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Exploring why emergency admission risk prediction software increased admissions in Wales
Episode 5216th November 2021 • BJGP Interviews • The British Journal of General Practice
00:00:00 00:17:48

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In this episode we speak to Professor Helen Snooks who is Professor of Health Services Research in the Medical School at Swansea University in Wales.

Paper: Implementing emergency admission risk prediction in general practice: a qualitative study

UK policy has incentivised use of risk prediction stratification in primary care to reduce emergency hospital admissions, despite lack of evidence about process or effect. In a trial evaluating a risk prediction tool (PRISM) in general practice, our team reported increased emergency and hospital admissions. To understand implementation, we interviewed GPs and Practice Managers who reported using PRISM on a small group of high-risk patients. Although they doubted any impact on care, they said PRISM raised their awareness of highest-risk patient groups, which potentially may affect unplanned hospital attendance and admissions.