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All Outputs (17)

The impact of ageing on adults with cerebral palsy (2023)
Journal Article
Bell, B., Shah, S., Coulson, N., McLaughlin, J., Logan, P., Luke, R., & Avery, A. J. (2023). The impact of ageing on adults with cerebral palsy. British Journal of General Practice Open, 7(4), Article 0028. https://doi.org/10.3399/BJGPO.2023.0028

Background Cerebral palsy (CP) is one of the most common neurological disorders in children and results in lifelong physical impairments. Adults with CP have approximately the same life expectancy as their non-disabled peers, so helping them to stay... Read More about The impact of ageing on adults with cerebral palsy.

Evaluating the UK's first national prescribing assessment for GPs in training using an online survey (2023)
Journal Article
Knox, R., Bell, B., Salema, N., Emerson, K., Bodgener, S., Rial, J., …Avery, A. J. (2023). Evaluating the UK's first national prescribing assessment for GPs in training using an online survey. BJGP Open, 7(4), Article 044. https://doi.org/10.3399/BJGPO.2023.0044

Background GP trainees may not have experienced a systematic and comprehensive education in safe prescribing. Therefore, a self-assessment prescribing review was developed.

Aim To determine whether the assessment was feasible, had face validity, a... Read More about Evaluating the UK's first national prescribing assessment for GPs in training using an online survey.

Retrospective review of medication-related incidents at a major teaching hospital and the potential mitigation of these incidents with electronic prescribing and medicines administration (2023)
Journal Article
Cattell, M., Hyde, K., Bell, B., Dawson, T., Hills, T., Iyen, B., …Avery, A. (2023). Retrospective review of medication-related incidents at a major teaching hospital and the potential mitigation of these incidents with electronic prescribing and medicines administration. European Journal of Hospital Pharmacy, 31(4), 295-300. https://doi.org/10.1136/ejhpharm-2022-003515

Objectives: To describe the frequency of the different types of medication-related incidents that caused patient harm, or adverse consequences, in a major teaching hospital and investigate whether the likelihood of these incidents occurring would hav... Read More about Retrospective review of medication-related incidents at a major teaching hospital and the potential mitigation of these incidents with electronic prescribing and medicines administration.

Retrospective review of medication-related incidents at a major teaching hospital and the potential mitigation of these incidents with electronic prescribing and medicines administration (2023)
Journal Article
Cattell, M., Hyde, K., Bell, B., Dawson, T., Hills, T., Iyen, B., …Avery, A. (in press). Retrospective review of medication-related incidents at a major teaching hospital and the potential mitigation of these incidents with electronic prescribing and medicines administration. European Journal of Hospital Pharmacy, Article 003515. https://doi.org/10.1136/ejhpharm-2022-003515

Objectives
To describe the frequency of the different types of medication-related incidents that caused patient harm, or adverse consequences, in a major teaching hospital and investigate whether the likelihood of these incidents occurring would hav... Read More about Retrospective review of medication-related incidents at a major teaching hospital and the potential mitigation of these incidents with electronic prescribing and medicines administration.

Anticholinergic drugs and risk of dementia: Time for action? (2021)
Journal Article
Bell, B., Avery, A., Bishara, D., Coupland, C., Ashcroft, D., & Orrell, M. (2021). Anticholinergic drugs and risk of dementia: Time for action?. Pharmacology Research and Perspectives, 9(3), Article e00793. https://doi.org/10.1002/prp2.793

Evidence suggests that the prescription of bladder anticholinergics is increasing. Recent studies have accentuated concerns about whether certain prescribed medications could increase risk of dementia, including anticholinergic drugs, and specificall... Read More about Anticholinergic drugs and risk of dementia: Time for action?.

