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Research articles

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  • A credentialing process for advanced level pharmacists: participant feedback Subscription

    By Maria Helena Costa, Robert Shulman, Ian Bates

    This paper describes research suggesting that a credentialing process is feasible and useful for clinical pharmacists, and provides a good measure of competence performance.

  • Beneficial check of unwanted medicines Subscription

    By Nuria Laiglesia, Hee Joo Yang

    The pharmacy contract stipulates that each pharmacy should participate in two clinical audits per year, at least one of which should be practice based and one determined by the local primary care trust. We have conducted an audit of interventions identified from NHS prescription repeat lists collected from a GP surgery (with patients’ consent).

  • Effective audit can improve service quality and build the evidence base Subscription

    By Rachel Roberts

    Audit is vital for patient care and safety and for the development and improvement of pharmacy practice. In addition, the Government is keen to promote and expand clinical audit activity, particularly since it resonates with the current QIPP (quality, innovation, productivity and prevention) programme for services to become more efficient and

  • Owed medicines: (1) Traditional audit Subscription

    By Josie Solomon, Tim Harrison

    Prescription “owings” occur when there is insufficient stock to be able to dispense prescriptions. They were perceived to be a problem for the pharmacy where we undertook the service evaluation. It was a relatively new pharmacy where the prescription volumes had been steadily growing, further complicated by an electronic stock control system. The Community Pharmacy Contractual Framework “Essential service: clinical governance” document (available at www.psnc.org.uk) states in section ...

  • Owed medicines: (2) IMPACT audit Subscription

    By Josie Solomon, Tim Harrison

    This short report presents an example of the use of IMPACT, a new method of service evaluation, which was used to evaluate prescription owings in the same pharmacy described in part 1. IMPACT stands for the stages of the process: Issue, Method, Perspectives, Analysis of themes, Conclusion and Targets. It is based on a simplified methodology that was used to explore the interaction of prescribing policy and patient perspectives.

  • electronic charts pic

    Prescribing errors before and after introduction of electronic charts Subscription

    By Vanessa Marvin, India Hardy, Richard Morgan, Deirdre Linnard, David Asboe

    Mistakes occur at all stages of prescribing, from the decision to use a medicine to writing it correctly and legibly — including calculating or selecting the correct dose or dosage form. At the decision stage, knowledge of the patient’s history of medicines use and any previous adverse drug events must be taken into account; if it is not then a prescribing error has been made.

  • electronic prescribing

    Ten years on, has e-prescribing of cancer regimens improved safety? Subscription

    By Fiona McCarthy, Saadhiya Hussain, Christopher Watson, Melissa Phillips, CJ Gallagher, Samir Vohra, Nicola Gray

    This study was conducted to assess whether or not introduction of an electronic system for prescribing cancer regimens improved patient safety.

  • Integrated strategies will work best Subscription

    By Michelle Black, Gemma Glaves

    In primary care, pharmacy interventions for older people on polypharmacy can reduce the number of medicines required, resolve pharmaceutical care issues and, in some cases, reduce prescribing costs. However, outcome data for pharmaceutical interventions (in primary and community care settings), in terms of reduced morbidity/mortality and even admissions avoidance, is lacking.

  • Hospital staff knowledge of use of antibiotics in penicillin allergy: is there room for improvement? Subscription

    This paper aims to evaluate the knowledge of hospital clinical staff on the safe use of antibiotics in penicillin allergy and to ascertain staff attitudes and beliefs towards penicillin-related medication errors.

  • Improving the accuracy and timeliness of medication allergy documentation in the intensive care unit Subscription

    By Catherine McKenzie, Katie Hatton, Nicholas Barrett

    This study aims to ascertain the adherence to allergy policy within the intensive care unit, to put in place robust processes to improve the timeliness and accuracy of allergy documentation, and to assess the impact of any interventions.

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