Publications
270 results found
Reynolds M, Larsson E, Hewitt R, et al., 2015, Development and evaluation of a pocket card to support prescribing by junior doctors in an English hospital., International Journal of Clinical Pharmacy, Vol: 37, Pages: 762-766, ISSN: 2210-7711
Background Junior doctors do most inpatient prescribing, with a relatively high error rate, and locally had reported finding prescribing very stressful. Objective To develop an intervention to improve Foundation Year 1 (FY1) doctors' experience of prescribing, and evaluate their satisfaction with the intervention and perceptions of its impact. Methods Based on findings of a focus group and questionnaire, we developed a pocket Dose Reference Card ("Dr-Card") for use at the point of prescribing. This summarised common drugs and dosing schedules and was distributed to all new FY1 doctors in a London teaching trust. A post-intervention questionnaire explored satisfaction and perceived impact. Results Focus group participants (n = 12) described feeling anxious and time pressured when prescribing; a quick reference resource for commonly prescribed drug doses was suggested. Responses to the exploratory questionnaire reinforced these findings. Following Dr-Card distribution, the post-intervention questionnaire revealed that 29/38 (76 %) doctors were still using it 2 months after distribution and 38/38 (100 %) would recommend ongoing production. Conclusions FY1 doctors reported feeling stressed and time pressured when prescribing; this was perceived to contribute to error. A pocket card presenting common drugs and doses was well-received, perceived to be useful, and recommended for on-going use.
Tully MP, Franklin BD, 2015, Introduction, Safety in Medication Use, Pages: 59-60, ISBN: 9781138457270
Section I has provided a detailed description of the various aspects of the medication use process and how errors at each stage can cause actual or potential patient harm. Section II next comprises seven chapters that cover a variety of approaches to understanding why those errors occur and how we can design ways to resolve them. The approaches vary from the theory based, such as psychological and educational theories in Chapters 8 and 9, to the practical, such as the aspects of measurement discussed in Chapter 7. Both types of strategy are needed to ensure rigorous and robust approaches to both research and the development and evaluation of interventions in clinical practice.
Westbrook JI, Caldwell G, Franklin BD, 2015, Interventions for safer work systems, Safety in Medication Use, Pages: 199-212, ISBN: 9781138457270
There have been a great many studies exploring a very wide range of approaches to improving the safety of medication use. In this chapter, we consider some examples of approaches to developing safer work systems; these are envisaged as being complementary to other solutions presented elsewhere in this book. The chapter is based around four of the five structural components of the work system described in the Systems Engineering Initiative for Patient Safety model (Carayon et al. 2006) presented in Chapter 11: people, tasks, tools and technology, and the environment. The fifth component, the organization, is outside the scope of this chapter.
Tully MP, Franklin BD, 2015, Safety in medication use, ISBN: 9781138457270
An estimated 1 in 20 patients are admitted to the hospital due to problems with their medication and 1 in 100 hospitalized patients are harmed due to medication errors during their stay. The prescribing of medications is the most common health care intervention and medication safety is relevant to all health care professionals and patients, in all health care settings. Safety in Medication Use provides an overview of the theory and practice of medication safety, summarizing the international literature and practical suggestions for local practice Each chapter is written by one or more authors from around the world who were chosen because of their standing in their field. The book covers three broad areas: problems in the medication use process, approaches to understanding and resolving them, and putting solutions into practice. Topics discussed include: •Measuring medication errors •Improvement science •Safety culture •Incident reporting and feedback approaches •Educational interventions •Communication between health care professionals •Interventions for safer work systems •Electronic prescribing and medication administration record systems •Innovations in dispensing •Patient involvement in medication safety Each chapter is a primer on the topic, drawing on the international literature, with the chapters on solutions followed by an “expert summary” of the implications for practice. This valuable resource describes an international body of work that shows not only how widespread medication errors are, but also discusses interventions that can reduce such errors to improve patient safety.
Iacovides I, Blandford A, Cox A, et al., 2015, Infusion device standardisation and dose error reduction software, British Journal of Health Care Management, Vol: 21, Pages: 68-76, ISSN: 1358-0574
In 2004, the National Patient Safety Agency (NPSA) released a safety alert relating to the management and use of infusion devices in England and Wales. The alert called for the standardisation of infusion devices and a consideration of using centralised equipment systems to manage device storage. There has also been growing interest in smart-pump technology, such as dose error reduction software (DERS) as a way to reduce IV medication errors. However, questions remain about the progress that has been made towards infusion device standardisation and the adoption of DERS. In this article, the authors report the results of a survey investigating the extent to which the standardisation of infusion devices has occurred in the last 10 years and centralised equipment libraries are being used in practice, as well as the prevalence of DERS use within the UK. Findings indicate that while reported standardisation levels are high, use of centralised equipment libraries remains low, as does DERS usage.
Tully MP, Franklin BD, 2015, Conclusion, Safety in Medication Use, Pages: 263-264, ISBN: 9781138457270
This book has summarized a wealth of research conducted in the search for safety in medication use. Section I outlined the extent of the problems in several key parts of the medication use process. Subsequent sections have presented approaches that could be taken to investigate these problems and interventions that could be introduced to ameliorate them.
