Version: 1.0.0 | Published: 10 Apr 2024 | Updated: 409 days ago
Documentation
Description:
Background. The Healthcare Safety Investigation Branch (HSIB) published a report in 2020 reviewing the need to have a better method of identifying and preventing medication errors. 237 million medications errors occur in England per year. 5% of hospital admissions are related to medication errors, side effects or drug/drug interactions. Older patients, those with multiple long-term conditions and polypharmacy are most likely to experience the worse outcomes from medicine related harm. This dataset provides highly detailed medicine prescribing, indication, administration and patient outcome data, focusing on hospitalised patients in acute care.
PIONEER geography. The West Midlands (WM) has a population of 5.9 million and includes a diverse ethnic and socio-economic mix.
EHR. UHB is one of the largest NHS Trusts in England, providing direct acute services and specialist care across four hospital sites, with 2.2 million patient episodes per year, 2750 beds and an expanded 250 ITU bed capacity during COVID. UHB runs a fully electronic healthcare record (EHR) (PICS; Birmingham Systems), a shared primary and secondary care record (Your Care Connected) and a patient portal “My Health”.
Scope: All hospitalised patients in UHB Acute Medicine (AMU) and Emergency Departments (ED) from November 2017 to October 2020, curated to focus on medicines reconciliation. Longitudinal and individually linked, so that the preceding and subsequent health journey can be mapped and healthcare utilisation prior to and after admission understood. The dataset includes highly granular patient demographics and co-morbidities taken from ICD-10. Serial, structured data pertaining to acute care process (timings and wards). Along with presenting complaints, physiology readings (NEWS 2 and SEWS score). Includes all prescribed treatments, drug history, medication history and pharmacy interventions.
Available supplementary data: Matched controls; ambulance, OMOP data, synthetic data.
Available supplementary support: Analytics, Model build, validation and refinement; A.I.; Data partner support for ETL (extract, transform & load) process, Clinical expertise, Patient & end-user access, Purchaser access, Regulatory requirements, Data-driven trials, “fast screen” services.
Coverage
Spatial:
United Kingdom, England, West Midlands
Typical Age Range:
18-110
Follow Up:
1 - 10 YEARS
Physical Sample Availability:
NOT AVAILABLE
Pathway:
Data is representative of the multi-ethnicity population within the West
Midlands (42% non white). Data includes all patients admitted during this
timeframe, with National data Opt Outs applied, and therefore is representative
of admissions to secondary care. Data focuses on in-patient stay in hospital
during the acute episode but can be supplemented on request to include previous
and subsequent hospital contacts (including outpatient appointments) and
ambulance, 111, 999 data.
Provenance
Origin
Purposes:
CARE
Sources:
EPR
Collection Situations:
- ACCIDENT AND EMERGENCY
- IN-PATIENTS
Temporal
Accrual Periodicity:
QUARTERLY
Distribution Release Date:
15 February 2022
Start Date:
01 November 2017
End Date:
01 October 2020
Time Lag:
OTHER
Accessibility
Access
Access Service:
Trusted Research Environments (TRE) are built using Microsoft Azure services and
hosted in the UK to provide research teams a safe, secure and agile environment
which allows users to quickly analyse, interpret and form an enriched view of
primary care information through a range of integrated datasets. Health data
collated from multiple sources is ingested into a secure data lake which will
then allow subsets of data to be made available to research teams on approval of
a data request. Once approved a customer specific TRE is made available with a
standard set of leading analytical tools from Microsoft including Azure
Databricks, Azure Machine Learning, Azure SQL and Azure Synapse (for large-scale
data warehouses). Specific tools can be provided at an additional cost over the
standard platform data access charge and the PIONEER team will work with you to
determine your exact needs. Access to the TRE is managed using the latest
virtual desktop technology to provide a safe and secure end-user experience. By
utilising leading edge design PIONEER are able to create TREs rapidly to enable
us to service any customer requirement.
Access Request Cost:
www.pioneerdatahub.co.uk/data/data-services-costs/
Delivery Lead Time:
1-2 MONTHS
Jurisdictions:
GB-ENG
Data Controller:
University Hospitals Birmingham NHS Foundation Trust
Data Processor:
NOT APPLICABLE
Usage
Data Use Limitations:
RESEARCH USE ONLY
Data Use Requirements:
PROJECT SPECIFIC RESTRICTIONS
Resource Creators:
- This publication uses data from PIONEER
- an ethically approved database and analytical environment (East Midlands Derby Research Ethics 20/EM/0158)
Format and Standards
Vocabulary Encoding Schemes:
ICD10
Conforms To:
LOCAL
Languages:
en
Formats:
SQL
Enrichment and Linkage
Derivations:
Not Available
Observations
Statistical Population
Population Description
Population Size
Measured Property
Observation Date
Events
79,287 admissions from AMU and ED between 01-11-2017 and 01-10-2020
79287
Count
15 February 2022