A5024556844- Pharmaceutical Practices and Patient Outcomes
- Patient Safety and Medication Errors
- Geological and Geochemical Analysis
- Geochemistry and Geologic Mapping
- Electronic Health Records Systems
- Healthcare Systems and Technology
- Pharmacy and Medical Practices
- Geological and Geophysical Studies
- Healthcare Quality and Management
- earthquake and tectonic studies
- Pharmaceutical studies and practices
- Medication Adherence and Compliance
- Health Systems, Economic Evaluations, Quality of Life
- High-pressure geophysics and materials
- Venous Thromboembolism Diagnosis and Management
- Telemedicine and Telehealth Implementation
- Medical Coding and Health Information
- Geomagnetism and Paleomagnetism Studies
- Medical Malpractice and Liability Issues
- Hydrocarbon exploration and reservoir analysis
- Central Venous Catheters and Hemodialysis
- Mental Health and Psychiatry
- Nursing Roles and Practices
- Emergency and Acute Care Studies
- Healthcare Decision-Making and Restraints
Washington and Lee University
2023-2024
McGill University
2023
University of Cambridge
2020-2023
Health Foundation
2015-2016
University College London
1997-2014
University of London
1993-2011
The Tavistock and Portman NHS Foundation Trust
2009
Medway School of Pharmacy
2003-2005
Baylor College of Medicine
2003
Universidad de Londres
1996
<b>Objectives</b> To evaluate the implementation and adoption of NHS detailed care records service in "early adopter" hospitals England. <b>Design</b> Theoretically informed, longitudinal qualitative evaluation based on case studies. <b>Setting</b> 12 acute specialist settings studied over two a half years. <b>Data sources</b> Data were collected through depth interviews, observations, relevant documents relating directly to study sites wider national developments that perceived impact...
Care home residents are at particular risk from medication errors, and our objective was to determine the prevalence potential harm of prescribing, monitoring, dispensing administration errors in UK care homes, identify their causes.A prospective study a random sample within purposive homes three areas. Errors were identified by patient interview, note review, observation practice examination dispensed items. Causes understood theoretically framed interviews with staff, doctors pharmacists....
<h3>Objectives</h3> To determine the incidence and nature of prescribing medication administration errors in paediatric inpatients. <h3>Design</h3> Prospective review drug charts to identify prospective observation nurses preparing administering drugs errors. In addition, incident reports were collected for each ward studied. <h3>Participants</h3> Paediatric patients admitted hospitals medications these patients. <h3>Setting</h3> 11 wards (prescribing errors) 10 (medication across five (one...
To describe and evaluate the implementation adoption of detailed electronic health records in secondary care England thereby provide early feedback for ongoing local national rollout NHS Care Records Service.A mixed methods, longitudinal, multisite, socio-technical case study.Five acute hospital mental trusts that have been focus efforts at which interim data collection analysis are complete. Data sources Dataset evaluation consists semi-structured interviews, documents field notes,...
<b>Objectives:</b> To assess patients' adherence to new medication for a chronic condition (and whether non-adherence was intentional), problems with their medication, and further information needs. <b>Methods:</b> A longitudinal survey data collection at 10 days 4 weeks performed on 258 patients recruited from 23 community pharmacies in south east England. Patients were eligible participate if they starting either 75 years or older had one of the following conditions: stroke, coronary heart...
<b>Objectives</b> To conduct an independent evaluation of the first phase Health Foundation's Safer Patients Initiative (SPI), and to identify net additional effect SPI any differences in changes participating non-participating NHS hospitals. <b>Design</b> Mixed method involving five substudies, before after design. <b>Setting</b> hospitals United Kingdom. <b>Participants</b> Four (one each country UK) (SPI1); 18 control <b>Intervention</b> The SPI1 was a compound (multi-component)...
To independently evaluate the impact of second phase Health Foundation's Safer Patients Initiative (SPI2) on a range patient safety measures. Design A controlled before and after design. Five substudies: survey staff attitudes; review case notes from high risk (respiratory) patients in medical wards; surgical patients; indirect evaluation hand hygiene by measuring hospital use handwashing materials; measurement outcomes (adverse events, mortality among admitted to wards, patients'...
A method of scoring the severity medication errors that does not require knowledge patient outcomes was developed and tested. Thirty health care professionals from four U.K. hospitals scored 50 in terms potential on a scale 0 to 10, where represented case with no effect 10 would result death. Sixteen error cases reported literature actual were included among assess validity scores. Ten twice. The cases, occasion which they scored, judge, each judge's profession, interactions between these...
Medication errors are probably the most prevalent form of medical error, and prescribing important source medication errors. In this article we suggest interventions needed at three levels to improve prescribing: (1) training, test competence, prescribers; (2) control environment in which prescribers perform order standardise it, have greater controls on riskier drugs, use technology provide decision support; (3) change organisational cultures, do not support belief that is a complex,...
