic kidney disease in the English population: a cross-sectional study
    Benjamin Kearns
    School of Health and Related Research, University of Sheffield, Sheffield S1 4DA, UK
    BMC Nephrol 14:49. 2013
    ..We carried out this study to develop a model to predict the prevalence of CKD using a large English primary care dataset which includes previously undiagnosed cases of CKD...
  6. pmc The contribution of physician assistants in primary care: a systematic review
    Mary Halter
    Faculty of Health and Social Care Sciences, Kingston University and St George s, University of London, Cranmer Terrace, London SW17 0RE, UK
    BMC Health Serv Res 13:223. 2013
    ..Objective: This systematic review aimed to appraise the evidence of the contribution of PAs within primary care, defined for this study as general practice, relevant to the UK or similar systems...
  7. ncbi The Evidence-base for Using Ontologies and Semantic Integration Methodologies to Support Integrated Chronic Disease Management in Primary and Ambulatory Care: Realist Review. Contribution of the IMIA Primary Health Care Informatics WG
    H Liyanage
    University of Surrey, Clinical Informatics and Health Outcomes Research Group, Department of Health Care Policy and Management, Guildford, Surrey GU2 7XH, United Kingdom E mail
    Yearb Med Inform 8:147-54. 2013
    ..Ontologies have the capability to enable formalised linkage of heterogeneous data sources as might be found across the elements of the CCM...
  8. pmc Improving the management of people with a family history of breast cancer in primary care: before and after study of audit-based education
    Imran Rafi
    Division of Population Health Sciences and Education, St George s, University of London, Cranmer Terrace, London SW17 0RE, UK
    BMC Fam Pract 14:105. 2013
    ..We reviewed the evidence for interventions that might be applied in primary care and conducted an audit of whether low risk women are correctly advised and flagged...
  9. ncbi A comparison of English and French approaches to providing patients access to Summary Care Records: scope, consent, cost
    Simon de Lusignan
    Clinical Informatics, University of Surrey, Guildford, UK
    Stud Health Technol Inform 186:61-5. 2013
    ..The French system is still in operation but much criticized for its high costs and low uptake. The design of these systems does not appear to have met patients' needs or been readily integrated into physicians workflow...
  10. pmc Referral for psychological therapy of people with long term conditions improves adherence to antidepressants and reduces emergency department attendance: controlled before and after study
    Simon de Lusignan
    Department of Health Care Management and Policy, University of Surrey, Guildford GU2 7XH, UK
    Behav Res Ther 51:377-85. 2013
    ..Referral to psychological therapies is recommended for people with common mental health problems (CMHP) however its impact on healthcare utilisation in people with long term conditions (LTCs) is not known...
  11. ncbi Call for consistent coding in diabetes mellitus using the Royal College of General Practitioners and NHS pragmatic classification of diabetes
    Simon de Lusignan
    Department of Health Care Management and Policy, University of Surrey, Guildford, UK
    Inform Prim Care 20:103-13. 2012
    ..New practical guidelines for diabetes provide an applicable classification. Inconsistent coding of diabetes hampers the use of computerised disease registers for quality improvement, and limits the monitoring of disease trends...
  12. doi Disparities in testing for renal function in UK primary care: cross-sectional study
    Simon 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...
  13. ncbi Conducting requirements analyses for research using routinely collected health data: a model driven approach
    Simon de Lusignan
    Department of Health Care Management and Policy, University of Surrey, UK
    Stud Health Technol Inform 180:1105-7. 2012
    ....
  14. ncbi Business Process Modelling is an Essential Part of a Requirements Analysis. Contribution of EFMI Primary Care Working Group
    S 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...
  15. ncbi Defining datasets and creating data dictionaries for quality improvement and research in chronic disease using routinely collected data: an ontology-driven approach
    Simon 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...
  16. ncbi 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...
  17. doi Quality achievement and disease prevalence in primary care predicts regional variation in renal replacement therapy (RRT) incidence: an ecological study
    Neil 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...
  18. ncbi 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 Group
    S de Lusignan
    IMIA Primary Healthcare Working Group Co Chair, Primary Care and Clinical Informatics, University of Surrey, UK
    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...
  19. pmc 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) service
    Simon 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...
  20. 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...
  21. 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...
  22. 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...
  23. 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...
  24. ncbi Consistent data recording across a health system and web-enablement allow service quality comparisons: online data for commissioning dermatology services
    Olga 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...
  25. 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...
  26. pmc Confidence and quality in managing CKD compared with other cardiovascular diseases and diabetes mellitus: a linked study of questionnaire and routine primary care data
    Mohammad 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...
  27. ncbi 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...
  28. 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...
  29. 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...
  30. 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...
  31. ncbi Developing a survey instrument to assess the readiness of primary care data, genetic and disease registries to conduct linked research: TRANSFoRm International Research Readiness (TIRRE) survey instrument
    Emily Leppenwell
    Department of Health Care Management and Policy, University of Surrey, Guildford, UK
    Inform Prim Care 20:207-16. 2012
    ..We performed a requirements analysis which identified a wide range of data and business process requirements that need to be met before linking primary care and either genetic or disease registry data...
  32. 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...
  33. ncbi Lessons from the English National Programme for IT about structure, process and utility
    Matthew 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...
  34. 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...
  35. 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...
  36. 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...
  37. 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...
  38. 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...
  39. 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
  40. 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
    ....
  41. 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...
