- Pharmaceutical Practices and Patient Outcomes
- Patient Safety and Medication Errors
- Antibiotic Use and Resistance
- Patient Satisfaction in Healthcare
- Healthcare Quality and Management
- Quality and Safety in Healthcare
- Health Systems, Economic Evaluations, Quality of Life
- Occupational Health and Safety Research
- Healthcare Systems and Technology
- Bacterial Identification and Susceptibility Testing
- Grief, Bereavement, and Mental Health
- Maternal and Perinatal Health Interventions
- Electronic Health Records Systems
- Online and Blended Learning
- Healthcare Decision-Making and Restraints
- Innovative Teaching Methods
- Pharmaceutical industry and healthcare
- Experimental Learning in Engineering
- Pharmacovigilance and Adverse Drug Reactions
- Healthcare cost, quality, practices
- Maternal Mental Health During Pregnancy and Postpartum
- Drug-Induced Adverse Reactions
- Clinical Laboratory Practices and Quality Control
- Antibiotic Resistance in Bacteria
University of Hertfordshire
2016-2023
University College London
2012
University of London
2009-2011
Universidad de Londres
2007
ABSTRACT Aim To compare the prevalence and causes of prescribing errors in newly written medication orders how quickly they were rectified, three NHS organisations. Methods Errors inpatient discharge recorded Spring/Summer 2009 by ward pharmacists on medical admissions surgical wards, as well number erroneous doses administered (or omitted) before corrected. Logistic regression analysis was used to explore effects (nested within organisation) clinical specialty, whether pharmacist had...
Failure mode and effects analysis (FMEA) is a structured prospective risk assessment method that widely used within healthcare. FMEA involves multidisciplinary team mapping out high-risk process of care, identifying the failures can occur, then characterising each these in terms probability occurrence, severity detectability, to give priority number identify most need attention. One might assume such tool would have an established evidence base. This paper considers whether or not this case,...
Abstract Background Failure Mode and Effects Analysis (FMEA) is a prospective risk assessment tool that has been widely used within the aerospace automotive industries utilised healthcare since early 1990s. The aim of this study was to explore validity FMEA outputs hospital setting in United Kingdom. Methods Two multidisciplinary teams each conducted an for use vancomycin gentamicin. Four different tests were conducted: · Face validity: by comparing participants’ mapped processes with...
To test the reliability of failure mode and effect analysis (FMEA) within a hospital setting in United Kingdom.Two multidisciplinary groups were recruited, 2 hospitals from same National Health Services (NHS) Trust, to conduct separate FMEAs parallel on topic. Each group conducted an FMEA for use vancomycin gentamicin. The followed basic steps, which included mapping process care; identifying potential failures process; determining severity, probability, detectability scores these failures;...
Saudi hospitals and healthcare facilities are facing increasing rates of antimicrobial resistance the emergence new multi-drug resistant strains. This is placing an unprecedented threat to successful treatments outcomes patients accessing those facilities. The inappropriate use antimicrobials fueling this crisis, warranting urgent implementation interventions preserve reduce rates. Antimicrobial stewardship programmes (ASPs) can improve use, treatment success levels resistance. Ministry...
Objective To explore health care professionals' experiences and perceptions of Failure Mode Effects Analysis (FMEA), a team-based, prospective risk analysis technique. Methods Semi-structured interviews were conducted with 21 operational leads (20 pharmacists, one nurse) in medicines management teams hospitals participating national quality improvement programme. Interviews transcribed, coded emergent themes identified using framework analysis. Results Themes included participants FMEA,...
The aim of this study was to assess antimicrobial stewardship activities in Community Healthcare Organisations (CHOs) with focus on the implementation two national toolkits, TARGET (Treat Antibiotics Responsibly, Guidance, Education, Tools) and SSTF (Start Smart, then Focus). utilised a web-based survey comprising 34 questions concerning policies awareness toolkits. This distributed pharmacy teams all 26 CHOs England. Twenty (77%) responded. An (AMS) committee active 50% CHOs; 25% employed...
Antimicrobial stewardship programs (ASPs) in hospitals have long been shown to improve antimicrobials’ use and reduce the rates of antimicrobial resistance. However, their implementation hospitals, especially developing countries such as Saudi Arabia, remains low. One main barriers is lack knowledge how implement them. This study aims explore an programme was implemented a hospital, challenges faced they were overcome, program outcomes. A key stakeholder case design used, involving in-depth...
Education, a key strategy within antimicrobial stewardship programmes (ASPs), has been mainly directed towards healthcare professionals and prescribers more than hospitalised patients.To examine patients' knowledge perceptions of antibiotic use resistance, while evaluating the institutional role patient education on in two Saudi Arabian hospitals, one with an implemented ASP without ASP.A cross-sectional self-administered survey was developed piloted. A total 400 surveys were distributed,...
<p style="margin: 0cm 15.1pt 0.0001pt 0cm; line-height: 200%; background-image: initial; background-position: background-size: background-repeat: background-attachment: background-origin: background-clip: vertical-align: baseline;"><span style="font-size:11.0pt;line-height:115%;font-family:"Arial",sans-serif;mso-fareast-font-family:Calibri;mso-ansi-language:EN-GB;mso-fareast-language:EN-US;mso-bidi-language:AR-SA">The misuse ofantibiotics is a factor contributing to the rise of...