Publications
270 results found
Barber N, Franklin BD, Jacklin A, 2013, Of snarks, boojums an national drug charts, JOURNAL OF THE ROYAL SOCIETY OF MEDICINE, Vol: 106, Pages: 6-8, ISSN: 0141-0768
- Author Web Link
- Cite
- Citations: 4
Franklin BD, Rosa MB, Miller G, et al., 2012, The evaluation of a novel model of providing ward pharmacy services, INTERNATIONAL JOURNAL OF CLINICAL PHARMACY, Vol: 34, Pages: 518-523, ISSN: 2210-7703
- Author Web Link
- Cite
- Citations: 1
Avery AJ, Ghaleb M, Barber N, et al., 2012, Investigating the Prevalence and Causes of Prescribing Errors in General Practice: The PRACtICe Study, PHARMACOEPIDEMIOLOGY AND DRUG SAFETY, Vol: 21, Pages: 4-4, ISSN: 1053-8569
- Author Web Link
- Cite
- Citations: 15
Franklin BD, Shebl NA, Barber N, 2012, Failure mode and effects analysis: too little for too much?, BMJ QUALITY & SAFETY, Vol: 21, Pages: 607-611, ISSN: 2044-5415
- Author Web Link
- Cite
- Citations: 72
Shebl NA, Franklin BD, Barber N, 2012, Failure mode and effects analysis outputs: are they valid?, BMC HEALTH SERVICES RESEARCH, Vol: 12, ISSN: 1472-6963
- Author Web Link
- Cite
- Citations: 69
Burnett S, Franklin BD, Moorthy K, et al., 2012, How reliable are clinical systems in the UK NHS? A study of seven NHS organisations, BMJ QUALITY & SAFETY, Vol: 21, Pages: 466-472, ISSN: 2044-5415
- Author Web Link
- Open Access Link
- Cite
- Citations: 17
McLeod M, Zochowska A, Leonard D, et al., 2012, Comparing the upper limb disorder risks associated with manual and automated cytotoxic compounding: a pilot study, EUROPEAN JOURNAL OF HOSPITAL PHARMACY-SCIENCE AND PRACTICE, Vol: 19, Pages: 293-298, ISSN: 2047-9956
- Author Web Link
- Cite
- Citations: 5
Lepee C, Klaber R, Benn J, et al., 2012, The use of a consultant-led ward round checklist to improve paediatric prescribing: An interrupted time series study, European Journal of Pediatrics
Ahmed Z, Thakkar K, Clifford S, et al., 2012, Improving documentation of medication changes in a British hospital using a quality improvement approach, INTERNATIONAL JOURNAL OF CLINICAL PHARMACY, Vol: 34, Pages: 175-175, ISSN: 2210-7703
Franklin BD, Deelchand V, Cooke M, et al., 2012, The safe insertion of peripheral intravenous catheters: a mixed methods descriptive study of the availability of the equipment needed, ANTIMICROBIAL RESISTANCE AND INFECTION CONTROL, Vol: 1, ISSN: 2047-2994
- Author Web Link
- Cite
- Citations: 10
Miller G, Franklin BD, Jacklin A, 2011, In response, Clinical Medicine, Journal of the Royal College of Physicians of London, Vol: 11, ISSN: 1470-2118
Bamford KB, Desai M, Aruede MJ, et al., 2011, Patients' views and experience of intravenous and oral antimicrobial therapy: room for change, INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED, Vol: 42, Pages: S24-S27, ISSN: 0020-1383
- Author Web Link
- Cite
- Citations: 13
Miller G, Franklin BD, Jacklin A, 2011, Including pharmacists on consultant-led ward rounds <i>response</i>, CLINICAL MEDICINE, Vol: 11, Pages: 628-628, ISSN: 1470-2118
Charani E, Edwards R, Sevdalis N, et al., 2011, Behavior Change Strategies to Influence Antimicrobial Prescribing in Acute Care: A Systematic Review, CLINICAL INFECTIOUS DISEASES, Vol: 53, Pages: 651-662, ISSN: 1058-4838
- Author Web Link
- Cite
- Citations: 171
Reynolds M, Vasilakis C, McLeod M, et al., 2011, Using discrete event simulation to design a more efficient hospital pharmacy for outpatients, HEALTH CARE MANAGEMENT SCIENCE, Vol: 14, Pages: 223-236, ISSN: 1386-9620
- Author Web Link
- Cite
- Citations: 41
Miller G, Franklin BD, Jacklin A, 2011, Including pharmacists on consultant-led ward rounds: a prospective non-randomised controlled trial, CLINICAL MEDICINE, Vol: 11, Pages: 312-316, ISSN: 1470-2118
- Author Web Link
- Cite
- Citations: 29
Thakkar K, Gilchrist M, Dickinson E, et al., 2011, A quality improvement programme to increase compliance with an anti-infective prescribing policy, JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY, Vol: 66, Pages: 1916-1920, ISSN: 0305-7453
- Author Web Link
- Cite
- Citations: 26
Franklin BD, Reynolds M, Shebl NA, et al., 2011, Prescribing errors in hospital inpatients: a three-centre study of their prevalence, types and causes, Postgraduate Medical Journal
Aim To compare the prevalence and causes of prescribing errors in newly written medication orders and how quickly they were rectified, in three NHS organisations.Methods Errors in newly written inpatient and discharge medication orders were recorded in Spring/Summer 2009 by ward pharmacists on medical admissions and surgical wards, as well as the number of erroneous doses administered (or omitted) before errors were corrected. Logistic regression analysis was used to explore the effects of ward (nested within organisation) and clinical specialty, and whether the pharmacist had checked the patient's medication history during data collection. Causes were explored using semistructured interviews with key informants.Results Overall, 1025 prescribing errors were identified in 974 of 6605 medication orders (14.7%, 95% confidence interval (CI) 13.8% to 15.6%). A mean of 0.9 doses were administered (or omitted) before each error was corrected (range 0–11), with differences between specialties and organisations. The error rate on medical admissions wards (16.3%) was significantly higher than that on surgical wards (12.2%), but this was accounted for by the higher proportion of prescribing being on admission, where omission of patients' usual medication was often identified. There were significant differences among wards (and organisations). Contributing factors included lack of feedback on errors, poor documentation and communication of prescribing decisions, and lack of information about patients' medication histories from primary care.Conclusions There were variations among wards, organisations and specialties in error rates and how quickly they were rectified. Exploring reasons for differences between organisations may be useful in identifying best practice and potential solutions.
