A5103153302- Pharmaceutical Practices and Patient Outcomes
- Health Systems, Economic Evaluations, Quality of Life
- Medication Adherence and Compliance
- Pharmaceutical studies and practices
- Patient Safety and Medication Errors
- Pharmaceutical Economics and Policy
- Healthcare Operations and Scheduling Optimization
- Cardiac, Anesthesia and Surgical Outcomes
- Antibiotic Use and Resistance
- Heart Failure Treatment and Management
- Frailty in Older Adults
- Patient-Provider Communication in Healthcare
- Chronic Disease Management Strategies
- Digital Mental Health Interventions
- Pharmacy and Medical Practices
- Hemodynamic Monitoring and Therapy
- Bipolar Disorder and Treatment
- Healthcare Quality and Management
- Blood Pressure and Hypertension Studies
- Delphi Technique in Research
- Technology Use by Older Adults
- Mobile Health and mHealth Applications
- Emergency and Acute Care Studies
Northern Health and Social Care Trust
2020-2022
Queen's University Belfast
2004-2018
Queens University
2015-2017
Abstract Rationale, aims and objectives To determine whether an increased input by clinical pharmacists at each stage of the patient’s hospital journey, from admission through discharge, resulted in enhanced level patient care as measured a number economic outcomes. Methods This project was designed to address medicines management issues patients deemed risk drug‐related problems. During project, these latter time were randomly assigned integrated (IMM) service group ( n = 371) or regular...
Background Inappropriate use of multiple medicines (inappropriate polypharmacy) is a major challenge in older people with consequences increased prevalence and severity adverse drug reactions interactions, reduced adherence. The aim this study was to determine the levels consensus amongst key stakeholders European Union (EU) relation aspects management polypharmacy people. Methods Forty-six statements were developed on healthcare structures, processes desired outcomes, defined at ≥ 80%...
Abstract Rationale, Aims, and Objectives Pharmaceutical care involves patient‐centred pharmacist activity to improve medicines management by patients. The implementation of this service in a comprehensive manner, however, requires considerable organisation effort, indeed, it is often not fully implemented settings. main objective was assess how pharmaceutical provision within community pharmacy has evolved over time Europe. Method A cross‐sectional questionnaire‐based survey pharmacies,...
Background Multimorbidity and its associated polypharmacy contribute to an increase in adverse drug events, hospitalizations, healthcare spending. This study aimed address: what exists regarding management the European Union (EU); why programs were, or were not, developed; and, how identified initiatives developed, implemented, sustained. Methods Change principles (Kotter) normalization process theory (NPT) informed data collection analysis. Nine case studies conducted eight EU countries:...
Background: The Smart & Healthy Ageing through People Engaging in Supportive Systems (SHAPES) Innovation Action comprised 36 partners across 14 countries to build, deploy and pilot an EU-standardised open platform integrating a range of technological, organisational, clinical, educational societal Digital Solutions support healthy independent living older adults at home. Aim: SHAPES explored 7 themes including ‘Medicine control optimisation’ represented by this pilot, which aimed improve...
Introduction: Inappropriate polypharmacy and adherence impact adversely on both population health quality of life system burden costs. The EU-funded SIMPATHY project identified recommendations to manage in Europe, building the implementation a Scottish programme addressing inappropriate prescribing prevent medication-related harm. iSIMPATHY ( implementing Stimulating innovation Management Polypharmacy Adherence Through Years) sought implement these findings Scotland, Northern Ireland...
Aims To implement pharmacist‐led, postdischarge telephone follow‐up (TFU) intervention and to evaluate its impact on rehospitalization parameters in polypharmacy patients, via comparison with a well‐matched control group. Method Pragmatic, prospective, quasi‐experimental study. Intervention patients were matched by propensity score techniques Guided results from pilot study, clinical pharmacists implemented TFU intervention, added routine integrated medicines management service. Results...
Sub-optimal medicines use is a challenge globally, contributing to poorer health outcomes, inefficiencies and waste. The Medicines Optimisation Innovation Centre (MOIC) was established in Northern Ireland by the Department of Health (DH) 2015 support implementation Quality Framework.
Abstract Rationale, aims and objectives Previous service development work in the area of integrated medicines management (IMM) has demonstrated clear quality improvements a targeted group patients within hospital Northern Ireland. In order to determine whether this programme could be transferable routine practice thereby assess its generalizability, research been carried out quantify health care benefits incorporating concept IMM as clinical practice. Method The was delivered all eligible...
Abstract Rational, aims and objective The aim of the present study was to compare ease use capability four approaches [Medication Appropriateness Index (MAI), Beers' criteria 2003, Improved Prescribing in Elderly Tool (IPET) Health Plan Employer Data Information Set (HEDIS)] assessing changes medication appropriateness elderly patients over a period hospitalization. Methods A retrospective observational two hospitals Northern Ireland using measures undertaken, involving cohort 192 (aged >...
