A5041682053- Pharmaceutical Practices and Patient Outcomes
- Health Systems, Economic Evaluations, Quality of Life
- Pharmaceutical Economics and Policy
- Primary Care and Health Outcomes
- Healthcare Systems and Technology
- Nursing Roles and Practices
- Interprofessional Education and Collaboration
- Schizophrenia research and treatment
- Obesity, Physical Activity, Diet
- Medication Adherence and Compliance
- Economic and Environmental Valuation
- Pharmaceutical studies and practices
- Maternal and Perinatal Health Interventions
- Chronic Disease Management Strategies
- Disability Rights and Representation
- Tracheal and airway disorders
- Congenital Heart Disease Studies
- Dental Health and Care Utilization
- Patient Satisfaction in Healthcare
- Prenatal Screening and Diagnostics
- Smoking Behavior and Cessation
- Global Public Health Policies and Epidemiology
- Telemedicine and Telehealth Implementation
- Autopsy Techniques and Outcomes
- Healthcare Operations and Scheduling Optimization
Ollscoil na Gaillimhe – University of Galway
2021-2023
Belfast Health and Social Care Trust
2009-2013
University of Ulster
2008-2012
Royal Victoria Hospital
2012
Royal London Group (United Kingdom)
2011-2012
Royal Ottawa Mental Health Centre
2009-2012
Royal Victoria Hospital
2008-2012
Queen's University Belfast
1998-2011
Northern Health and Social Care Trust
2011
Virginia Commonwealth University
2009-2011
OBJECTIVE: To detect the frequency of potential drug—drug interactions (DDIs) in an outpatient group elderly people 6 European countries, as well to describe differences among countries. DATA SOURCES AND METHODS: Drug use data were collected from 1601 persons living The study population participated a controlled intervention over 18 months investigating impact pharmaceutical care. Potential DDIs studied using computerized detection program. RESULTS: used on average 7.0 drugs per person; 46%...
To test the effect of an adapted U.S. model pharmaceutical care on prescribing inappropriate psychoactive (anxiolytic, hypnotic, and antipsychotic) medications falls in nursing homes for older people Northern Ireland (NI).Cluster randomized controlled trial.Nursing to intervention (receipt care; n=11) or control (usual continued; n=11).Residents aged 65 who provided informed consent (N=334; 173 intervention, 161 control).Specially trained pharmacists visited monthly 12 months reviewed...
To determine the accuracy of remote diagnosis congenital heart disease (CHD) by real-time transmission echocardiographic images via integrated services digital network (ISDN) lines, to assess impact on patient management and examine cost implications.Prospective comparison echocardiograms infants with suspected significant CHD performed as follows: (1) hands-on evaluation echocardiogram a paediatrician at district general hospital (DGH) followed (2) ISDN 6 guidance from paediatric...
Abstract Background The drive for non‐medical prescribing has progressed quickly since the late 1990s and involves a range of healthcare professionals including pharmacists. As part commissioned research project, this qualitative element larger case study focused on views patients pharmacist prescribers. Objective aim was to explore patients' perspectives pharmacists as Methods Three working independent prescribers in clinical areas (i) hypertension, (ii) cardiovascular/diabetes management,...
Objective: To compare outcomes from hip arthroplasty between a surgical unit with rapid discharge policy and two comparison units to test the hypothesis that centre has are not inferior sites. Design: Prospective cohort study. Subjects: Consecutive consenting patients receiving primary during 12 months beginning July 2006 in three UK National Health Service units. One shortened postoperative stay median days; one was new treatment of five third traditional six days (N = 316, 119, 87,...
OBJECTIVES: To evaluate the cost‐effectiveness of an adapted U.S. model pharmaceutical care to improve psychoactive prescribing for nursing home residents in Northern Ireland (Fleetwood NI Study). DESIGN: Economic evaluation alongside a cluster randomized controlled trial. SETTING: Nursing homes intervention (receipt care; n=11) or control (usual continued; n=11). PARTICIPANTS: Residents aged 65 and older who provided informed consent (N=253; 128 intervention, 125 control) had full resource...
<h3>Background</h3> Patients referred to secondary care in the UK often wait many months be seen, and government has announced various initiatives address this issue. Since 2002, we have developed an email referral system which allows some neurological referrals managed by advice investigations rather than a conventional hospital clinic appointment. This previously been shown reduce attendances acceptable patients their general practitioners (GPs). <h3>Aim</h3> To analyse effects of triage...
This paper presents qualitative findings from a larger sequential mixed methods study which sought to provide an in-depth understanding of pharmacist prescribing the perspective prescribers, medical colleagues and key stakeholders in Northern Ireland. Transcriptions were analyzed using thematic analysis as interviews progressed emergent themes identified coded (along with supporting quotes) independently by consensus research team. Three major emerged relation prescribing: effect on patient...
Abstract Background Management options for the treatment of melanoma have expanded in recent years. In an era promising, but expensive novel pharmacological treatments, robust stage-specific melanoma-related cost estimates are necessary to support budgetary planning, evaluation cost-effectiveness and contribute investment case prevention. Methods A detailed decision model, describing care pathway (by disease stage) from diagnosis, through follow-up was developed over a 5-year time frame...
Acute lung injury (ALI) is a common devastating clinical syndrome characterized by life-threatening respiratory failure requiring mechanical ventilation and multiple organ failure. There are in vitro, animal studies pre-clinical data suggesting that statins may be beneficial ALI. The Hydroxymethylglutaryl-CoA reductase inhibition with simvastatin to Reduce Pulmonary dysfunction (HARP-2) trial multicenter, prospective, randomized, allocation concealed, double-blind, placebo-controlled which...
Abstract Background As the population ages, older people account for a larger proportion of health and social care budget. A significant body evidence suggests that arts creativity interventions can improve physical, mental wellbeing adults, however value and/or cost-effectiveness such remains unclear. Methods We systematically reviewed economic relating to interventions, reporting our findings according PRISMA guidelines. searched bibliographic databases (MEDLINE, EMBASE, Econlit Web...
Abstract Background Dental caries is a persistent public health problem with little change in the prevalence young children over last 20 years. Once child contracts disease it has significant impact on their quality of life. There good evidence from Cochrane reviews including trials that fluoride varnish and regular use toothpaste can prevent caries. The Northern Ireland Caries Prevention Practice Trial (NIC-PIP) trial will compare costs effects preventive package (fluoride varnish,...