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All Outputs (61)

Over-The-Counter Codeine: Can Community Pharmacy Staff Nudge Customers into Its Safe and Appropriate Use? (2020)
Journal Article
Mody, S., Kirkdale, C. L., Thornley, T., Dickinson, A., Avery, A. J., Knaggs, R., …Bastable, R. (2020). Over-The-Counter Codeine: Can Community Pharmacy Staff Nudge Customers into Its Safe and Appropriate Use?. Pharmacy, 8(4), Article 185. https://doi.org/10.3390/pharmacy8040185

The misuse of opioids, including codeine which is sold over-the-counter (OTC) in United Kingdom (UK) community pharmacies, is a growing public health concern. An educational Patient Safety Card was developed and piloted to see if it nudged customers... Read More about Over-The-Counter Codeine: Can Community Pharmacy Staff Nudge Customers into Its Safe and Appropriate Use?.

Understanding the utilisation of a novel interactive electronic medication safety dashboard in general practice: a mixed methods study (2020)
Journal Article
Jeffries, M., Gude, W. T., Keers, R. N., Phipps, D. L., Williams, R., Kontopantelis, E., …Peek, N. (2020). Understanding the utilisation of a novel interactive electronic medication safety dashboard in general practice: a mixed methods study. BMC Medical Informatics and Decision Making, 20(1), Article 69. https://doi.org/10.1186/s12911-020-1084-5

Background: Improving medication safety is a major concern in primary care settings worldwide. The Salford Medication safety dASHboard (SMASH) intervention provided general practices in Salford (Greater Manchester, UK) with feedback on their safe pre... Read More about Understanding the utilisation of a novel interactive electronic medication safety dashboard in general practice: a mixed methods study.

Open-label randomised pragmatic trial (CONTACT) comparing naproxen and low-dose colchicine for the treatment of gout flares in primary care (2019)
Journal Article
Roddy, E., Clarkson, K., Blagojevic-Bucknall, M., Mehta, R., Oppong, R., Avery, A., …Mallen, C. D. (2020). Open-label randomised pragmatic trial (CONTACT) comparing naproxen and low-dose colchicine for the treatment of gout flares in primary care. Annals of the Rheumatic Diseases, 79(2), 276-284. https://doi.org/10.1136/annrheumdis-2019-216154

Objectives: To compare the effectiveness and safety of naproxen and low-dose colchicine for treating gout flares in primary care. Methods: This was a multicentre open-label randomised trial. Adults with a gout flare recruited from 100 general pr... Read More about Open-label randomised pragmatic trial (CONTACT) comparing naproxen and low-dose colchicine for the treatment of gout flares in primary care.

Prevalence, severity, and nature of preventable patient harm across medical care settings: systematic review and meta-analysis (2019)
Journal Article
Panagioti, M., Khan, K., Keers, R. N., Abuzour, A., Phipps, D., Kontopantelis, E., …Ashcroft, D. M. (2019). Prevalence, severity, and nature of preventable patient harm across medical care settings: systematic review and meta-analysis. BMJ, 366, Article l418. https://doi.org/10.1136/bmj.l4185

Objective: To systematically quantify the prevalence, severity, and nature of preventable patient harm across a range of medical settings globally. Design: Systematic review and meta-analysis. Data sources: Medline, PubMed, PsycINFO, Cinahl and... Read More about Prevalence, severity, and nature of preventable patient harm across medical care settings: systematic review and meta-analysis.

Developing a learning health system: insights from a qualitative process evaluation of a pharmacist-led electronic audit and feedback intervention to improve medication safety in primary care. (2018)
Journal Article
Jeffries, M., Keers, R. N., Phipps, D. L., Williams, R., Brown, B., Avery, A. J., …Ashcroft, D. M. (2018). Developing a learning health system: insights from a qualitative process evaluation of a pharmacist-led electronic audit and feedback intervention to improve medication safety in primary care. PLoS ONE, 13(10), Article e0205419. https://doi.org/10.1371/journal.pone.0205419

Introduction: Developments in information technology offer opportunities to enhance medication safety in primary care. We evaluated the implementation and adoption of a complex pharmacist-led intervention involving the use of an electronic audit and... Read More about Developing a learning health system: insights from a qualitative process evaluation of a pharmacist-led electronic audit and feedback intervention to improve medication safety in primary care..

SMASH! The Salford medication safety dashboard (2018)
Journal Article
Williams, R., Keers, R., Gude, W. T., Jeffries, M., Davies, C., Brown, B., …Peek, N. (2018). SMASH! The Salford medication safety dashboard. Journal of Innovation in Health Informatics, 25(3), 183-193. https://doi.org/10.14236/jhi.v25i3.1015

Background: Patient safety is vital to well-functioning health systems. A key component is safe prescribing, particularly in primary care where most medications are prescribed. Previous research demonstrated that the number of patients exposed to pot... Read More about SMASH! The Salford medication safety dashboard.

