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Author = Fahey, Tom;
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Displaying Results 126 - 141 of 141 on page 6 of 6
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Supporting prescribing in older people with multimorbidity and significant polypharmacy in primary care (SPPiRE): a cluster randomised controlled trial protocol and pilot.
(2017)
McCarthy, Caroline; Clyne, Barbara; Corrigan, Derek; Boland, Fiona; Wallace, Emma; Mori...
Supporting prescribing in older people with multimorbidity and significant polypharmacy in primary care (SPPiRE): a cluster randomised controlled trial protocol and pilot.
(2017)
McCarthy, Caroline; Clyne, Barbara; Corrigan, Derek; Boland, Fiona; Wallace, Emma; Moriarty, Frank; Fahey, Tom; Hughes, Carmel; Gillespie, Paddy; Smith, Susan M
Abstract:
<p>The original article is available at www.biomedcentral.com</p>
<p><strong>Background:</strong> Multimorbidity, defined as the presence of at least two chronic conditions, becomes increasingly common in older people and is associated with poorer health outcomes and significant polypharmacy. The National Institute for Clinical Excellence (NICE) recently published a multimorbidity guideline that advises providing an individualised medication review for all people prescribed 15 or more repeat medicines. This study incorporates this guideline and aims to assess the effectiveness of a complex intervention designed to support general practitioners (GPs) to reduce potentially inappropriate prescribing and consider deprescribing in older people with multimorbidity and significant polypharmacy in Irish primary care.</p> <p><strong>Methods:</strong> This study is a cluster randomised controlled trial, involving 30 general practices a...
https://epubs.rcsi.ie/gpart/114
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Sustained effectiveness of a multifaceted intervention to reduce potentially inappropriate prescribing in older patients in primary care (OPTI-SCRIPT study).
(2016)
Clyne, Barbara; Smith, Susan M; Hughes, Carmel M; Boland, Fiona; Cooper, Janine A; Fahe...
Sustained effectiveness of a multifaceted intervention to reduce potentially inappropriate prescribing in older patients in primary care (OPTI-SCRIPT study).
(2016)
Clyne, Barbara; Smith, Susan M; Hughes, Carmel M; Boland, Fiona; Cooper, Janine A; Fahey, Tom; OPTI-SCRIPT study team
Abstract:
<p>The original article is available at www.biomedcentral.com</p>
<p>BACKGROUND: Potentially inappropriate prescribing (PIP) is common in older people in primary care and can result in increased morbidity, adverse drug events and hospitalisations. We previously demonstrated the success of a multifaceted intervention in decreasing PIP in primary care in a cluster randomised controlled trial (RCT).</p> <p>OBJECTIVE: We sought to determine whether the improvement in PIP in the short term was sustained at 1-year follow-up.</p> <p>METHODS: A cluster RCT was conducted with 21 GP practices and 196 patients (aged ≥70) with PIP in Irish primary care. Intervention participants received a complex multifaceted intervention incorporating academic detailing, medicine review with web-based pharmaceutical treatment algorithms that provide recommended alternative treatment options, and tailored patient information leaflets. Control practices delivered us...
https://epubs.rcsi.ie/gpart/94
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Tackling transitions in patient care: the process of medication reconciliation.
(2013)
Redmond, Patrick; Grimes, Tamasine; McDonnell, Ronan; Boland, Fiona; Hughes, Carmel; Fa...
Tackling transitions in patient care: the process of medication reconciliation.
(2013)
Redmond, Patrick; Grimes, Tamasine; McDonnell, Ronan; Boland, Fiona; Hughes, Carmel; Fahey, Tom
http://hdl.handle.net/10147/302504
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TElehealth in CHronic disease: mixed-methods study to develop the TECH conceptual model for intervention design and evaluation.
(2015)
Salisbury, Chris; Thomas, Clare; O'Cathain, Alicia; Rogers, Anne; Pope, Catherine;...
TElehealth in CHronic disease: mixed-methods study to develop the TECH conceptual model for intervention design and evaluation.
