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Antimicrobials in hospital — a development in advanced e-prescribing analyticsSubscription
Rising antimicrobial resistance (AMR) is a recognised threat to global health. There is a perception that poor prescribing practices contribute to the problem, although data confirming this are limited. Reliable data on the quality of antimicrobial prescribing in UK hospitals are not available, with hospital drug-purchasing data most often being used ...
Community pharmacy careers are not inferior to those in other sectorsSubscription
I read Ankit Thapar’s response to ‘Those “timid about inclusion” will not succeed, delegates hear at RPS’s first BAME event’ with interest.
Developing a co-produced e-learning programme to support marginalised medically underserved patients Subscription
There have been recent calls for the NHS to pursue a value-based healthcare system, one that is “equitable, sustainable and transparent”[1]. However, promoting a culture based on the values of patient-centred care can be challenging. One notable example in pharmacy ...
The government must ease and encourage medical cannabis researchSubscription
It’s been over a year since the rules were changed to allow clinicians to prescribe cannabis-based medicinal products (CBMPs) but very little has changed.
Individualised approach to care reduces overtreatment of type 2 diabetes mellitus in frail older people Subscription
Intensive treatment with insulin and sulfonylureas in older people with low HbA1c (<53mmol/mol) can increase the risk of hypoglycaemia, morbidity and mortality. Older people are less likely to benefit from the long-term protective effects of good glycaemic control and are at risk of inappropriate polypharmacy owing to co-morbidities.
Community pharmacies will not lose out in the new contractSubscription
I write regarding Hemant Patel’s article ‘For community pharmacists, the new contract does not add up’, published in The Pharmaceutical Journal on 27 September 2019. I need to correct some inaccuracies in Patel’s narrative on the new community pharmacy contractual framework.
Wales' principles to support people to take their medicines in their homesSubscription
The All Wales Heads of Adults’ Services (AWASH) Group and NHS Wales, in collaboration with their partner organisations, have launched a set of high-level principles to encourage better medicines support for people who are receiving care at home.
Trust-wide microbiology electronic referral system supports antimicrobial stewardship Subscription
Antimicrobial stewardship (AMS) can be defined as the approach to promoting and monitoring judicious use of antimicrobials to preserve their future effectiveness. With demands on microbiological clinical services at Basildon and Thurrock University Hospitals increasing over recent years, requests for clinical advice could no longer be facilitated by a direct telephone call from clinical teams to the pathology team. Paper referral forms used by pharmacists for AMS review were no longer ...
Highlighting shoulder injury related to vaccine administrationSubscription
I would like to highlight an important, though rarely discussed or reported, issue: shoulder injury related to vaccine administration (SIRVA). I implore any pharmacists who offer travel or flu vaccinations to take note.
Marking the first World Patient Safety DaySubscription
Patient safety is a global challenge and, in May 2019, the 72nd World Health Assembly — through which World Health Organization (WHO) is governed by its member states — agreed that a World Patient Safety Day would be commemorated annually each year on 17 September, commencing in 2019.
Reviewing the safe and appropriate prescribing of antipsychotic depotsSubscription
Antipsychotic medicine is prescribed to treat many mental health conditions, alleviate suffering and improve daily functioning[1].
The new NHS Patient Safety Strategy has a big hole in itSubscription
In August 2018, I expressed my concern in Clinical Pharmacist that the NHS, described as ‘an organisation with a memory’, was losing its patient safety memory and not addressing many important risks effectively[1]. Other reports from the Care Quality Commission