Identifying anticholinergic burden in clinical practice (2021)
Journal Article
Bell, B., & Avery, A. (2021). Identifying anticholinergic burden in clinical practice. Prescriber, 32(3), 20-23. https://doi.org/10.1002/psb.1901

Anticholinergic medications are associated with a wide range of adverse effects to which elderly patients are particularly susceptible. This article discusses the various ways that anticholinergic burden can be measured, how these can be used to help... Read More about Identifying anticholinergic burden in clinical practice.

Incidence, nature and causes of avoidable significant harm in primary care in England: retrospective case note review (2020)
Journal Article
Avery, A. J., Sheehan, C. L., Bell, B. G., Armstrong, S. J., Ashcroft, D. M., Boyd, M. J., …Carson-Stevens, A. (2021). Incidence, nature and causes of avoidable significant harm in primary care in England: retrospective case note review. BMJ Quality and Safety, 30(12), 961-976. https://doi.org/10.1136/bmjqs-2020-011405

Objective To estimate the incidence of avoidable significant harm in primary care in England; describe and classify the associated patient safety incidents and generate suggestions to mitigate risks of ameliorable factors contributing to the incident... Read More about Incidence, nature and causes of avoidable significant harm in primary care in England: retrospective case note review.

Identifying 'avoidable harm' in family practice: a RAND/UCLA Appropriateness Method consensus study (2019)
Journal Article
Carson-Stevens, A., Campbell, S., Bell, B., Cooper, A., Armstrong, S., Ashcroft, D., …Avery, A. (2019). Identifying 'avoidable harm' in family practice: a RAND/UCLA Appropriateness Method consensus study. BMC Family Practice, 20, Article 134. https://doi.org/10.1186/s12875-019-0990-z

Background: Health care-related harm is an internationally recognized threat to public health. The United Kingdom’s national health services demonstrate that upwards of 90% of health care encounters can be delivered in ambulatory settings. Other coun... Read More about Identifying 'avoidable harm' in family practice: a RAND/UCLA Appropriateness Method consensus study.

A comparison of six osteoporosis risk assessment tools among postmenopausal women in Kuala Lumpur, Malaysia (2019)
Journal Article
Shean Toh, L., Lai, P. S. M., Wu, D. B.-C., Bell, B. G., Dang, C. P. L., Low, B. Y., …Anderson, C. (2019). A comparison of six osteoporosis risk assessment tools among postmenopausal women in Kuala Lumpur, Malaysia. Osteoporosis and Sarcopenia, 5(3), 87-93. https://doi.org/10.1016/j.afos.2019.09.001

Objectives
To compare and assess the performance of 6 osteoporosis risk assessment tools for screening osteoporosis in Malaysian postmenopausal women.

Methods
Six osteoporosis risk assessments tools (the Simple Calculated Osteoporosis Risk Estim... Read More about A comparison of six osteoporosis risk assessment tools among postmenopausal women in Kuala Lumpur, Malaysia.

Essential prescribing tips for GP Associates-in-Training (2018)
Journal Article
Gookey, G., Knox, R., Salema, N.-E., Marsden, K., Bell, B., Bassi, M., Silcock, N., Swanwick, G., & Avery, A. (in press). Essential prescribing tips for GP Associates-in-Training. InnovAiT, 11(2), https://doi.org/10.1177/1755738017738271

Prescribing is an essential role in general practice but it is also, at times, a high risk activity. GP Associates-in-Training (GP AiTs) have been highlighted as needing further support to reduce the risk of prescribing errors. This article highlight... Read More about Essential prescribing tips for GP Associates-in-Training.

A Patient Safety Toolkit for Family Practices (2018)
Journal Article
Campbell, S. M., Bell, B. G., Marsden, K., Spencer, R., Kadam, U., Perryman, K., Rodgers, S., Litchfield, I., Reeves, D., Chuter, A., Doos, L., Ricci-Cabello, I., Gill, P., Esmail, A., Greenfield, S., Slight, S., Middleton, K., Barnett, J., Moore, M., Valderas, J. M., …Avery, A. J. (2018). A Patient Safety Toolkit for Family Practices. Journal of Patient Safety, 16(3), e182-e186. https://doi.org/10.1097/pts.0000000000000471

Objectives: Major gaps remain in our understanding of primary care patient safety. We describe a toolkit for measuring patient safety in family practices.

