The findings from a research study supported by a grant from the Pharmacy Practice Research Trust (the Trust) highlight key areas where communication problems occur. These occurred between patients and healthcare professionals; different groups of healthcare professionals such as GPs and pharmacists; and GPs and hospital doctors. The research also found that the root causes of preventable adverse events leading to hospital admission are similar irrespective of whether they are associated with a prescribing, monitoring or patient adherence problem.
Amongst the communication problems identified in the community based study led by Rachel Howard from the School of Pharmacy, University of Reading, UK was insufficient patient counselling about their medicines, the reluctance of patients to ask health professionals about their medicines and an assumption by some community pharmacists that the patient would have received some medicines counselling from their GP. Some patients couldn’t recall the information they’d been given or had difficulty in hearing what was said.
The research also highlighted problems encountered in accessing complex and up to date patient medical and medication records. This affected both GPs working out of hours and community pharmacists contributing to a knowledge gap which in turn led to prescribing and monitoring errors.
“The causes of PDRAs are multifaceted” concluded Rachel Howard. “Technical solutions such as computerised assisted prescribing and the NHS patient care record are unlikely to be sufficient on their own to improve the situation and community pharmacists are hampered by their lack of access to the patient’s medical record. Targeting the human causes, like improving methods of communication, is also necessary.”
In a Foreword to a Trust report of the study, Margaret Dangoor, Executive Director, Association of Litigation and Risk Management writes, “This report makes a valuable contribution to the knowledge base on patient safety and more specifically on preventable medication errors. It’s notable for its setting in primary care, an area that is under researched in terms of medication error and although it includes a relatively small number of incidents, there are lessons to be learnt.”
“The recently published White Paper on Pharmacy in England recommended that chief pharmacists take the lead role in working to reduce unintended hospital admissions related to medicines” said Dr Sue Ambler, Director of the Trust, “and this study is well placed to contribute to this but more studies in the community are needed to identify strategies to help overcome these problems and improve patient outcomes.”
'Living bandages': NUST MISIS scientists develop biocompatible anti-burn nanofibers
16.02.2018 | National University of Science and Technology MISIS
New process allows tailor-made malaria research
16.02.2018 | Eberhard Karls Universität Tübingen
For the first time, a team of researchers at the Max-Planck Institute (MPI) for Polymer Research in Mainz, Germany, has succeeded in making an integrated circuit (IC) from just a monolayer of a semiconducting polymer via a bottom-up, self-assembly approach.
In the self-assembly process, the semiconducting polymer arranges itself into an ordered monolayer in a transistor. The transistors are binary switches used...
Breakthrough provides a new concept of the design of molecular motors, sensors and electricity generators at nanoscale
Researchers from the Institute of Organic Chemistry and Biochemistry of the CAS (IOCB Prague), Institute of Physics of the CAS (IP CAS) and Palacký University...
For photographers and scientists, lenses are lifesavers. They reflect and refract light, making possible the imaging systems that drive discovery through the microscope and preserve history through cameras.
But today's glass-based lenses are bulky and resist miniaturization. Next-generation technologies, such as ultrathin cameras or tiny microscopes, require...
Scientists from the University of Zurich have succeeded for the first time in tracking individual stem cells and their neuronal progeny over months within the intact adult brain. This study sheds light on how new neurons are produced throughout life.
The generation of new nerve cells was once thought to taper off at the end of embryonic development. However, recent research has shown that the adult brain...
Theoretical physicists propose to use negative interference to control heat flow in quantum devices. Study published in Physical Review Letters
Quantum computer parts are sensitive and need to be cooled to very low temperatures. Their tiny size makes them particularly susceptible to a temperature...
15.02.2018 | Event News
13.02.2018 | Event News
12.02.2018 | Event News
19.02.2018 | Materials Sciences
19.02.2018 | Materials Sciences
19.02.2018 | Life Sciences