(2015)
Salisbury, Chris; Thomas, Clare; O'Cathain, Alicia; Rogers, Anne; Pope, Catherine; Yardley, Lucy; Hollinghurst, Sandra; Fahey, Tom; Lewis, Glyn; Large, Shirley; Edwards, Louisa; Rowsell, Alison; Segar, Julia; Brownsell, Simon; Montgomery, Alan A
Abstract:
<p>The original article is available at <a href="https://bmjopen.bmj.com/content/5/2/e006448.long">bmjopen.bmj.com</a></p>
<p><strong>OBJECTIVE:</strong> To develop a conceptual model for effective use of telehealth in the management of chronic health conditions, and to use this to develop and evaluate an intervention for people with two exemplar conditions: raised cardiovascular disease risk and depression.</p> <p><strong>DESIGN:</strong> The model was based on several strands of evidence: a metareview and realist synthesis of quantitative and qualitative evidence on telehealth for chronic conditions; a qualitative study of patients' and health professionals' experience of telehealth; a quantitative survey of patients' interest in using telehealth; and review of existing models of chronic condition management and evidence-based treatment guidelines. Based on these evidence strands, a mode...
https://epubs.rcsi.ie/gpart/145
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The accuracy of symptoms, signs and diagnostic tests in the diagnosis of left ventricular dysfunction in primary care: a diagnostic accuracy systematic review.
(2008)
Madhok, V; Falk, Gavin; Rogers, A; Struthers, A D; Sullivan, F M; Fahey, Tom
The accuracy of symptoms, signs and diagnostic tests in the diagnosis of left ventricular dysfunction in primary care: a diagnostic accuracy systematic review.
(2008)
Madhok, V; Falk, Gavin; Rogers, A; Struthers, A D; Sullivan, F M; Fahey, Tom
Abstract:
<p>This article is also available from <a href="http://www.biomedcentral.com">www.biomedcentral.com</a></p>
<p>BACKGROUND: To assess the accuracy of findings from the clinical history, symptoms, signs and diagnostic tests (ECG, CXR and natriuretic peptides) in relation to the diagnosis of left ventricular systolic dysfunction (LVSD) in a primary care setting.</p> <p>METHODS: Diagnostic accuracy systematic review, we searched Medline (1966 to March 2008), EMBASE (1988 to March 2008), Central, Cochrane and ZETOC using a diagnostic accuracy search filter. We included cross-sectional or cohort studies that assess the diagnostic utility of clinical history, symptoms, signs and diagnostic tests, against a reference standard of echocardiography. We calculated pooled positive and negative likelihood ratios and assessed heterogeneity using the I2 index.</p> <p>RESULTS: 24 studies incorporating 10,710 patients were included. ...
https://epubs.rcsi.ie/gpart/14
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The Alvarado score for predicting acute appendicitis: a systematic review.
(2011)
Ohle, Robert; O'Reilly, Fran; O'Brien, Kirsty K; Fahey, Tom; Dimitrov, Borisl...
The Alvarado score for predicting acute appendicitis: a systematic review.
(2011)
Ohle, Robert; O'Reilly, Fran; O'Brien, Kirsty K; Fahey, Tom; Dimitrov, Borislav D
Abstract:
<p>This article is available at <a href="http://www.biomedcentral.com/1741-7015/9/139">http://www.biomedcentral.com/1741-7015/9/139</a></p>
<p>BACKGROUND:</p> <p>The Alvarado score can be used to stratify patients with symptoms of suspected appendicitis; the validity of the score in certain patient groups and at different cut points is still unclear. The aim of this study was to assess the discrimination (diagnostic accuracy) and calibration performance of the Alvarado score.</p> <p>METHODS:</p> <p>A systematic search of validation studies in Medline, Embase, DARE and The Cochrane library was performed up to April 2011. We assessed the diagnostic accuracy of the score at the two cut-off points: score of 5 (1 to 4 vs. 5 to 10) and score of 7 (1 to 6 vs. 7 to 10). Calibration was analysed across low (1 to 4), intermediate (5 to 6) and high (7 to 10) risk strata. The analysis focused on three sub-groups: me...
https://epubs.rcsi.ie/gpart/18
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The development of the PROMPT (PRescribing Optimally in Middle-aged People's Treatments) criteria
(2014)
Cooper, Janine A; Ryan, Cristín; Smith, Susan M; Wallace, Emma; Bennett, Kathleen; Cahi...