Garfield S, Jheeta S, Jacklin A, et al., 2015, Patient and public involvement in data collection for health services research: a descriptive study., Res Involv Engagem, Vol: 1, ISSN: 2056-7529
PLAIN ENGLISH SUMMARY: There is a consensus that patients and the public should be involved in research in a meaningful way. To date, lay people have been mostly involved in developing research ideas and commenting on patient information but not as much in actual data collection. We have had firsthand experience with lay people helping to conduct a study on how patients in hospital are involved with their medicines. In the first part of this study, we observed doctors' ward rounds, pharmacists' ward visits and nurses' drug administration rounds, to find out if and how healthcare professionals interacted with patients about their medicines. Lay people conducted some of these observations. We wanted to explore the benefits and challenges of having lay people conduct these observations, to tell us more about how lay people can be involved in conducting such research. We interviewed the lay members and researchers involved in this research to find out their views. We also looked at the observation notes to identify what the lay people had noticed that the researchers had not. The lay members and researchers reported that lay members added value to the study by bringing new perspectives. Lay people had noticed some different things to the researchers. We experienced some challenges which need to be addressed. These weregetting the lay observers registered with the hospitals to allow them to be on the wards in this capacitylay observers and researchers having different understanding of research procedures such as patient consenttrying to find lay observers of different backgrounds and ethnic groups. ABSTRACT: Background: It is recognised that involving lay people with research in a meaningful rather than tokenistic way is both important and challenging. In a recent health services research study addressing inpatient involvement in medication safety, we sought to overcome this challenge by including lay people in collecting observational data in the hospital setting. The a
Franklin BD, Panesar SS, Vincent C, et al., 2014, Identifying systems failures in the pathway to a catastrophic event: an analysis of national incident report data relating to vinca alkaloids, BMJ QUALITY & SAFETY, Vol: 23, Pages: 765-772, ISSN: 2044-5415
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- Citations: 19
Barber S, Thakkar K, Marvin V, et al., 2014, Evaluation of my medication passport: a patient-completed aide-memoire designed by patients, for patients, to help towards medicines optimisation, BMJ Open, Vol: 4, ISSN: 2044-6055
Objectives A passport-sized booklet, designed by patients for patients to record details about their medicines, has been developed as part of a wider project focusing on improving prescribing in the elderly (‘ImPE’). We undertook an evaluation of ‘My Medication Passport’ to gain an understanding of its value to patients and how it may be used in communications about medicines.Setting The Passport was launched in secondary care with the initial users being older people discharged home after an admission to one of the four North West London participating Trusts. The uptake subsequently spread to other (community) locations and other age groups.Participants We recruited more than 200 patients from a cohort who had been given a passport as part of the improvement projects at one of four sites. Of them, 63% (133) completed the structured telephone questionnaire including 27% for whom English was not their first language. Approximately half of the respondents were male and 40% were over 70 years of age.Results More than half of the respondents had found their medication passport useful or helpful in some way; 42% through sharing details from it with others (most frequently family, carer or doctor) or using it as a platform for conversations with healthcare professionals. One-third of those questioned carried the passport with them at all times.Conclusions My Medication Passport has been positively evaluated; we have a better understanding of how it is used by patients, what they are recording and how it can be an aid to dialogue about medicines with family, carers and healthcare professionals. Further development and spread is underway including an App for smartphones that will be subject to wider evaluation to include feedback from clinicians.
Franklin BD, Reynolds M, Sadler S, et al., 2014, The effect of the electronic transmission of prescriptions on dispensing errors and prescription enhancements made in English community pharmacies: a naturalistic stepped wedge study, BMJ QUALITY & SAFETY, Vol: 23, Pages: 629-638, ISSN: 2044-5415
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- Citations: 21
Iacovides I, Blandford A, Cox A, et al., 2014, Infusion device standardisation and dose error reduction software., Br J Nurs, Vol: 23, Pages: S16-passim, ISSN: 0966-0461
In 2004, the National Patient Safety Agency (NPSA) released a safety alert relating to the management and use of infusion devices in England and Wales. The alert called for the standardisation of infusion devices and a consideration of using centralised equipment systems to manage device storage. There has also been growing interest in smart-pump technology, such as dose error reduction software (DERS) as a way to reduce IV medication errors. However, questions remain about the progress that has been made towards infusion device standardisation and the adoption of DERS. In this article, the authors report the results of a survey investigating the extent to which the standardisation of infusion devices has occurred in the last 10 years and centralised equipment libraries are being used in practice, as well as the prevalence of DERS use within the UK. Findings indicate that while reported standardisation levels are high, use of centralised equipment libraries remains low, as does DERS usage.