  42. 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...
  43. ncbi A system for solution-orientated reporting of errors associated with the extraction of routinely collected clinical data for research and quality improvement
    Georgios 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...
  44. 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...
  45. doi 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 comparison
    Simon 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...
  46. 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...
  47. pmc Serum phosphate as a risk factor for cardiovascular events in people with and without chronic kidney disease: a large community based cohort study
    Andrew Peter McGovern
    Department of Health Care Management and Policy, University of Surrey, Guildford, United Kingdom
    PLoS ONE 8:e74996. 2013
    ..We investigate this relationship in people with and without CKD in a large community-based population...
  48. ncbi Falls in the elderly were predicted opportunistically using a decision tree and systematically using a database-driven screening tool
    Meena Rafiq
    Department of Health Care Management and Policy, University of Surrey, Guildford, Surrey, GU2 7XH, UK Electronic address
    J Clin Epidemiol 67:877-86. 2014
    ....
  49. pmc Association of anaemia in primary care patients with chronic kidney disease: cross sectional study of quality improvement in chronic kidney disease (QICKD) trial data
    Olga 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...
  50. 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...
  51. 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...
  52. 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...
  53. 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...
  54. 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...
  55. 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...
  56. 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...
  57. 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...
  58. pmc Triumph of hope over experience: learning from interventions to reduce avoidable hospital admissions identified through an Academic Health and Social Care Network
    Victoria 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...
  59. ncbi The provision and impact of online patient access to their electronic health records (EHR) and transactional services on the quality and safety of health care: systematic review protocol
    Freda Mold
    University of Surrey, Guildford, UK
    Inform Prim Care 20:271-82. 2012
    ....
  60. pmc Association of chronic kidney disease (CKD) and failure to monitor renal function with adverse outcomes in people with diabetes: a primary care cohort study
    Andrew P McGovern
    Department of Healthcare Management and Policy, University of Surrey, Guildford, UK
    BMC Nephrol 14:198. 2013
    ..We investigate the relationship between CKD stage, proteinuria, hypertension and these adverse outcomes in the people with diabetes. We also study the outcomes of people who did not have monitoring of renal function...
  61. 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...
  62. ncbi Clinicians were oblivious to incorrect logging of test dates and the associated risks in an online pathology application: a case study
    Amber Appleton
    Department of Health Care Management and Policy, University of Surrey, Guildford, UK
    Inform Prim Care 20:241-7. 2012
    ..UK primary care physicians receive their laboratory test results electronically. This study reports a computerised physician order entry (CPOE) system error in the pathology test request date that went unnoticed in family practices...
  63. 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...
  64. ncbi Agile exploration of electronic health records with application to comparing the quality of blood pressure control in pay-for-performance targets in a cross-sectional study
    Norman Poh
    Department of Computing, University of Surrey, GU2 7XH, UK
    Stud Health Technol Inform 192:82-6. 2013
    ..Data for research questions were available in <1hour instead of longer times previously required through use of an SQL database. ..
  65. 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...
  66. ncbi Data-modelling and visualisation in chronic kidney disease (CKD): a step towards personalised medicine
    Norman 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...
  67. ncbi Procuring interoperability at the expense of usability: a case study of UK National Programme for IT assurance process
    Paul 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...
  68. 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...
  69. ncbi 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...
  70. 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...
  71. 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...
  72. pmc Diabetes screening after gestational diabetes in England: a quantitative retrospective cohort study
    Andrew McGovern
    Department of Healthcare Management and Policy, University of Surrey, Guildford
    Br J Gen Pract 64:e17-23. 2014
    ..Substantial regional differences were identified among rates of follow-up. CONCLUSION Monitoring of females after GDM is markedly suboptimal despite current recommendations. ..
  73. 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...
  74. 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
  75. 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...
  76. 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...
  77. ncbi 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 study
    Tom 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...
  78. 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...
  79. 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...
  80. pmc Using the computer in the clinical consultation; setting the stage, reviewing, recording, and taking actions: multi-channel video study
    Pushpa Kumarapeli
    School of Computing and Information Systems, Kingston University London, Kingston upon Thames, Surrey, UK
    J Am Med Inform Assoc 20:e67-75. 2013
    ..Electronic patient record (EPR) systems are widely used. This study explores the context and use of systems to provide insights into improving their use in clinical practice...
  81. ncbi Accelerating the development of an information ecosystem in health care, by stimulating the growth of safe intermediate processing of health information (IPHI)
    Harshana Liyanage
    Department of Computing, University of Surrey, Guildford, UK
    Inform Prim Care 20:81-6. 2012
    ..However, most importantly, they should pilot new methods of improving quality and safety through the intermediate processing of health data...
  82. 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...
  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 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...
  85. ncbi Defining datasets and creating data dictionaries for quality improvement and research in chronic disease using routinely collected data: an ontology-driven approach
    Simon 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...
  86. ncbi 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 locality
    Tom 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...
  87. ncbi Physician assistants in English primary care teams: a survey
    Vari 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...
  88. doi Variability in selecting patients to manage in the community: a service evaluation of community matron's case-finding strategies
    Sharon 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...
  89. ncbi Low-cost three-channel video for assessment of the clinical consultation
    Ian 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...
  90. 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...
  91. 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
  92. pmc A simple approach to improve recording of concerns about child maltreatment in primary care records: developing a quality improvement intervention
    Jenny 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...
  93. 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
  94. 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...