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Professor TONY AVERY's Outputs (99)

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.

Assessing the impact of the introduction of an electronic hospital discharge system on the completeness and timeliness of discharge communication: a before and after study (2017)
Journal Article
Mehta, R., Baxendale, B., Roth, K., Caswell, V., Le Jeune, I., Hawkins, J., Zedan, H. S., & Avery, A. J. (2017). Assessing the impact of the introduction of an electronic hospital discharge system on the completeness and timeliness of discharge communication: a before and after study. BMC Health Services Research, 17, Article 624. https://doi.org/10.1186/s12913-017-2579-3

Background:


Hospital discharge summaries are a key communication tool ensuring continuity of care between primary and secondary care. Incomplete or untimely communication of information increases risk of hospital readmission and associated compl... Read More about Assessing the impact of the introduction of an electronic hospital discharge system on the completeness and timeliness of discharge communication: a before and after study.

Cost effectiveness of support for people starting a new medication for a long term condition through community pharmacies: an economic evaluation of the New Medicine Service (NMS) compared with normal practice (2017)
Journal Article
Elliott, R. A., Tanajewski, L., Gkountouras, G., Avery, A. J., Barber, N., Mehta, R., Boyd, M. J., Latif, A., Chuter, A., & Waring, J. (2017). Cost effectiveness of support for people starting a new medication for a long term condition through community pharmacies: an economic evaluation of the New Medicine Service (NMS) compared with normal practice. PharmacoEconomics, 35(12), 1237-1255. https://doi.org/10.1007/s40273-017-0554-9

Background: The English community pharmacy New Medicine Service (NMS) significantly increases patient adherence to medicines, compared with normal practice. We examined the cost-effectiveness of NMS compared with normal practice by combining adherenc... Read More about Cost effectiveness of support for people starting a new medication for a long term condition through community pharmacies: an economic evaluation of the New Medicine Service (NMS) compared with normal practice.

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., Slight, S. P., Perryman, K., Barnett, J., Litchfield, I., Thomas, S., Campbell, S. M., Doos, L., Esmail, A., & 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., Makeham, M., Sheikh, A., Donaldson, L. J., & 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.

Understanding the implementation and adoption of a technological intervention to improve medication safety in primary care: a realist evaluation (2017)
Journal Article
Jeffries, M., Phipps, D. L., Howard, R. L., Avery, A. J., Rodgers, S., & Ashcroft, D. M. (2017). Understanding the implementation and adoption of a technological intervention to improve medication safety in primary care: a realist evaluation. BMC Health Services Research, 17(1), https://doi.org/10.1186/s12913-017-2131-5

Background: Monitoring for potentially hazardous prescribing is increasingly important to improve medication safety. Healthcare information technology can be used to achieve this aim, for example by providing access to prescribing data through survei... Read More about Understanding the implementation and adoption of a technological intervention to improve medication safety in primary care: a realist evaluation.

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., Rodgers, S., Johnson, C., Edwards, A., Armstrong, S., Mehta, R., Chuter, A., Donnelly, A., Ashcroft, D. M., Lymn, J., Smith, P., Sheikh, A., Boyd, M., & 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.

Patient safety incidents involving sick children in primary care in England and Wales: a mixed methods analysis (2017)
Journal Article
Rees, P., Edwards, A., Powell, C., Hibbert, P., Williams, H., Makeham, M., Carter, B., Luff, D., Parry, G., Avery, A., Sheikh, A., Donaldson, L., & Carson-Stevens, A. (2017). Patient safety incidents involving sick children in primary care in England and Wales: a mixed methods analysis. PLoS Medicine, 14(1), e1002217. https://doi.org/10.1371/journal.pmed.1002217

Background:
The UK performs poorly relative to other economically developed countries on numerous indicators of care quality for children. The contribution of iatrogenic harm to these outcomes is unclear. As primary care is the first point of health... Read More about Patient safety incidents involving sick children in primary care in England and Wales: a mixed methods analysis.

Cognitive behaviour therapy for long-term frequent attenders in primary care: a feasibility case series and treatment development study (2016)
Journal Article
Malins, S., Kai, J., Atha, C., Avery, A., Guo, B., James, M., Patel, S., Sampson, C., Stubley, M., & Morriss, R. K. (2016). Cognitive behaviour therapy for long-term frequent attenders in primary care: a feasibility case series and treatment development study. British Journal of General Practice, 66(651), e729-e736. https://doi.org/10.3399/bjgp16X686569

Background: Most frequent attendance in primary care is temporary. Long-term frequent attendance may be suitable for psychological intervention to address health management and service use.

Aim: To explore the feasibility and acceptability of cog... Read More about Cognitive behaviour therapy for long-term frequent attenders in primary care: a feasibility case series and treatment development study.