Developing a measure of polypharmacy appropriateness in primary care: systematic review and expert consensus study (2018)
Journal Article
Burt, J., Elmore, N., Campbell, S. M., Rodgers, S., Avery, A. J., & Payne, R. A. (2018). Developing a measure of polypharmacy appropriateness in primary care: systematic review and expert consensus study. BMC Medicine, 16(1), 1-15. https://doi.org/10.1186/s12916-018-1078-7

Background: Polypharmacy is an increasing challenge for primary care. Although sometimes clinically justified, polypharmacy can be inappropriate, leading to undesirable outcomes. Optimising care for polypharmacy necessitates effective targeting and m... Read More about Developing a measure of polypharmacy appropriateness in primary care: systematic review and expert consensus study.

Influences on the adoption of patient safety innovation in primary care: a qualitative exploration of staff perspectives (2018)
Journal Article
Litchfield, I., Gill, P., Avery, T., Campbell, S., Perryman, K., Marsden, K., & Greenfield, S. (2018). Influences on the adoption of patient safety innovation in primary care: a qualitative exploration of staff perspectives. BMC Family Practice, 19(1), Article 72. https://doi.org/10.1186/s12875-018-0761-2

Background: Primary care is changing rapidly to meet the needs of an ageing and chronically ill population. New ways of working are called for yet the introduction of innovative service interventions is complicated by organisational challenges arisin... Read More about Influences on the adoption of patient safety innovation in primary care: a qualitative exploration of staff perspectives.

A Patient Safety Toolkit for Family Practices (2018)
Journal Article
Campbell, S. M., Bell, B. G., Marsden, K., Spencer, R., Kadam, U., Perryman, K., …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.

Clinical and cost effectiveness of issuing longer versus shorter duration (3 month vs. 28 day) prescriptions in patients with chronic conditions: systematic review and economic modelling (2017)
Journal Article
Miani, C., Martin, A., Exley, J., Doble, B., Wilson, E., Payne, R., …King, S. (2017). Clinical and cost effectiveness of issuing longer versus shorter duration (3 month vs. 28 day) prescriptions in patients with chronic conditions: systematic review and economic modelling. Health Technology Assessment, 21(78), https://doi.org/10.3310/hta21780

Background: To reduce expenditure on, and wastage of, drugs, some commissioners have encouraged general practitioners to issue shorter prescriptions, typically 28 days in length; however, the evidence base for this recommendation is uncertain. Objec... Read More about Clinical and cost effectiveness of issuing longer versus shorter duration (3 month vs. 28 day) prescriptions in patients with chronic conditions: systematic review and economic modelling.

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.

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 implementation and adoption of an information technology intervention to support medicine optimisation in primary care: qualitative study using strong structuration theory (2017)
Journal Article
Jeffries, M., Phipps, D., Howard, R. L., Avery, A., Rodgers, S., & Ashcroft, D. (2017). Understanding the implementation and adoption of an information technology intervention to support medicine optimisation in primary care: qualitative study using strong structuration theory. BMJ Open, 7(5), Article e014810. https://doi.org/10.1136/bmjopen-2016-014810

Objectives: Using strong structuration theory, we aimed to understand the adoption and implementation of an electronic clinical audit and feedback tool to support medicine optimisation for patients in primary care. Design: This is a qualitative st... Read More about Understanding the implementation and adoption of an information technology intervention to support medicine optimisation in primary care: qualitative study using strong structuration theory.

Antipsychotic Prescribing to Patients Diagnosed with Dementia Without a Diagnosis of Psychosis in the Context of National Guidance and Drug Safety Warnings: Longitudinal Study in UK General Practice (2017)
Journal Article
Stocks, S. J., Kontopantelis, E., Webb, R. T., Avery, A. J., Burns, A., & Ashcroft, D. M. (2017). Antipsychotic Prescribing to Patients Diagnosed with Dementia Without a Diagnosis of Psychosis in the Context of National Guidance and Drug Safety Warnings: Longitudinal Study in UK General Practice. Drug Safety, 40(8), 679-692. https://doi.org/10.1007/s40264-017-0538-x

© 2017, The Author(s). Introduction: Policy interventions to address inappropriate prescribing of antipsychotic drugs to older people diagnosed with dementia are commonplace. In the UK, warnings were issued by the Medicines Healthcare products Regula... Read More about Antipsychotic Prescribing to Patients Diagnosed with Dementia Without a Diagnosis of Psychosis in the Context of National Guidance and Drug Safety Warnings: Longitudinal Study in UK General Practice.

Sources of unsafe primary care for older adults: A mixed-methods analysis of patient safety incident reports (2017)
Journal Article
Cooper, A., Edwards, A., Williams, H., Evans, H. P., Avery, A., Hibbert, P., …Carson-Stevens, A. (2017). Sources of unsafe primary care for older adults: A mixed-methods analysis of patient safety incident reports. Age and Ageing, 46(5), 833-839. https://doi.org/10.1093/ageing/afx044

© The Author 2017. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. Background: older adults are frequent users of primary healthcare services, but are at increased risk of healthcare-related harm... Read More about Sources of unsafe primary care for older adults: A mixed-methods analysis of patient safety incident reports.