E Mossialos, M Mrazek, T Walley, Eds. UK: Cornwall, 2004, £24.99, ISBN 0335214657 Few markets are as controlled by government pharmaceuticals. Medicines permeate health care, a major source of and made one the world’s most successful high technology industrial groups—the pharmaceutical industry. In Europe there exists both socialised healthcare systems few tech industries in which can compete with USA Japan. The European Union whole, particularly countries have thriving industry, want to...
Medication errors in a hospital the United States and Kingdom were compared. The study was conducted wards with high oral-drug-related workload two large university hospitals. U.S. studied August 1993 U.K. May June 1993. had typical unit dose drug distribution system, ward-based system commonly used that country, which pharmacist visits each ward several times daily reviews patient's medication chart. chart is by physician to order drugs obviates need for transcription of orders. A...
In contrast to the acute hospital sector, there have been relatively few implementations of integrated electronic health record (EHR) systems into specialist mental settings. The National Programme for Information Technology (NPfIT) in England was most expensive IT-based transformation public services ever undertaken, which aimed amongst other things, implement EHR hospitals. This paper describes arrival, process implementation, stakeholders' experiences and local consequences implementation...
To examine the effectiveness of New Medicine Service (NMS), a national community pharmacy service to support medicines-taking in people starting new medicine for long-term condition, compared with normal practice.Pragmatic patient-level parallel randomised controlled trial, 46 pharmacies England. Patients 1:1 block randomisation stratified by drug/disease group within each pharmacy. 504 participants (NMS: 251) aged 14 years and over, identified on presentation prescription asthma/chronic...
Tara Lamont and colleagues discuss how researchers can help service leaders to evaluate rapidly changing models of care, with a range approaches depending on needs resources
Copper, obtained from porphyry deposits formed in arc settings, is a critical resource, and primarily sourced magmas. However, the processes that shape copper contents of magmas are up for debate. Existing models place emphasis on different petrological agents explain large-scale trends systematics. Previous studies have noted 'Cu paradox,' where with high Sr/Y ratios, indicative ore-forming potential, lowest concentrations. Here we compile multidimensional database volcanic whole rock...
Research has documented the problem of medication administration errors and their causes. However, little is known about how nurses administer medications safely or existing systems facilitate hinder administration; this represents a missed opportunity for implementation practical, effective, low-cost strategies to increase safety.To identify system factors that and/or successful focused on three inter-related areas: nurse practices workarounds, workflow, interruptions distractions.We used...
Government and professional groups within the pharmacy have sought to extend role of pharmacists from dispensing-focused towards provision further pharmaceutical services. The aim this research was describe how in current English community practice spend their time using a work sampling method.Ten pharmacies across London were purposively selected. Trained observers visited one each record activities responsible pharmacist, fixed-interval technique. Activities recorded every minute, into 18...
A commitment to Electronic Health Record (EHR) systems now constitutes a core part of many governments' healthcare reform strategies. The resulting politically-initiated large-scale or national EHR endeavors are challenging because their ambitious agendas change, the scale resources needed make them work, (relatively) short timescales set, and large number stakeholders involved, all whom pursue somewhat different interests. These initiatives need be evaluated establish if they improve care...
Aim To test the effectiveness of a tailored, pharmacist-led centralised advice service to improve adherence patients on established medications. Methods A parallel group randomised controlled trial was conducted. Patients prescribed at least one oral medication for type 2 diabetes and/or lipid regulation were eligible participate. 677 mail-order pharmacy recruited and (340 intervention, 337 control). The intervention comprised two tailored telephone consultations with pharmacist, 4–6 weeks...
<h3>Introduction</h3> Older people in care homes are at increased risk of medication errors and adverse drug events. The effect formulation on administration is not known, that whether the medicine a tablet or capsule, liquid device such as an inhaler. Also, impact monitored dosage systems (MDS), commonly used UK to dispense tablets capsules, known. This study investigated influence MDS errors. <h3>Methods</h3> Administration were identified by pharmacists (using validated definitions)...
Identifying risk is an important facet of a safety practice in organization. To identify risk, all components within system operation should be considered. In clinical practice, team people, technologies, procedures and protocols, management structure environment have been identified as key operation.To explore risks relation to prescription dispensing community pharmacies by taking into account relationships between that relate the process.Fifteen England with varied characteristics were...
The extent to which clinical pharmacy services are provided in National Health Service (NHS) hospitals the United Kingdom was studied by means of a questionnaire. Questionnaires inquiring whether and what certain were mailed all NHS hospital pharmacies 1992. questionnaires also requested information about number qualifications pharmacists employed. results compared with those survey pharmaceutical States. Of 508 mailed, 416 usable responses returned. Services commonly inpatient drug therapy...