The development of the PROMPT (PRescribing Optimally in Middle-aged People's Treatments) criteria
(2014)
Cooper, Janine A; Ryan, Cristín; Smith, Susan M; Wallace, Emma; Bennett, Kathleen; Cahir, Caitriona; Williams, David; Teeling, Mary; Fahey, Tom; Hughes, Carmel M; (The PROMPT Steering Group)
Abstract:
Abstract Background Whilst multimorbidity is more prevalent with increasing age, approximately 30% of middle-aged adults (45–64 years) are also affected. Several prescribing criteria have been developed to optimise medication use in older people (≥65 years) with little focus on potentially inappropriate prescribing (PIP) in middle-aged adults. We have developed a set of explicit prescribing criteria called PROMPT (PRescribing Optimally in Middle-aged People’s Treatments) which may be applied to prescribing datasets to determine the prevalence of PIP in this age-group. Methods A literature search was conducted to identify published prescribing criteria for all age groups, with the Project Steering Group (convened for this study) adding further criteria fo...
http://dx.doi.org/10.1186/s12913-014-0484-6
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The development of the PROMPT (PRescribing Optimally in Middle-aged People's Treatments) criteria.
(2014)
Cooper, Janine A; Ryan, Cristín; Smith, Susan M; Wallace, Emma; Bennett, Kathleen; Cahi...
The development of the PROMPT (PRescribing Optimally in Middle-aged People's Treatments) criteria.
(2014)
Cooper, Janine A; Ryan, Cristín; Smith, Susan M; Wallace, Emma; Bennett, Kathleen; Cahir, Caitriona; Williams, David; Teeling, Mary; Fahey, Tom; Hughes, Carmel M; The PROMPT Steering Group
Abstract:
<p>The original article is available at <a href="http://www.biomedcentral.com">www.biomedcentral.com</a></p>
<p>BACKGROUND: Whilst multimorbidity is more prevalent with increasing age, approximately 30% of middle-aged adults (45-64 years) are also affected. Several prescribing criteria have been developed to optimise medication use in older people (≥65 years) with little focus on potentially inappropriate prescribing (PIP) in middle-aged adults. We have developed a set of explicit prescribing criteria called PROMPT (PRescribing Optimally in Middle-aged People's Treatments) which may be applied to prescribing datasets to determine the prevalence of PIP in this age-group.</p> <p>METHODS: A literature search was conducted to identify published prescribing criteria for all age groups, with the Project Steering Group (convened for this study) adding further criteria for consideration, all of which were reviewed for relevance to...
https://epubs.rcsi.ie/gpart/59
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The epidemiology of malpractice claims in primary care: a systematic review.
(2013)
Wallace, Emma; Lowry, J; Smith, Susan M; Fahey, Tom
The epidemiology of malpractice claims in primary care: a systematic review.
(2013)
Wallace, Emma; Lowry, J; Smith, Susan M; Fahey, Tom
Abstract:
<p>This article is also available at <a href="http://bmjopen.bmj.com/lookup/pmid?view=long&pmid=23869100">http://bmjopen.bmj.com</a></p>
<p>OBJECTIVES: The aim of this systematic review was to examine the epidemiology of malpractice claims in primary care.</p> <p>DESIGN: A computerised systematic literature search was conducted. Studies were included if they reported original data (≥10 cases) pertinent to malpractice claims, were based in primary care and were published in the English language. Data were synthesised using a narrative approach.</p> <p>SETTING: Primary care.</p> <p>PARTICIPANTS: Malpractice claimants.</p> <p>PRIMARY OUTCOME: Malpractice claim (defined as a written demand for compensation for medical injury). We recorded: medical misadventure cited in claims, missed/delayed diagnoses cited in claims, outcome of claims, prevalence of claims and compensation awarded to claiman...
https://epubs.rcsi.ie/gpart/37
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The external validity of published randomized controlled trials in primary care.
(2009)
Jones, Ritu; Jones, Robert O; McCowan, Colin; Montgomery, Alan A; Fahey, Tom
The external validity of published randomized controlled trials in primary care.
(2009)
Jones, Ritu; Jones, Robert O; McCowan, Colin; Montgomery, Alan A; Fahey, Tom
Abstract:
<p>This article is also abailable at <a href="http://www.biomedcentral.com">www.biomedcentral.com</a></p>
<p>BACKGROUND: A criticism of Randomized Controlled Trials (RCTs) in primary care is that they lack external validity, participants being unrepresentative of the wider population. Our aim was to determine whether published primary care-based RCTs report information about how the study sample is assembled, and whether this is associated with RCT characteristics.</p> <p>METHODS: We reviewed RCTs published in four primary care journals in the years 2001-2004. Main outcomes were: (1) eligibility fraction (proportion eligible of those screened), (2) enrolment fraction (proportion randomised of those eligible), (3) recruitment fraction (proportion of potential participants actually randomised), and (4) number of patients needed to be screened (NNS) in order to randomize one participant.</p> <p>RESULTS: A total of 148 ...
