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Professor TONY AVERY's Outputs (99)

Evaluation of a pharmacist-led actionable audit and feedback intervention for improving medication safety in UK primary care: An interrupted time series analysis (2020)
Journal Article
Peek, N., Gude, W. T., Keers, R. N., Williams, R., Kontopantelis, E., Jeffries, M., Phipps, D. L., Brown, B., Avery, A. J., & Ashcroft, D. M. (2020). Evaluation of a pharmacist-led actionable audit and feedback intervention for improving medication safety in UK primary care: An interrupted time series analysis. PLoS Medicine, 17(10), Article e1003286. https://doi.org/10.1371/journal.pmed.1003286

Background: We evaluated the impact of the pharmacist-led Safety Medication dASHboard (SMASH) intervention on medication safety in primary care.

Methods and findings: SMASH comprised (1) training of clinical pharmacists to deliver the intervention... Read More about Evaluation of a pharmacist-led actionable audit and feedback intervention for improving medication safety in UK primary care: An interrupted time series analysis.

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., Rann, S., & 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., Brown, B., Avery, A. J., Ashcroft, D. M., & 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.

‘New Medicine Service’: supporting adherence in people starting a new medication for a long-term condition: 26-week follow-up of a pragmatic randomised controlled trial (2019)
Journal Article
Elliott, R. A., Boyd, M., Tanajewski, L., Barber, N., Gkountouras, G., Avery, A. J., Mehta, R., Davies, J. E., Salema, N.-E., Craig, C., Latif, A., Waring, J., & Chuter, A. (2019). ‘New Medicine Service’: supporting adherence in people starting a new medication for a long-term condition: 26-week follow-up of a pragmatic randomised controlled trial. BMJ Quality and Safety, 29(4), 286-295. https://doi.org/10.1136/bmjqs-2018-009177

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., Hay, E. M., Heneghan, C., Hartshorne, L., Hooper, J., Hughes, G., Jowett, S., Lewis, M., Little, P., McCartney, K., Mahtani, K. R., Nunan, D., Santer, M., Williams, S., & 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.

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., Boyd, M., Evans, H., Mehta, R., Sheehan, C., Sheikh, A., & 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.

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., Bower, P., Campbell, S., Haneef, R., Avery, A. J., & 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.

Psychological interventions as vaccine adjuvants: A systematic review (2019)
Journal Article
Vedhara, K., Ayling, K., Sunger, K., Caldwell, D. M., Halliday, V., Fairclough, L., Avery, A., Robles, L., Garibaldi, J., Welton, N. J., & Royal, S. (2019). Psychological interventions as vaccine adjuvants: A systematic review. Vaccine, 37(25), 3255-3266. https://doi.org/10.1016/j.vaccine.2019.04.091

Objectives: The effectiveness of vaccines is known to be altered by a range of psychological factors. We conducted a systematic review to evaluate the effects of psychological interventions on the ability of vaccines to protect against disease, as me... Read More about Psychological interventions as vaccine adjuvants: A systematic review.

Processing discharge summaries in general practice: a qualitative interview study with GPs and practice managers (2019)
Journal Article
Spencer, R. A., Rodgers, S., Salema, N., Campbell, S. M., & Avery, A. J. (2019). Processing discharge summaries in general practice: a qualitative interview study with GPs and practice managers. BJGP Open, 3(1), https://doi.org/10.3399/bjgpopen18X101625

Background

Discharge summaries are essential for communicating patient information from secondary care to general practice on hospital discharge. Although there has been extensive research into their design and completion in secondary care very l... Read More about Processing discharge summaries in general practice: a qualitative interview study with GPs and practice managers.

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., Peek, N., & 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., Kontopantelis, E., Avery, A. J., Ashcroft, D. M., & 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.

Processing of discharge summaries in general practice: a retrospective record review (2018)
Journal Article
Spencer, R., Spencer, S. E., Rodgers, S., Campbell, S., & Avery, A. (2018). Processing of discharge summaries in general practice: a retrospective record review. British Journal of General Practice, 68(673), e576-e585. https://doi.org/10.3399/bjgp18X697877

Background: There is a need for greater understanding of the epidemiology of primary care patient safety in order to generate solutions to prevent future harm.
Aim: To estimate the rate of failures in processing actions requested in hospital discha... Read More about Processing of discharge summaries in general practice: a retrospective record review.

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.

Mindful organizing in patients’ contributions to primary care medication safety (2018)
Journal Article
Phipps, D. L., Giles, S., Lewis, P. J., Marsden, K., Salema, N., Jeffries, M., Avery, A. J., & Ashcroft, D. M. (2018). Mindful organizing in patients’ contributions to primary care medication safety. Health Expectations, 21(6), 964-972. https://doi.org/10.1111/hex.12689

Background: There is a need to ensure that the risks associated with medication usage in primary healthcare are controlled. To maintain an understanding of the risks, healthcare organizations may engage in a process known as “mindful organizing”. Whi... Read More about Mindful organizing in patients’ contributions to primary care medication safety.

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.

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., Avery, A., Meads, C., Kirtley, A., Morgan Jones, M., & 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.

Direct to public peer support and e-therapy program versus information to aid self-management of depression and anxiety: protocol for a randomized controlled trial (2017)
Journal Article
Kaylor-Hughes, C., Rawsthorne, M., Coulson, N. S., Simpson, S., Simons, L., Guo, B., James, M., Moran, P., Simpson, J., Hollis, C., Avery, A., Tata, L. J., Williams, L., & Morriss, R. (in press). Direct to public peer support and e-therapy program versus information to aid self-management of depression and anxiety: protocol for a randomized controlled trial. Journal of Medical Internet Research, 6(12), Article e231. https://doi.org/10.2196/resprot.8061

Regardless of geography or income, effective help for depression and anxiety only reaches a small proportion of those who might benefit from it. The scale of the problem suggests a role for effective, safe, anonymised public health driven online serv... Read More about Direct to public peer support and e-therapy program versus information to aid self-management of depression and anxiety: protocol for a randomized controlled trial.