Imperial College London


Faculty of MedicineDepartment of Surgery & Cancer

Honorary Research Officer







Norfolk PlaceSt Mary's Campus





Dr Sara Garfield is a post-doctoral researcher with over 20 years’ experience in health services research with specific qualitative expertise. Dr Garfield has specialised in understanding patients' perceptions of medication, factors influencing patients' decisions about treatment, shared decision making, medication adherence and safety and quality of medication use.


Garfield S, Furniss D, Husson F, Turley M, Franklin BD (2018) Use of patient-held information about medication (PHIMed) to support medicines optimisation: protocol for a mixed-methods descriptive study BMJ Open. 8:e021764.

Fahmy S, Garfield S, Furniss D, Blandford A, Franklin BD (2018).  A comparison of two methods of assessing the potential clinical importance of medication errors.  Safety in Health. 4:3.

Garfield S, Bell H, Nathan C,  Randall S, Husson F, Boucher C, Taylor  A,  Lloyd J,  Backhouse, A,  Ritchie L, Franklin BD  (2018) A quality improvement project to increase self-administration of medicines in an acute hospital.  International Journal for Quality in Health Care. 30; 396–407.

Waly, T; Garfield, S; Franklin, BD; (2018) Pharmacy staff views on the implementation of patient handheld medication tools to improve information transfer: a qualitative study. Safety in Health.  4 (13) 10.1186/s40886-018-0080-2.

Ocloo J, Garfield S, Dawson S, Franklin BD (2017) Exploring the theory, barriers and enablers for patient and public involvement across health, social care and patient safety: a protocol for a systematic review of reviews. BMJ Open. 7:e018426.

 Parand A , Garfield S  Vincent C, Franklin BD (2016). Carers' Medication Administration Errors in the Domiciliary Setting: A Systematic Review.  PLoS ONE. 11(12): e0167204.

Garfield S, Jheeta S, Husson F, Jacklin A, Bischler A, Norton C, Franklin BD (2016). Lay involvement in the analysis of qualitative data in health services research:  A descriptive study. Research Involvement and Engagement 2:29.

Garfield S, Jheeta S, Husson F, Lloyd J, Taylor A, Boucher C, Jacklin A, Bischler A, Norton C, Hayles R, Franklin BD (2016). The role of hospital inpatients in supporting medication safety: A qualitative study. PLoS ONE. 11(4):e0153721.

Ahmed Z, Garfield S, Jani Y, Jheeta S, Franklin BD (2016).  Impact of electronic prescribing on patient safety in hospitals: implications for the UK.  Clinical Pharmacist.

Garfield S, Franklin, BD (2016) Understanding models of error and how they apply in clinical practice.  Clinical Pharmacist.

Ahmed Z, Barber N, Jani Y, Garfield S, Franklin BD (2016).  Economic impact of electronic prescribing in the hospital setting: A systematic review.  Int J Med Inform 8:1-7.

Garfield S, Jheeta S, Jacklin, A, Bischler A, Norton, Franklin BD (2015) Patient and public involvement in data collection for health services research: a descriptive study. Research Involvement and Engagement. 1:8.

Reynolds M, Larsson E, Hewitt R, Garfield S, Franklin BD (2015).  Development and evaluation of a pocket card to support prescribing by junior doctors in an English hospital. International Journal of Clinical Pharmacy 37(5):762-6.

Mohsin-Shaikh S, Garfield S, Franklin BD (2014). Patient involvement in medication safety in hospital: an exploratory study. International Journal of Clinical Pharmacy.  36(3): 657–666.

Andersson M, Garfield S, Eliasson L, Jackson C, Raynor DK (2014).  Delivery of patient adherence support: a systematic review of the role of pharmacists and doctors. Patient intelligence. 6: 631-42.

Garfield S, Reynolds M, Dermont L, Franklin BD (2013) Measuring the severity of prescribing errors: A systematic review. Drug Safety 36(12):1151-7. 

Garfield S, Hibbard R, Barber N (2013).  English community pharmacists’ experiences of using electronic transmission of prescriptions: a qualitative study.  BMC Health Services Research, DOI: 10.1186/1472-6963-13-435.

Garfield S, Eliasson L, Clifford S, Willson A, Barber N (2012) Developing the Diagnostic Adherence to Medication Scale (the DAMS) for use in clinical practice  BMC Health Services Research, 12:350.

Garfield S, Clifford S, Eliasson L, Barber N, Wilson A(2011) Suitability of measures of self-reported medication adherence for routine clinical use: A systematic review. BMC Medical Research Methodology 11:149.

Clifford S, Garfield S, Eliasson L, Barber N (2010) Medication adherence and community pharmacy: a review of education, policy and research in England. Pharmacy Practice. 8:77 - 88.

Garfield S, Barber N, Walley P Wilson A, Eliasson L:(2009) Quality of medication use in primary care - mapping the problem, working to a solution : a systematic review of the literature. BMC Medicine 7: 50.

Barber ND, Alldred D P, Raynor DK, Dickinson R, Garfield S, Jesson B, Lim R, Savage I, Standage C, Buckle P, Carpenter J, Franklin B, Woloshynowych M, Zermansky AG (2009) Care homes’ use of medicines study: prevalence, causes and potential harm of medication errors in care homes for older people. Quality and Safety of Health Care 18;341-346.

Garfield S, Smith F, Francis SA, Chalmers C (2007) Can patients’ preferences for involvement in decision-making regarding the use of medicines be predicted? Patient Education and Counseling 66: 31-370.

Garfield S, Francis SA, Smith FS (2004) Building concordant relationships with patients beginning courses of antidepressant medication.  Patient Education and Counselling 55: 241-246  

Garfield S, Smith F, Francis SA (2004) From Black Clouds to lighter grey: How pharmacists can help in depression.  The Pharmaceutical Journal 272: 576-577

Garfield S, Smith F, Francis SA (2003) The paradoxical role of antidepressant medication- returning to normal functioning while losing the sense of being normal.  Journal of Mental Health 12: 5, 521-535.



Subakumar K, Franklin BD, Garfield S, 2021, Analysis of the third WHO Global Safety Challenge 'Medication Without Harm' patient-facing materials: exploratory descriptive study, European Journal of Hospital Pharmacy, Vol:28, ISSN:2047-9956, Pages:E109-E114

Grimes TC, Garfield S, Kelly D, et al., 2020, Household medication safety practices during the COVID-19 pandemic: a descriptive qualitative study protocol, Bmj Open, Vol:10, ISSN:2044-6055, Pages:1-6

Garfield S, Furniss D, Husson F, et al., 2020, How can patient-held lists of medication enhance patient safety? A mixed-methods study with a focus on user experience, Bmj Quality & Safety, Vol:29, ISSN:2044-5415, Pages:764-773

Garfield S, Teo V, Chan L, et al., 2020, To what extent is the World Health Organization's medication safety challenge being addressed in English hospital organizations? a descriptive study., Journal of Patient Safety, ISSN:1549-8417

Bell H, Garfield S, Khosla S, et al., 2019, Mixed methods study of medication-related decision support alerts experienced during electronic prescribing for inpatients at an English hospital, European Journal of Hospital Pharmacy: Science and Practice, Vol:26, ISSN:2047-9956, Pages:318-322

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