Safe use of medicines
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Safe use of medicines

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  • Harold Shipman was convicted in January 2000 of the murder of 15 patients, the subsequent inquiry concluded that it was highly probably that he had murdered a further 214 patients.There seems to be an erosion in trust in the professions by Government and the public. There also is a loss of deference. i.e. doctor knows best.
  • Harold Shipman was convicted in January 2000 of the murder of 15 patients, the subsequent inquiry concluded that it was highly probably that he had murdered a further 214 patients.Adverse events – unintendedPublication of the 6th and final Shipman report on 27th January 2005
  • Harold Shipman was convicted in January 2000 of the murder of 15 patients, the subsequent inquiry concluded that it was highly probably that he had murdered a further 214 patients.Adverse events – unintendedPublication of the 6th and final Shipman report on 27th January 2005
  • AMEE Interest in eLearningMuch of learning in medicine has been didacticInterest in is eLearning better than lectureNo comparators
  • AMEE Interest in eLearningMuch of learning in medicine has been didacticInterest in is eLearning better than lectureNo comparators
  • 2006 NICPLD asked to develop learning programmes to support the NI ….
  • In summary While live was consistently better none of the methods were poor and we were happy with the evaluations.We can look at this in two ways. (a) either we should devote more resources to live or (b) we can pursue eLearning for a number of reasons.
  • In summary While live was consistently better none of the methods were poor and we were happy with the evaluations.We can look at this in two ways. (a) either we should devote more resources to live or (b) we can pursue eLearning for a number of reasons.
  • Costs include:SalariesTutors honorariumVenue + cateringPrintAdmin – photocopyRental and overhead
  • Costs include:SalariesTutors honorariumVenue + cateringPrintAdmin – photocopyRental and overhead
  • A surface approach is common with education that has an excessive amount of course material, little choice over study topics, little opportunity to pursue subjects in depth and an assessment system that rewards the reproduction of factual information. Education thatOur aim is to avoid the surface approach to learning that does lead to a change in practice for the professional. Rather it is to develop education programmes that foster deep learning that bring about change in practice.
  • A surface approach is common with education that has an excessive amount of course material, little choice over study topics, little opportunity to pursue subjects in depth and an assessment system that rewards the reproduction of factual information. Education thatOur aim is to avoid the surface approach to learning that does lead to a change in practice for the professional. Rather it is to develop education programmes that foster deep learning that bring about change in practice.

Safe use of medicines Safe use of medicines Presentation Transcript

  • Queen’s University Belfast Supporting safe use of medicines Colin G AdairNI Centre for Pharmacy Learning and Development School of Pharmacy, Queen’s University, Belfast
  • Medicines safety• Shipman – Murdered 15 patients – Possibly 214 others• Adverse incidents – £290,000 per event – 1,100 deaths annually – 11% of in-patients – 8.5 additional days
  • Medicines safety• Shipman – Murdered 15 patients – Possibly 214 others• Adverse incidents – £290,000 per event – 1,100 deaths annually – 11% of in-patients – 8.5 additional days• Final Shipman report
  • Education support - 2006NI Response to theRecommendations ofthe Shipman Inquiry – GPs – Pharmacists – Nurse prescribers – Foundation doctors – Other trainees Sustainable
  • Learningmethods
  • eLearning• Why incidents occur• Learning from incidents• Prescribing safely• High-risk medicines• Drug calculations • CD legislation • Commonly made errors • Safer medical and non- medical prescribing • Records and disposal
  • Comparison of methods• NI response to the Shipman Inquiry – Controlled drugs – Medicines safety• Identical content as: – Workshop – Print-based distance learning – Online course• Measurement – Course evaluation – Post-course assessment
  • Comparison of methods course evaluation (2007)Descriptor Live Printed* eLearning*Objectives (1-5) 4.64 4.47 4.46Relevance (1-5) 4.73 4.50 4.49Content (1-5) 4.67 4.28 3.93Presentation (1-5) 4.62 4.25 3.93Stimulus (1-4) 3.75 3.50 3.70Overall (0-9) 8.09 7.81 7.58*significantly lower than live
  • Comparison of methods course evaluation (2011)Descriptor Live Printed* eLearningObjectives (1-5) 4.64 4.47 4.68Relevance (1-5) 4.73 4.50 4.75Content (1-5) 4.67 4.28 4.65Presentation (1-5) 4.62 4.25 4.70Stimulus (1-4) 3.75 3.50 3.70Overall (0-9) 8.09 7.81 7.99*significantly lower than live and eLearning
  • Feedback“First time I have used elearning and was pleased I could use itsuccessfully”“I will be in an environment where the particular errors mentionedcould occur and I feel that the added awareness I now have after thecourse should help me in my daily practice.”
  • Comparison of methods post-course assessment Live Printed eLearning87±8% 85±5% 84±7%Six month post-course test: 83±7%
  • Programme costsOverall NICPLD costs: £9.65/hour Daytime Evening Distance Vocational workshop workshop learning training £15.10 £10.10 £6.49 £6.30
  • Programme costsOverall NICPLD costs: £9.65/hour Daytime Evening Distance Vocational workshop workshop learning training £15.10 £10.10 £6.30
  • Conclusion• MedicinesNI – 2917 users – 2495 courses completed• NICPLD – 350/95 hours eLearning – 2010: assessment online-only – 2011: evaluation, application online-only• Costs• Responsiveness – Responsible pharmacist regulations
  • Professional pharmacyProfessional pharmacy education education • NES • NICPLD • CPPE • ICCPE • WCPPE
  • Fran Lloyd Michael Mawhinney Maureen McCann Suzanne Murray Gillian RedpathThanks to Norman Morrow and Diane Taylor, DHSSPSNI