Safe use of medicines

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Safe use of medicines

  1. 1. 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
  2. 2. 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
  3. 3. 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
  4. 4. Education support - 2006NI Response to theRecommendations ofthe Shipman Inquiry – GPs – Pharmacists – Nurse prescribers – Foundation doctors – Other trainees Sustainable
  5. 5. Learningmethods
  6. 6. 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
  7. 7. 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
  8. 8. 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
  9. 9. 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
  10. 10. 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.”
  11. 11. Comparison of methods post-course assessment Live Printed eLearning87±8% 85±5% 84±7%Six month post-course test: 83±7%
  12. 12. Programme costsOverall NICPLD costs: £9.65/hour Daytime Evening Distance Vocational workshop workshop learning training £15.10 £10.10 £6.49 £6.30
  13. 13. Programme costsOverall NICPLD costs: £9.65/hour Daytime Evening Distance Vocational workshop workshop learning training £15.10 £10.10 £6.30
  14. 14. 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
  15. 15. Professional pharmacyProfessional pharmacy education education • NES • NICPLD • CPPE • ICCPE • WCPPE
  16. 16. Fran Lloyd Michael Mawhinney Maureen McCann Suzanne Murray Gillian RedpathThanks to Norman Morrow and Diane Taylor, DHSSPSNI

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