Burnett S, Deelchand V, Dean-Franklin B, et al., 2011, Missing Clinical Information in NHS hospital outpatient clinics: prevalence, causes and effects on patient care, BMC Health Services Research, Vol: 11, ISSN: 1472-6963
BACKGROUND:In Britain over 39,000 reports were received by the National Patient Safety Agency relating to failures in documentation in 2007 and the UK Health Services Journal estimated in 2008 that over a million hospital outpatient visits each year might take place without the full record available. Despite these high numbers, the impact of missing clinical information has not been investigated for hospital outpatients in the UK. Studies in primary care in the USA have found 13.6% of patient consultations have missing clinical information, with this adversely affecting care in about half of cases, and in Australia 1.8% of medical errors were found to be due to the unavailability of clinical information. Our objectives were to assess the frequency, nature and potential impact on patient care of missing clinical information in NHS hospital outpatients and to assess the principal causes. This is the first study to present such figures for the UK and the first to look at how clinicians respond, including the associated impact on patient care. METHODS:Prospective descriptive study of missing information reported by surgeons, supplemented by interviews on the causes. Data were collected by surgeons in general, gastrointestinal, colorectal and vascular surgical clinics in three teaching hospitals across the UK for over a thousand outpatient appointments. Fifteen interviews were conducted with those involved in collating clinical information for these clinics. RESULTS:In 15% of outpatient consultations key items of clinical information were missing. Of these patients, 32% experienced a delay or disruption to their care and 20% had a risk of harm. In over half of cases the doctor relied on the patient for the information, making a clinical decision despite the information being missing in 20% of cases. Hospital mergers, temporary staff and non-integrated IT systems were contributing factors. CONCLUSIONS:If these findings are replicated across the NHS then almost 10 million
Warrick C, Naik H, Avis S, et al., 2011, A clinical information system reduces medication errors in paediatric intensive care, INTENSIVE CARE MEDICINE, Vol: 37, Pages: 691-694, ISSN: 0342-4642
- Author Web Link
- Cite
- Citations: 47
Dittrich S, Chedoe I, Dean Franklin B, et al., 2011, Assessing clinical relevance of medication administration errors: Validation of an existing method for application in The Netherlands, Pharmaceutisch Weekblad, Vol: 146, Pages: 38-43, ISSN: 0031-6911
- Cite
- Citations: 1
Loganathan M, Singh S, Franklin BD, et al., 2011, Interventions to optimise prescribing in care homes: systematic review, AGE AND AGEING, Vol: 40, Pages: 150-162, ISSN: 0002-0729
- Author Web Link
- Cite
- Citations: 109
Benning A, Ghaleb M, Suokas A, et al., 2011, Large scale organisational intervention to improve patient safety in four UK hospitals: mixed method evaluation, BMJ-BRITISH MEDICAL JOURNAL, Vol: 342, ISSN: 0959-535X
- Author Web Link
- Cite
- Citations: 107
Benning A, Dixon-Woods M, Nwulu U, et al., 2011, Multiple component patient safety intervention in English hospitals: controlled evaluation of second phase, BMJ-BRITISH MEDICAL JOURNAL, Vol: 342, ISSN: 1756-1833
- Author Web Link
- Cite
- Citations: 76
Shebl N, Franklin B, Barber N, et al., 2011, Failure Mode and Effects Analysis: views of hospital staff in the UK, Journal of health services research & policy
OBJECTIVE: To explore health care professionals' experiences and perceptions of Failure Mode and 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 of hospitals participating in a national quality improvement programme. Interviews were transcribed, coded and emergent themes identified using framework analysis. RESULTS: Themes identified included perceptions and experiences of participants with FMEA, validity and reliability issues, and FMEA's use in practice. FMEA was considered to be a structured but subjective process that helps health care professionals get together to identify high risk areas of care. Both positive and negative opinions were expressed, with the majority of interviewees expressing positive views towards FMEA in relation to its structured nature and the use of a multidisciplinary team. Other participants criticised FMEA for being subjective and lacking validity. Most likely to restrict its widespread use were its time consuming nature and its perceived lack of validity and reliability. CONCLUSION: FMEA is a subjective but systematic tool that helps identify high risk areas, but its time consuming nature, difficulty with the scores and perceived lack of validity and reliability may limit its widespread use.