Abstract Background Changing demographics across the UK has led to general practitioners (GPs) managing increasing numbers of older patients with multi-morbidity and resultant polypharmacy. Through government initiatives within National Health Service, an number GP practices employ pharmacist support. The purpose this study is evaluate impact a medicines optimisation intervention, delivered by practice-based pharmacists, at risk medication-related problems (MRPs), on patient outcomes...
Abstract Background There is a major drive within healthcare to reduce patient readmissions, from care and cost perspectives. Pharmacist-led innovations have been demonstrated enhance outcomes. Objective To assess the impact of post-discharge, pharmacist-led medicines optimisation clinic on readmission parameters. Assessment economic, clinical humanistic outcomes were considered. Setting Respiratory cardiology wards in district general hospital Northern Ireland. Method Randomised, controlled...
People generally need more support as they grow older to maintain healthy and active lifestyles. Older people living with chronic conditions are particularly dependent on healthcare services. Yet, in an increasingly digital society, there is a danger that efforts drive innovations eHealth will neglect the needs of those who depend most—our ageing population. The SHAPES (Smart Healthy Ageing through Engaging Supportive Systems) Innovation Action aims create open European platform facilitates...
Abstract Rationale, aims and objectives This study aimed to determine the value of using a mix clinical pharmacy data routine hospital admission spell in development predictive algorithms. Exploration risk factors hospitalized patients, together with targeting strategies devised, will enable prioritization services optimize patient outcomes. Methods Predictive algorithms were developed number detailed steps 75% sample integrated medicines management ( IMM ) validated remaining 25%. patients...
Background: In an environment of ageing population, with patients exhibiting multiple co-morbidities and taking drugs, as well attending emergency departments preventable admissions, the project team aimed to implement evaluate nursing home outreach clinics. Objectives: To demonstrate benefit holding consultant pharmacist-led medication review clinics in homes; improve appropriateness assess if a reduction number hospital admissions was achievable. Methods: Patients were reviewed homes. Data...
Medication adherence, one of the most important aspects in process optimal medicines use, is unfortunately still a major challenge modern healthcare, and further research required into how adherence can be assessed optimised. The aim this study was to use combined method approach self-report dried blood spot (DBS) sampling coupled with population pharmacokinetic (PopPK) modelling, assess metformin adult patients type 2 diabetes. Further aims were exposure levels patients, determine factors...
<h3>Objective</h3> To determine if the introduction of patient bedside medicine lockers leads to a safer and faster administration round. <h3>Methods</h3> The undisguised observer technique was utilised observe round on four wards, two medical wards in Antrim Area Hospital (AAH) surgical Causeway (CH), both before after lockers. All non-intravenous administrations during morning medicines were observed timed Medicine errors (MAEs), time taken reasons for delays recorded analysed....
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field integrated care on a continuous basis.IJIC has Impact Factor 2.913 (2021 JCR, received June 2022)The IJIC 20th Anniversary Issue was published 2021.
Introduction: Polypharmacy and medication adherence in the older population are significant public health issues throughout European Union (EU), critical integrated care. SIMPATHY (Stimulating Innovation Management of Adherence The Elderly) is a consortium 10 organizations representing 8 EU countries with goal stimulating innovation around polypharmacy adherence, ultimately providing tools for policy makers to adopt new programs addressing this issue into existing healthcare systems.Methods:...
Background: The iSIMPATHY (implementing Stimulating Innovation in the Management of Polypharmacy and Adherence Through Years) team is conducting person-centred medication reviews using a 7-step review tool focusing on ‘what matters to you’1.
 an EU-funded partnership between Scotland, Ireland Northern Ireland. One main drivers for change WHO 3rd global patient safety challenge, Medication Without Harm which aims reduce severe avoidable medication-related harm by 50% globally next 5...
Introduction:Medication related problems following hospital discharge are claimed to be a major cause of readmission,morbidity and mortality(Mistiaen Poot,2006 ;Hugtenburg et al.,2014).To date studies at this transition care have shown mixed results regarding the benefits post follow up(Wong al.,2008,Leppin al., 2014)Thus further work in aspect medicines optimisation would value.Objective: To design implement pharmacist led post-discharge interventions analyse their impact on...
The present study addresses pharmacy expenditure within a surgical directorate in UK hospital. aim of the was to develop health care resource group (HRG)-based costing model that can be used forecast based on casemix. Such will benefit as an projection tool at time when hospitals are developing accelerated operation programmes attempt decrease hospital waiting times.During period February-April 2000, nursing staff recorded all sourced items for each individual theatres general surgery, ENT...
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field integrated care on a continuous basis.IJIC has Impact Factor 5.120 (2020 JCR, received June 2021)The IJIC 20th Anniversary Issue was published 2021.