Methods: Six tools were used in 46 practices. These tools were: NHS Education for Scotlan... Read More about A Patient Safety Toolkit for Family Practices.

Professional, structural and organisational interventions in primary care for reducing medication errors (2017)
Journal Article
Khalil, H., Bell, B., Chambers, H., Sheikh, A., & Avery, A. J. (2017). Professional, structural and organisational interventions in primary care for reducing medication errors. Cochrane Database of Systematic Reviews, 2017(10), https://doi.org/10.1002/14651858.CD003942.pub3

Background: Medication-related adverse events in primary care represent an important cause of hospital admissions and mortality. Adverse events could result from people experiencing adverse drug reactions (not usually preventable) or could be due to... Read More about Professional, structural and organisational interventions in primary care for reducing medication errors.

Identifying patient and practice characteristics associated with patient-reported experiences of safety problems and harm: a cross-sectional study using a multilevel modelling approach (2017)
Journal Article
Ricci Cabello, I., Reeves, D., Bell, B. G., & Valderas, J. M. (2017). Identifying patient and practice characteristics associated with patient-reported experiences of safety problems and harm: a cross-sectional study using a multilevel modelling approach. BMJ Quality and Safety, 26(11), 899-907. https://doi.org/10.1136/bmjqs-2016-006411

Objective: To identify patient and family practice characteristics associated with patient-reported experiences of safety problems and harm.
Design: Cross-sectional study combining data from the individual postal administration of the validated Pati... Read More about Identifying patient and practice characteristics associated with patient-reported experiences of safety problems and harm: a cross-sectional study using a multilevel modelling approach.

Patients’ evaluations of patient safety in English general practices: a cross-sectional study (2017)
Journal Article
Ricci-Cabello, I., Marsden, K. S., Avery, A. J., Bell, B., Kadam, U., Reeves, D., …Valderas, J. M. (in press). Patients’ evaluations of patient safety in English general practices: a cross-sectional study. British Journal of General Practice, 67(660), Article e474-e482. https://doi.org/10.3399/bjgp17X691085

Background: The frequency and nature of safety problems and harm in general practices has previously relied on information supplied by health professionals, and scarce attention has been paid to experiences of patients.
Aim: To examine patient-repor... Read More about Patients’ evaluations of patient safety in English general practices: a cross-sectional study.

Understanding the epidemiology of avoidable significant harm in primary care: protocol for a retrospective cross-sectional study (2017)
Journal Article
Bell, B., Campbell, S., Carson-Stevens, A., Prosser Evans, H., Cooper, A., Brindley, C., …Avery, A. (2017). Understanding the epidemiology of avoidable significant harm in primary care: protocol for a retrospective cross-sectional study. BMJ Open, 7(2), Article e013786. https://doi.org/10.1136/bmjopen-2016-013786

Introduction: Most patient safety research has focused on specialist-care settings where there is an appreciation of the frequency and causes of medical errors, and the resulting burden of adverse events. There have, however, been few large-scale rob... Read More about Understanding the epidemiology of avoidable significant harm in primary care: protocol for a retrospective cross-sectional study.

Building a patient safety toolkit for use in general practice (2016)
Journal Article
Bell, B., Spencer, R., Marsden, K., Perryman, K., Cambeth, S., & Avery, A. (in press). Building a patient safety toolkit for use in general practice. InnovAiT, https://doi.org/10.1177/1755738016650468

Despite 340 000 000 primary care consultations annually in the UK, most of the literature on patient safety has focused on hospital-based services. To improve safety in primary care settings, we must know what methods, tools and indicators are availa... Read More about Building a patient safety toolkit for use in general practice.