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Limited By:	Subject = Drug Prescriptions;

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Displaying Results 1 - 6 of 6 on page 1 of 1

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Improving the Prescription of Antibiotics in Acute Exacerbations of Chronic Obstructive Pulmonary Disease (2018)

Sartini-Bhreathnach, Aoife

Improving the Prescription of Antibiotics in Acute Exacerbations of Chronic Obstructive Pulmonary Disease (2018)

Sartini-Bhreathnach, Aoife

Abstract:

The proposed quality improvement (QI) project aims to improve the prescription of antibiotics in acute exacerbations of COPD. The literature states that there is overprescription of antibiotics in AECOPD. Data was collected to review the management of AECOPD in an emergency department in Dublin. The management of patients admitted with AECOPD, over a set period of time, was reviewed with a detailed focus on the prescription of antibiotics in patients with no infiltrate on chest x-ray. Results from the data collection showed that there was overprescription of antibiotics in this population in accordance to Beaumont AECOPD guidelines. Quality improvement tools such as the fishbone diagram and DMAIC were used to identify the route causes and identify improvement measures that could be put in place. The results of the data collection has led to the development of a QI plan that targets both the healthcare professional and the patient. This QI project aims to improve the prescri...

https://epubs.rcsi.ie/mscttheses/137

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Inappropriate prescribing and adverse drug events in older people (2009)

Hamilton, Hilary J.; Gallagher, Paul F.; O'Mahony, Denis

Inappropriate prescribing and adverse drug events in older people (2009)

Hamilton, Hilary J.; Gallagher, Paul F.; O'Mahony, Denis

Abstract:

Inappropriate prescribing (IP) in older patients is highly prevalent and is associated with an increased risk of adverse drug events (ADEs), morbidity, mortality and healthcare utilisation. Consequently, IP is a major safety concern and with changing population demographics, it is likely to become even more prevalent in the future. IP can be detected using explicit or implicit prescribing indicators. Theoretically, the routine clinical application of these IP criteria could represent an inexpensive and time efficient method to optimise prescribing practice. However, IP criteria must be sensitive, specific, have good inter-rater reliability and incorporate those medications most commonly associated with ADEs in older people. To be clinically relevant, use of prescribing appropriateness tools must translate into positive patient outcomes, such as reduced rates of ADEs. To accurately measure these outcomes, a reliable method of assessing the relationship between the administration of a...

http://hdl.handle.net/10468/3866

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Pharmacist-led academic detailing intervention in primary care: a mixed methods feasibility study (2019)

O'Riordan, David; Hurley, Eimir; Sinnott, Carol; Galvin, Rose; Dalton, Kieran; Kea...

Pharmacist-led academic detailing intervention in primary care: a mixed methods feasibility study (2019)

O'Riordan, David; Hurley, Eimir; Sinnott, Carol; Galvin, Rose; Dalton, Kieran; Kearney, Patricia M.; Halpin, James D.; Byrne, Stephen

Abstract:

Background: Academic detailing is a form of continuing medical education in which a trained health professional such as a physician or pharmacist visits prescribers in their practice to provide evidence-based information. While academic detailing has been adopted in other countries, this strategy is not routinely used in Ireland. Objective: The aim of this study was to assess the feasibility and acceptability to General Practitioners (GPs) of a pharmacist-led academic detailing intervention in Ireland. Setting: General Practice in County Cork, Ireland. Method: A mixed methods feasibility study comprising a pharmacist-led academic detailing intervention on urinary incontinence in older people, quantitative data from patient medical records, and qualitative data from focus groups with GPs. The medical records for all patients aged ≥ 65 years who were attending a participating GP with a diagnosis of urinary incontinence were analysed using a before-after approach. The measures of presc...

http://hdl.handle.net/10468/7470

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Pharmacist-led academic detailing intervention in primary care: a mixed methods feasibility study (2019)

Riordan, David; Hurley, Emir; Sinnott, Carol; Galvin, Rose; Dalton, Kieran; Kearney, Pa...

Pharmacist-led academic detailing intervention in primary care: a mixed methods feasibility study (2019)

Riordan, David; Hurley, Emir; Sinnott, Carol; Galvin, Rose; Dalton, Kieran; Kearney, Patricia M.; Halpin, James D.; Byrne, Stephen

Abstract:

Background Academic detailing is a form of continuing medical education in which a trained health professional such as a physician or pharmacist visits prescribers in their practice to provide evidence-based information. While academic detailing has been adopted in other countries, this strategy is not routinely used in Ireland. Objective The aim of this study was to assess the feasibility and acceptability to General Practitioners (GPs) of a pharmacist-led academic detailing intervention in Ireland. Setting General Practice in County Cork, Ireland. Method A mixed methods feasibility study comprising a pharmacist-led academic detailing intervention on urinary incontinence in older people, quantitative data from patient medical records, and qualitative data from focus groups with GPs. The medical records for all patients aged ≥ 65 years who were attending a participating GP with a diagnosis of urinary incontinence were analysed using a before-after approach. The measures of prescribi...

http://hdl.handle.net/10344/8903

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Prescribing in Ireland : assessing indicators of prescribing quality and efficiency in older populations. (2012)

Cahir, Caitriona

Prescribing in Ireland : assessing indicators of prescribing quality and efficiency in older populations. (2012)

Cahir, Caitriona

Abstract:

Objectives This thesis aimed to assess indicators of prescribing appropriateness and efficiency in those aged > 70 years in Ireland by: (i) estimating the prevalence and cost of potentially inappropriate prescribing (PIP); (ii) estimating the potential cost savings, by applying clinical guidelines, for the PIP indicator with the highest prevalence rate; (iii) examining the variation in PIP between GPs; and (iv) assessing the association between PIP and adverse health outcomes. Methods A retrospective national population study determined the prevalence and cost of PIP in the national population aged > 70 years in Ireland in 2007 by applying a modified version of the recently developed Screening Tool of Older Person’s potentially inappropriate Prescriptions (STOPP) to the Health Services Executive Primary Care Reimbursement Services (HSE-PCRS) pharmacy clai...

https://epubs.rcsi.ie/phdtheses/68

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Safe Prescribing in Older Adults and Preparedness for Prescribing in Newly Qualified Doctors and Medical Students in Ireland. (2017)

Geoghegan, Sheena Elizabeth

Safe Prescribing in Older Adults and Preparedness for Prescribing in Newly Qualified Doctors and Medical Students in Ireland. (2017)

Geoghegan, Sheena Elizabeth

Abstract:

Abstract Prescribing errors are common in the hospital setting, and pose a significant risk to patient safety. Older adults are at risk of prescribing errors in view of their multi-morbidity and complex medication regimes. The majority of prescribing errors are preventable. Prescriber knowledge and skills are a key contributing factor to prescribing error prevalence. Prescriber education initiatives should be focused on recently qualified graduates and medical students, considering that they are responsible for the majority of prescribing in the clinical setting and in addition, the majority of prescribing errors. The aims of this study were to identify prescribing error prevalence in the Irish hospital setting, and investigate how prepared newly qualified Irish trained doctors and medical students feel for prescribing in clinical practice. In order to identify the prevalence of prescribing errors in older adults, a study of 106 medicat...

https://epubs.rcsi.ie/mdtheses/88

Displaying Results 1 - 6 of 6 on page 1 of 1