Multicentre, prospective, randomised, open-label, blinded end point trial of the efficacy of allopurinol therapy in improving cardiovascular outcomes in patients with ischaemic heart disease: protocol of the ALL-HEART study (2016)
Journal Article
Mackenzie, I. S., Ford, I., Walker, A., Hawkey, C., Begg, A., Avery, A., Taggar, J., Wei, L., Struthers, A. D., & MacDonald, T. M. (2016). Multicentre, prospective, randomised, open-label, blinded end point trial of the efficacy of allopurinol therapy in improving cardiovascular outcomes in patients with ischaemic heart disease: protocol of the ALL-HEART study. BMJ Open, 6(9), Article e013774. https://doi.org/10.1136/bmjopen-2016-013774

Introduction

Ischaemic heart disease (IHD) is one of the most common causes of death in the UK and treatment of patients with IHD costs the National Health System (NHS) billions of pounds each year. Allopurinol is a xanthine oxidase inhibitor use... Read More about Multicentre, prospective, randomised, open-label, blinded end point trial of the efficacy of allopurinol therapy in improving cardiovascular outcomes in patients with ischaemic heart disease: protocol of the ALL-HEART study.

Characterising the nature of primary care patient safety incident reports in the England and Wales National Reporting and Learning System: a mixed-methods agenda-setting study for general practice (2016)
Journal Article
Carson-Stevens, A., Hibbert, P., Williams, H., Prosser Evans, H., Cooper, A., Rees, P., Deakin, A., Shiels, E., Gibson, R., Butlin, A., Carter, B., Luff, D., Parry, G. P., Makeham, M., McEnhill, P., Ward, H. O., Samuriwo, R., Avery, A., Chuter, A., Donaldson, L., …Edwards, A. (2016). Characterising the nature of primary care patient safety incident reports in the England and Wales National Reporting and Learning System: a mixed-methods agenda-setting study for general practice. Health Services and Delivery Research, 4(27), 1-76. https://doi.org/10.3310/hsdr04270

Background


There is an emerging interest in the inadvertent harm caused to patients by the provision of primary health-care services. To date (up to 2015), there has been limited research interest and few policy directives focused on patient saf... Read More about Characterising the nature of primary care patient safety incident reports in the England and Wales National Reporting and Learning System: a mixed-methods agenda-setting study for general practice.

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.

Supporting adherence for people starting a new medication for a long-term condition through community pharmacies: a pragmatic randomised controlled trial of the New Medicine Service (2015)
Journal Article
Elliott, R. A., Boyd, M. J., Salema, N.-E., Davies, J., Barber, N., Mehta, R. L., Tanajewski, L., Waring, J., Latif, A., Gkountouras, G., Avery, A., Chuter, A., & Craig, C. (2016). Supporting adherence for people starting a new medication for a long-term condition through community pharmacies: a pragmatic randomised controlled trial of the New Medicine Service. BMJ Quality and Safety, 25(10), 747-758. https://doi.org/10.1136/bmjqs-2015-004400

Objective: To examine the effectiveness of the New Medicine Service (NMS), a national community pharmacy service to support medicines-taking in people starting a new medicine for a long-term condition, compared with normal practice.

Methods: Pragm... Read More about Supporting adherence for people starting a new medication for a long-term condition through community pharmacies: a pragmatic randomised controlled trial of the New Medicine Service.

Examining variations in prescribing safety in UK general practice: cross sectional study using the Clinical Practice Research Datalink (2015)
Journal Article
Stocks, S. J., Kontopantelis, E., Akbarov, A., Rodgers, S., Avery, A. J., & Ashcroft, D. M. (2015). Examining variations in prescribing safety in UK general practice: cross sectional study using the Clinical Practice Research Datalink. BMJ, 351, Article h5501. https://doi.org/10.1136/bmj.h5501

Study question: What is the prevalence of different types of potentially hazardous prescribing in general practice in the United Kingdom, and what is the variation between practices?

Methods: A cross sectional study included all adult patients pot... Read More about Examining variations in prescribing safety in UK general practice: cross sectional study using the Clinical Practice Research Datalink.

Clinical characteristics of persistent frequent attenders in primary care: case–control study (2015)
Journal Article
Patel, S., Kai, J., Atha, C., Avery, A., Guo, B., James, M., Malins, S., Sampson, C., Stubley, M., & Morriss, R. (2015). Clinical characteristics of persistent frequent attenders in primary care: case–control study. Family Practice, cmv076. https://doi.org/10.1093/fampra/cmv076

Background. Most frequent attendance in primary care is temporary, but persistent frequent attendance is expensive and may be suitable for psychological intervention. To plan appropriate intervention and service delivery, there is a need for research... Read More about Clinical characteristics of persistent frequent attenders in primary care: case–control study.

Primary Care Medication Safety Surveillance with Integrated Primary and Secondary Care Electronic Health Records: A Cross-Sectional Study (2015)
Journal Article
Akbarov, A., Kontopantelis, E., Sperrin, M., Stocks, S. J., Williams, R., Rodgers, S., Avery, A., Buchan, I., & Ashcroft, D. M. (2015). Primary Care Medication Safety Surveillance with Integrated Primary and Secondary Care Electronic Health Records: A Cross-Sectional Study. Drug Safety, 38(7), 671-682. https://doi.org/10.1007/s40264-015-0304-x

Introduction: The extent of preventable medication-related hospital admissions and medication-related issues in primary care is significant enough to justify developing decision support systems for medication safety surveillance. The prerequisite for... Read More about Primary Care Medication Safety Surveillance with Integrated Primary and Secondary Care Electronic Health Records: A Cross-Sectional Study.