- Pharmacovigilance and Adverse Drug Reactions
- Opioid Use Disorder Treatment
- Pharmaceutical Practices and Patient Outcomes
- Pain Management and Opioid Use
- Pharmaceutical studies and practices
- Medical Coding and Health Information
- Reproductive Health and Technologies
- Global Healthcare and Medical Tourism
- Medical and Biological Sciences
- Medical Malpractice and Liability Issues
- Body Image and Dysmorphia Studies
- Radiology practices and education
- Assisted Reproductive Technology and Twin Pregnancy
- Reproductive Biology and Fertility
- Substance Abuse Treatment and Outcomes
- Cannabis and Cannabinoid Research
- Anesthesia and Pain Management
- Fungal Infections and Studies
- Older Adults Driving Studies
- Academic integrity and plagiarism
- Healthcare Systems and Challenges
- Healthcare Quality and Management
- Schizophrenia research and treatment
- Mental Health Treatment and Access
- Telemedicine and Telehealth Implementation
Cwm Taf University Health Board
2020-2022
Sussex Partnership NHS Foundation Trust
2022
Swansea University
2018-2021
Royal National Hospital for Rheumatic Diseases
2021
Surrey and Borders Partnership NHS Foundation Trust
2021
Advanced Pharma
2020
Swansea Bay University Health Board
2018
Global Fund to Fight AIDS, Tuberculosis and Malaria
2016
University of Pennsylvania
2012
Liverpool School of Tropical Medicine
2012
Adverse drug reactions (ADRs) are a major cause of hospital admissions, but recent data on the incidence and clinical characteristics ADRs which occur following admission, lacking. Patients admitted to twelve wards over six-month period in 2005 were assessed for throughout their admission. Suspected recorded analysed causality, severity avoidability whether they increased length stay. Multivariable analysis was undertaken identify risk factors ADRs. The 5% significance level used when...
Antifungal therapy saves lives, if given early in life-threatening invasive infection, and also greatly reduces morbidity hundreds of millions patients worldwide.We have partially mapped by country systemic generic antifungal drug registration, availability daily cost for intravenous deoxycholate amphotericin B (50 mg), flucytosine (5 g), oral fluconazole (750-800 mg) itraconazole (400 mg).Multiple publically available resources local contacts provided data 159 countries with populations >1...
WHAT IS ALREADY KNOWN ABOUT THIS SUBJECT ADRs in hospital patients are a significant burden, though how often cause re‐admission to has not been well documented the literature. STUDY ADDS • One fifth of re‐admitted within 1 year discharge from their index admission were due an adverse drug reaction. Admission medical ward, elderly age and prescription anti‐platelet agents or diuretics identified as risk factors for ADRs. Since up 50% these reactions possibly avoidable, better methods...
Background: About 6·5% of admissions to hospital are related an adverse drug reaction (ADR). There no recent large studies, which explore the burden ADRs on in-patients. The aim this pilot study was assess feasibility of, and establish methodology for, conducting a prospective fully impact in-patients National Health Service (NHS). Methods: Patients admitted five wards in university over 2-week period were assessed for through daily ward visit by pharmacist. Suspected analysed causality,...
The current study investigates the effect of sleep deprivation on speed and accuracy eye movements as measured by King-Devick (K-D) test, a <1-minute test that involves rapid number naming.In this cohort study, neurology residents staff from University Pennsylvania Health System underwent baseline followed postcall K-D testing (n = 25); those not taking call 10) also completed follow-up testing. Differences in times errors between scores were compared 2 groups.Residents had less improvement...
To examine trends in strong opioid prescribing a primary care population Wales and identify if factors such as age, deprivation recorded diagnosis of depression or anxiety may have influenced any changes noted.Trend, cross-sectional longitudinal analyses routine data from the Primary Care General Practice database accessed via Secure Anonymised Information Linkage (SAIL) databank.A total 345 practices Wales.Anonymised records 1,223,503 people aged 18 over, receiving at least one prescription...
Background and objective: Constipation is one of the most frequent adverse drug reactions occurring in hospital inpatients. There no evidence base for use laxatives orthopaedic patients on opioids. The aim study was to determine current nature opioid laxative prescribing, incidence constipation who require emergency neck-of-femur (NOF) surgery. Methods: Patients admitted Royal Liverpool Hospital surgery fractured NOF over an 8-week period 2007 were included study. All prescribing recorded,...