Graciano Silva MDD, Rosa MB, Franklin BD, et al., 2011, Concomitant prescribing and dispensing errors at a Brazilian hospital: a descriptive study, CLINICS, Vol: 66, Pages: 1691-1697, ISSN: 1807-5932
- Author Web Link
- Cite
- Citations: 12
Franklin BD, Birch S, Schachter M, et al., 2010, Testing a trigger tool as a method of detecting harm from medication errors in a UK hospital: a pilot study., Int J Pharm Pract, Vol: 18, Pages: 305-311, ISSN: 0961-7671
OBJECTIVES: The aim was to adapt a US adverse drug event (ADE) trigger tool for UK use, and to establish its positive predictive value (PPV) and sensitivity in comparison to retrospective health record review for the identification of preventable ADEs, in a pilot study on one hospital ward. METHODS: An established US trigger tool was adapted for UK use. We applied it retrospectively to 207 patients' health records, following up positive triggers to identify any ADEs (both preventable and non-preventable). We compared the preventable ADEs to those identified using full health record review. KEY FINDINGS: We identified 168 positive triggers in 127 (61%) of 207 patients. Seven ADEs were identified, representing an ADE in 3.4% of patients or 0.7 ADEs per 100 patient days. Five were non-preventable adverse drug reactions and two were due to preventable errors. The prevalence of preventable ADEs was 1.0% of patients, or 0.2 per 100 patient days. The overall PPV was 0.04 for all ADEs, and 0.01 for preventable ADEs. PPVs for individual triggers varied widely. Five preventable ADEs were identified using health record review. The sensitivity of the trigger tool for identifying preventable ADEs was 0.40, when compared to health record review. CONCLUSIONS: Although we identified some ADEs using the trigger tool, more work is needed to further refine the trigger tool to reduce the false positives and increase sensitivity. To comprehensively identify preventable ADEs, retrospective health record review remains the gold standard and we found no efficiency gain in using the trigger tool.
Loganathan M, Singh S, Bottle A, et al., 2010, INTERVENTIONS TO IMPROVE PRESCRIBING QUALITY IN CARE HOMES: A SYSTEMATIC REVIEW, JOURNAL OF EPIDEMIOLOGY AND COMMUNITY HEALTH, Vol: 64, Pages: A43-A44, ISSN: 0143-005X
Savage I, Cornford T, Klecun E, et al., 2010, Medication errors with electronic prescribing (eP): Two views of the same picture, BMC HEALTH SERVICES RESEARCH, Vol: 10
- Author Web Link
- Cite
- Citations: 19
Pullinger W, Franklin BD, 2010, Pharmacists' documentation in patients' hospital health records: issues and educational implications., Int J Pharm Pract, Vol: 18, Pages: 108-115, ISSN: 0961-7671
OBJECTIVES: We aimed to identify potential barriers to hospital pharmacists' documentation in patients' hospital health records, and to explore pharmacists' training needs. Our objectives were to identify the methods used by pharmacists to communicate and document patient care issues, to explore pharmacists' attitudes towards documentation of patient care issues in health records, to identify and examine the factors influencing whether or not pharmacists document their care in health records and to make recommendations to inform development of a training programme to educate pharmacists regarding documentation in health records. METHODS: Methods included a questionnaire and focus groups. The study poulation was 40 clinical pharmacists in a 900-bed London teaching hospital. KEY FINDINGS: Thirty-nine pharmacists completed the questionnaire and 32 attended a focus group. Questionnaire responses indicated that 29 (74%) pharmacists did not write in patient health records; most preferred temporary notes. However, most respondents agreed that documenting their input in the health record was important. Few pharmacists believed that writing in health records would affect the doctor-pharmacist or patient-doctor relationship, or felt that health-record availability or time were barriers. Most knew when, how and which issues to document; however, most wanted more training. Focus-group discussions revealed that pharmacists feared litigation and criticism from doctors when writing in health records. Pharmacists' written communication in health records was also influenced by the perceived significance and appropriateness of clinical issues, pharmacists' acceptance by doctors, and pharmacists' 'ownership' of the health record. CONCLUSIONS: While recognising the importance of documenting relevant issues in health records, pharmacists rarely did so in practice and preferred to use oral communication or temporary adhesive notes instead. Pharmacists need to overcome their fear of criti
This data is extracted from the Web of Science and reproduced under a licence from Thomson Reuters. You may not copy or re-distribute this data in whole or in part without the written consent of the Science business of Thomson Reuters.