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Polypharmacy Indicators

The average number of unique medicines prescribed per patient - for patients  ≥85 years old

Percentage of patients prescribed 8≥ unique medicines and ≥85 years old

Percentage of patients with an anticholinergic burden score of 6 or more aged 75 and over

Percentage of patients prescribed medicines likely to cause Acute Kidney Injury DAMN drugs

Percentage of patients prescribed a NSAID and ≥ 1 other unique medicines likely to cause kidney injury (DAMN drugs)

Percentage of patients prescribed multiple anticoagulant regimes}

Gastrointestinal Bleed Risk Indicators

Patients ≥65 years old prescribed a NSAID and NOT concurrently prescribed a gastro-protective medicine

Patients ≥18 years old prescribed a NSAID and concurrently prescribed an oral anticoagulant (warfarin or NOAC)

Patients ≥18 years old prescribed an oral anticoagulant (NOAC) with an anti-platelet and NOT concurrently prescribed a gastroprotective medicine

Patients ≥18 years old prescribed aspirin and another antiplatelet and NOT concurrently prescribed a gastro-protective medicine

Composite Gastro Intestinal Bleeds comprising of unique patients from indicators 1 to 4

Total volumes of oral NSAIDS (ADQs per STARPU)

The following indicators relate to West of England AHSN only

High dose ICS Inhaled Corticosteriod items as a % of all ICS items

The proportion of patients receiving 5 or fewer prescription items of ICS LABA products over 12 months

Asthma patients patients prescribed 6 or more SABA inhalers over 12 months