Development and evaluation of evidence-based medicine ‘DataLabs,’ a range of novel tools for practitioner application of evidence-based practice with real-time provision of clinical comparator performance for nudging practitioner change and prediction of clinical outliers.
This is a new programme, so there are no publications to date but an early demonstrator is www.OpenPrescribing.net a live data service providing real time insights into NHS prescribing data, launched in prototype in December 2015, allowing any user to explore time trends and identify outliers for riskier or less evidence based prescribing. The experimental medicine aspects to the work will be developing novel features, such as 100 standard measures for value, safety, effectiveness and innovation, to evaluate in efficient low cost randomised control trials (RCTs) and interrupted time series analyses. We will design generalisable intelligent outlier detection using novel analytic methods, and automated detection of variation in care. We will experiment with “live data analytics for actionable insights” on routine electronic health record datasets to test if clinical practice change beyond prescribing is possible.
Dr Ben Goldacre, Professor Carl Heneghan, Professor Richard Hobbs
Dr Ben Goldacre, Nuffield Department of Primary Care Health Sciences, Radcliffe Primary Care Building, Radcliffe Observatory Quarter, Woodstock Road, Oxford OX2 6JJ