OBJECTIVE--To measure the effect on hospital radiology referral practice of introducing a strategy for change involving guidelines good practice, monitoring, and peer review. DESIGN--Prospective data collection over continuous 21-24 month period at each centre some time between January 1987 December 1990. SETTING--Five district general hospitals one health authority. SUBJECTS--314,663 inpatient discharges, deaths, day cases 1,706,781 outpatient attendances under care 722 consultants from 25...
A baseline audit of radiology referral practice before the introduction a strategy for change involving guidelines good practice, monitoring, and peer review.Prospective data collection over continuous 12 months period at each centre sometime between January 1987 December 1989.Five district general hospitals one health authority.159,421 inpatient discharges, deaths, day cases 861,370 outpatient attendances under care 722 consultants from 25 clinical specialties.Monitoring x ray examination...
The wide-scale roll-out of artemisinin combination therapies (ACTs) for the treatment malaria should be accompanied by continued surveillance their safety. Post-marketing pharmacovigilance (PV) relies on adverse event (AE) reporting clinicians, but as a large proportion treatments are provided non-clinicians in low-resource settings, effectiveness such PV systems is limited. To facilitate reporting, AE forms easily completed; however, most challenging lower-level health workers and to...
A multi-professional project was carried out in order to identify the interventions that nurses and pharmacists make relation drug administration (an intervention refers 'the process of querying a prescription with prescriber'). The highlights importance both these occupational groups identifying prescribing errors preventing them from being translated into actual medication errors. It also identifies need for adequate training nursing medical staff, along system changes, minimize risk
Adverse drug reactions (ADRs) are a reporting category in the National Patient Safety Agency (NPSA) incident system, though Medicines and Healthcare Products Regulatory (MHRA) pharmacovigilance system is more established method for collecting ADR data.
La Global Drug Survey est une enquête en ligne visant à étudier l’expérience des usagers de drogues population générale, menée chaque année entre novembre et décembre. Ce volet spécial Covid-19 a été réalisé sur sept semaines, mai juin 2020. L’enquête avait comme objectif d’explorer manière rétrospective l’impact du confinement premières semaines déconfinement les consommations produits psychoactifs générale. Les résultats l’enquête mettent évidence augmentation nombre jours consommation...
Background Over the past 20 years prescription of opioid medicines has markedly increased in UK, despite a lack supporting evidence for use commonly occurring, painful conditions. Prescribing is often monitored by counting numbers prescriptions dispensed, but this may not provide an accurate picture clinical practice. Aim To estimated oral morphine equivalent (OMEQ e ) dose to describe trends prescribing non-cancer pain, and explore if burden differed deprivation status. Design & setting...
To examine differences in healthcare utilisation and costs associated with opioid prescriptions for non-cancer pain issued primary care.A longitudinal, case-control study retrospectively examined Welsh data the period 1 January 2005-31 December 2015. Data were extracted from Secure Anonymised Information Linkage (SAIL) databank. Subjects, aged 18 years over, included if their care record contained at least one of six overarching diagnoses during period. Subjects excluded also a cancer...
In the current climate, it is essential that official bodies such as Royal College of Nursing and Medicines Healthcare Products Regulatory Agency invest in training aesthetic nurses. Not only must these organisations support education training, but product manufacturers are also advised to take responsibility for raising standards medicine. this article, author provides an overview status outlines topics should ideally be included every course. The discusses need improvement courses how...
Chronic pain affects a significant percentage of the population and is defined as that lasts beyond point healing. People presenting to hospital with acute illness may have underlying chronic can be exacerbated by their condition, even if this not reason for admission. While people tolerate usual medicine regimen under normal circumstances, small changes in physical health rapidly cause issues medication such increased side effects. This article considers how nurses improve safety...
The conflicts of interest members the committees that decide which drugs should be available to people on Medicare are so poorly monitored financial interests could influencing decisions, claims a report from federal investigators.1 Medicare’s prescription drug program, known as Part D, provides optional benefits more than 30 million beneficiaries Medicare. Centers for …