Evaluating a point-of-care C-reactive protein test to support antibiotic prescribing decisions in a general practiceSubscription
C-reactive protein (CRP) is a marker of infection and inflammation. It is high in bacterial infections but very low or close to zero in viral infections. The National Institute for Health and Care Excellence (NICE), England and Wales’s health technology assessment body, has issued guidance on pneumonia in adults; it recommends point-of-care (POC) CRP analysers when clinical assessment is inconclusive. If the CRP level is less than 20mg/L, no antibiotics ...
Local guidance, supported by the 2014 National Institute for Health and Care Excellence (NICE) guideline CG180 for atrial fibrillation (AF), recommends that patients receiving inadequate anticoagulation with a vitamin K antagonist (VKA), including time in therapeutic range (TTR) of <65%, should be reassessed. These patients were identified by the anticoagulation monitoring service (AMS) and highlighted to GPs for review. However, up to 59.3% of patients received ...
Many patients with hepatitis C virus (HCV) infection lie undiagnosed and a significant proportion of patients that have been identified are disengaged from specialist services. The Isle of Wight (IOW) typifies this issue, with an estimated 200 undiagnosed patients with HCV infection and a small number of known cases engaged with specialist services. Aim: To reduce the burden of undiagnosed HCV on the IOW and link new diagnoses directly ...
Pharmacy at home: service for frail older patients demonstrates medicines risk reduction and admission avoidanceSubscription
The Exeter Cluster Pharmacy (ECP) team is part of an integrated community health and social care service, providing domiciliary medicines optimisation to around 145,000 people. The service undertakes clinical medication reviews for frail older people at home, assessing their risk of medicine-related harm in order to reduce these risks and potentially prevent hospital admissions. Objective: An evaluation was completed in 2014 to assess the level of service the pharmacy ...
This paper suggests that patient helplines support medicines optimisation by ensuring patients have easy access to pharmacy experts to discuss concerns about their medicines and improve the quality of their pharmaceutical care.
This paper describes a new performance-based package user test that has the potential to improve drug package design and therefore reduce drug selection errors.
Viruses lurk in our genome and science is only now starting to understand the important role that they might play in health and disease. Kalliopi Dodou and Paul Whiteley explain.
Jason Hall and colleagues explain how Manchester Pharmacy School is applying team-based learning to the MPharm course to integrate science and practice modules.
To describe the number and types of patient safety incidents involving Controlled Drugs reported to the National Reporting and Learning System (NRLS) and the role of Accountable Officers for CDs (AOs) in incident reporting and learning.
Abstract Aim To evaluate the clinical impact, quantity and quality of pharmacist interventions in potential patients’ outcomes in a high risk area, in this case an emergency assessment unit. These interventions were related to identifying, preventing and resolving drug related problems.
To describe a system of regular intervention monitoring among paediatric patients and how the information is used to inform the content of different strategies aimed at improving prescribing practice.
To ascertain the provision of pharmacy services to hospital admission units across Wales. The principles and processes used were based on those devised in a previous all-Wales study, where trainee pharmacists submitted data as part of the audit process. Comparison of data was facilitated by using a uniform method.
Aim: To decrease the frequency of missed medicines doses in preoperative general surgical patients.
Abstract AimTo ascertain what medicines managers in English primary care trusts were doing to promote antimicrobial stewardship.DesignOnline surveySubjects and settingAll medicines managers of PCTs in England.
ObjectivesTo assess whether or not introduction of an electronic system for prescribing cancer regimens improved patient safety.
Abstract AimTo investigate the views of non-contractor community pharmacists regarding the new responsible pharmacist (RP) role, before implementation.DesignCross-sectional, anonymous self-completion postal survey.
AbstractAimTo address deficiencies in chemotherapy production and improve co-ordination between production, prescribing and clinic scheduling.DesignService review and redesign using ‘lean’, change management techniques. SettingAn oncology unit at a district hospital.
AbstractAim To assess the prevalance of parent-reported drug allergy and determine whether the reported allergy had a confirmed diagnosisDesignExamination of drug charts over a one-month period, followed by interviewSubjects and settingA paediatric population in a London children’s hospital
AbstractAimTo identify and prioritise risks associated with medicine shortages in NHS hospitals, and describe how these risks can be managed more safely. Design A failure modes and effects analysis (FMEA)
Abstract AimTo investigate pharmacy students’ use of, and attitudes towards, Facebook and professionalism.DesignA quantitative, online anonymous surveySubjects and setting91 pharmacy students at a UK university completed the online survey
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