Reynolds M, Hickson M, Jacklin A, et al., 2014, A descriptive exploratory study of how admissions caused by medication-related harm are documented within inpatients' medical records, BMC HEALTH SERVICES RESEARCH, Vol: 14
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- Citations: 6
Franklin BD, 2014, Alert to opportunities, Clinical Pharmacist, Vol: 6, ISSN: 1758-9061
Mohsin-Shaikh S, Garfield S, Franklin BD, 2014, Patient involvement in medication safety in hospital: an exploratory study, INTERNATIONAL JOURNAL OF CLINICAL PHARMACY, Vol: 36, Pages: 657-666, ISSN: 2210-7703
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- Citations: 38
Avery AJ, Rodgers S, Franklin BD, et al., 2014, Research into practice: safe prescribing, BRITISH JOURNAL OF GENERAL PRACTICE, Vol: 64, Pages: 259-261, ISSN: 0960-1643
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- Citations: 3
Franklin BD, 2014, Medication errors: do they occur in isolation?, BMJ QUALITY & SAFETY, Vol: 23, ISSN: 2044-5415
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- Citations: 5
Garfield S, Reynolds M, Dermont L, et al., 2014, Measuring the Severity of Prescribing Errors: A Systematic Review (vol 36, pg 1151, 2013), DRUG SAFETY, Vol: 37, Pages: 199-199, ISSN: 0114-5916
McLeod M, Ahmed Z, Barber N, et al., 2014, A national survey of inpatient medication systems in English NHS hospitals, BMC HEALTH SERVICES RESEARCH, Vol: 14, ISSN: 1472-6963
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- Citations: 32
Fahrni ML, Franklin BD, Rawaf S, et al., 2014, Improving medication safety in UK care homes: challenges and current perspective, JRSM Open, Vol: 5, Pages: 1-6, ISSN: 2054-2704
In the UK, there are policy and regulatory concerns regarding the governance of care homes and healthcare provision within these homes. From a public health perspective, these issues can pose significant challenges to the provision of safe and quality medication use services to care home residents. The objective of this paper is to highlight an important and neglected issue for the growing population of institutionalized older adults. We reviewed relevant literature for the years 2000 to present and identified recent efforts undertaken to improve medication safety standards in UK care homes.We consider the limitations and reasons for the National Health Service’s restricted role and lack of leadership in providing medical services for this institutionalized population. The efforts taken by the Department of Health and other healthcare authorities targeting medication safety in care homes are also highlighted. In order to improve the quality of healthcare, specifically in areasrelated to medication safety and quality use of medicines, interventions need to be taken by the national government and similarly by local authorities and NHS commissioners.
King D, Jabbar A, Charani E, et al., 2014, Redesigning the 'choice architecture' of hospital prescription charts: a mixed methods study incorporating in situ simulation testing, BMJ OPEN, Vol: 4, ISSN: 2044-6055
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- Citations: 9
Garfield S, Reynolds M, Dermont L, et al., 2013, Measuring the Severity of Prescribing Errors: A Systematic Review, DRUG SAFETY, Vol: 36, Pages: 1151-1157, ISSN: 0114-5916
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- Citations: 34
Franklin BD, Reynolds MJ, Hibberd R, et al., 2013, Community pharmacists' interventions with electronic prescriptions in England: an exploratory study, INTERNATIONAL JOURNAL OF CLINICAL PHARMACY, Vol: 35, Pages: 1030-1035, ISSN: 2210-7703
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- Citations: 7
Ahmed Z, McLeod MC, Barber N, et al., 2013, The Use and Functionality of Electronic Prescribing Systems in English Acute NHS Trusts: A Cross-Sectional Survey, PLOS ONE, Vol: 8, ISSN: 1932-6203
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- Citations: 24
Slight SP, Howard R, Ghaleb M, et al., 2013, The causes of prescribing errors in English general practices: a qualitative study, BRITISH JOURNAL OF GENERAL PRACTICE, Vol: 63, Pages: E713-E720, ISSN: 0960-1643
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- Citations: 61
Avery AJ, Ghaleb M, Barber N, et al., 2013, The prevalence and nature of prescribing and monitoring errors in English general practice: a retrospective case note review, BRITISH JOURNAL OF GENERAL PRACTICE, Vol: 63, Pages: E543-E553, ISSN: 0960-1643
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- Citations: 72
Slight SP, Howard R, Ghaleb M, et al., 2013, THE PREVALENCE AND CAUSES OF PRESCRIBING AND MONITORING ERRORS IN UK PRIMARY CARE, 36th Annual Meeting of the Society-of-General-Internal-Medicine, Publisher: SPRINGER, Pages: S208-S208, ISSN: 0884-8734
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- Citations: 1
Bertels J, Almoudaris AM, Cortoos P-J, et al., 2013, Feedback on prescribing errors to junior doctors: exploring views, problems and preferred methods, INTERNATIONAL JOURNAL OF CLINICAL PHARMACY, Vol: 35, Pages: 332-338, ISSN: 2210-7703
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- Citations: 20
Franklin BD, 2013, Potentially inappropriate medication in elderly patients with chronic renal disease-is it a problem?, POSTGRADUATE MEDICAL JOURNAL, Vol: 89, Pages: 245-246, ISSN: 0032-5473
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- Citations: 1
McLeod MC, Barber N, Franklin BD, 2013, Methodological variations and their effects on reported medication administration error rates, BMJ QUALITY & SAFETY, Vol: 22, Pages: 278-289, ISSN: 2044-5415
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- Citations: 85
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