https://epubs.rcsi.ie/gpart/13
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Towards Knowledge Sharing and Patient Privacy in a Clinical Decision Support System
(2009)
Xiao, Liang; Hu, Bo; Hederman, Lucy; Lewis, Paul; Dimitrov, Borislav D; Fahey, Tom
Towards Knowledge Sharing and Patient Privacy in a Clinical Decision Support System
(2009)
Xiao, Liang; Hu, Bo; Hederman, Lucy; Lewis, Paul; Dimitrov, Borislav D; Fahey, Tom
Abstract:
<p>Copyright © 2009 IEEE. Reprinted from Proceedings of the 31st International Conference on Information Technology Interfaces (ITI’09), pp.99-104, IEEE Computer Society Press, 2009. This material is posted here with permission of the IEEE. Such permission of the IEEE does not in any way imply IEEE endorsement of any of the Royal College of Surgeons in Ireland products or services. Internal or personal use of this material is permitted. However, permission to reprint/republish this material for advertising or promotional purposes or for creating new collective works for resale or redistribution must be obtained from the IEEE by writing to pubs-permissions@ieee.org. By choosing to view this document, you agree to all provisions of the copyright laws protecting it.</p>
<p>Patient records and their disease and treatment history can be scattered among healthcare providers. Sharing the knowledge effectively and, at the same time, respecting patient privacy is crucia...
https://epubs.rcsi.ie/gpproc/1
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Trends and interaction of polypharmacy and potentially inappropriate prescribing in primary care over 15 years in Ireland: a repeated cross-sectional study.
(2015)
Moriarty, Frank; Hardy, Colin; Bennett, Kathleen; Smith, Susan M; Fahey, Tom
Trends and interaction of polypharmacy and potentially inappropriate prescribing in primary care over 15 years in Ireland: a repeated cross-sectional study.
(2015)
Moriarty, Frank; Hardy, Colin; Bennett, Kathleen; Smith, Susan M; Fahey, Tom
Abstract:
<p>The original article is available at http://bmjopen.bmj.com</p>
<p>OBJECTIVES: To examine: (1) changes in polypharmacy in 1997, 2002, 2007 and 2012 and; (2) changes in potentially inappropriate prescribing (PIP) prevalence and the relationship between PIP and polypharmacy in individuals aged ≥65 years over this period in Ireland.</p> <p>METHODS: This repeated cross-sectional study using pharmacy claims data included all individuals eligible for the General Medical Services scheme in the former Eastern Health Board region of Ireland in 1997, 2002, 2007 and 2012 (range 338 025-539 752 individuals). Outcomes evaluated were prevalence of polypharmacy (being prescribed ≥5 regular medicines) and excessive polypharmacy (≥10 regular medicines) in all individuals and PIP prevalence in those aged ≥65 years determined by 30 criteria from the Screening Tool for Older Persons' Prescriptions.</p> <p>RESULTS: The prevalence of polypharmacy incr...
https://epubs.rcsi.ie/gpart/89
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Trends and interaction of polypharmacy and potentially inappropriate prescribing in primary care over 15 years in Ireland: a repeated cross-sectional study.
(2015)
Moriarty, Frank; Hardy, Colin; Bennett, Kathleen; Smith, Susan M; Fahey, Tom
Trends and interaction of polypharmacy and potentially inappropriate prescribing in primary care over 15 years in Ireland: a repeated cross-sectional study.
(2015)
Moriarty, Frank; Hardy, Colin; Bennett, Kathleen; Smith, Susan M; Fahey, Tom
Abstract:
To examine: (1) changes in polypharmacy in 1997, 2002, 2007 and 2012 and; (2) changes in potentially inappropriate prescribing (PIP) prevalence and the relationship between PIP and polypharmacy in individuals aged ≥65 years over this period in Ireland.
To examine: (1) changes in polypharmacy in 1997, 2002, 2007 and 2012 and; (2) changes in potentially inappropriate prescribing (PIP) prevalence and the relationship between PIP and polypharmacy in individuals aged ≥65 years over this period in Ireland.
This repeated cross-sectional study using pharmacy claims data included all individuals eligible for the General Medical Services scheme in the former Eastern Health Board region of Ireland in 1997, 2002, 2007 and 2012 (range 338,025-539,752 individuals). Outcomes evaluated were prevalence of polypharmacy (being prescribed ≥5 regular medicines) and excessive polypharmacy (≥10 regular medicines) in all individuals and PIP prevalence in those aged ≥65 years determined by 30 criter...
http://hdl.handle.net/10147/605712
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Unintended discontinuation of medication following hospitalisation: a retrospective cohort study.
(2019)
Redmond, Patrick; McDowell, Ronald; Grimes, Tamasine C C; Boland, Fiona; McDonnell, Ron...
Unintended discontinuation of medication following hospitalisation: a retrospective cohort study.
(2019)
Redmond, Patrick; McDowell, Ronald; Grimes, Tamasine C C; Boland, Fiona; McDonnell, Ronan; Hughes, Carmel; Fahey, Tom
Abstract:
<p>The original article is available at <a href="https://bmjopen.bmj.com/content/9/6/e024747.long">bmjopen.bmj.com</a></p>
<p><strong>OBJECTIVES:</strong> Whether unintended discontinuation of common, evidence-based, long-term medication occurs after hospitalisation; what factors are associated with unintended discontinuation; and whether the presence of documentation of medication at hospital discharge is associated with continuity of medication in general practice.</p> <p><strong>DESIGN:</strong> Retrospective cohort study between 2012 and 2015.</p> <p><strong>SETTING:</strong> Electronic records and hospital supplied discharge notifications in 44 Irish general practices.</p> <p><strong>PARTICIPANTS:</strong> 20 488 patients aged 65 years or more prescribed long-term medication for chronic conditions.</p> <p><strong>PRIMARY AND SECONDARY...
https://epubs.rcsi.ie/gpart/147
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Validation of the CHADS2 clinical prediction rule to predict ischaemic stroke. A systematic review and meta-analysis.
(2011)
Keogh, Claire; Wallace, Emma; Dillon, Ciara; Dimitrov, Borislav D; Fahey, Tom
Validation of the CHADS2 clinical prediction rule to predict ischaemic stroke. A systematic review and meta-analysis.
(2011)
Keogh, Claire; Wallace, Emma; Dillon, Ciara; Dimitrov, Borislav D; Fahey, Tom
Abstract:
<p>This article is not an exact copy of the original published article in Thrombosis and Haemostasis. the definitive publisher-authenticated version of Keogh C, Wallace E, Dillion C, Dimitrov BD, Fahey T. Validation of the CHADS2 clinical prediction rule to predict ischaemic stroke. a systematic review and meta-analysis. Thrombosis and Haemostadis, 2011;106(3):528-38. Epub 2011 July 28th is available online at <a href="http://www.schattauer.de/en/magazine/subject-areas/journals-a-z/thrombosis-and-haemostrasis/contents/archive/issue/1439/manuscript/16384.html">http://www.schattauer.de/en/magazine/subject-areas/journals-a-z/thrombosis-and-haemostrasis/contents/archive/issue/1439/manuscript/16384.html</a></p>
<p>The CHADS2 predicts annual risk of ischaemic stroke in non-valvular atrial fibrillation. This systematic review and meta-analysis aims to determine the predictive value of CHADS2. The literature was systematically searched from 2001 t...
https://epubs.rcsi.ie/gpart/19
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Validity of British Thoracic Society guidance (the CRB-65 rule) for predicting the severity of pneumonia in general practice: systematic review and meta-analysis.
(2010)
McNally, Maggie; Curtain, James; O'Brien, Kirsty K; Dimitrov, Borislav D; Fahey, Tom
Validity of British Thoracic Society guidance (the CRB-65 rule) for predicting the severity of pneumonia in general practice: systematic review and meta-analysis.
(2010)
McNally, Maggie; Curtain, James; O'Brien, Kirsty K; Dimitrov, Borislav D; Fahey, Tom
Abstract:
<p>The original article is available at <a href="http://www.rcgp.org.uk/Publications/BJGP.aspx" target="_blank">http://www.rcgp.org.uk/Publications/BJGP.aspx</a></p>
<p>BACKGROUND: The CRB-65 score is a clinical prediction rule that grades the severity of community-acquired pneumonia in terms of 30-day mortality.</p> <p>AIM: The study sought to validate CRB-65 and assess its clinical value in community and hospital settings.</p> <p>DESIGN OF STUDY: Systematic review and meta-analysis of validation studies of CRB-65.</p> <p>METHOD: Medline (1966 to June 2009), Embase (1988 to November 2008), British Nursing Index (BNI) and PsychINFO were searched, using a diagnostic accuracy search filter combined with subject-specific terms. The derived (index) rule was used as a predictive model and applied to all validation studies. Comparison was made between the observed and predicted number of deaths strat...
https://epubs.rcsi.ie/gpart/38
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