Publications by authors named "Clare L Tolley"

Objective: The medication administration process is complex and consequently prone to errors. Closed Loop Medication Administration solutions aim to improve patient safety. We assessed the impact of a novel medication scanning device (MedEye) on the rate of medication administration errors in a large UK Hospital.

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Unlabelled: Medication errors are common in hospitals. These errors can result in adverse drug events (ADEs), which can reduce the health and well-being of patients', and their relatives and caregivers. Interventions have been developed to reduce medication errors, including those that occur at the administration stage.

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Background: WHO's Third Global Patient Safety Challenge, Medication Without Harm, focused on reducing the substantial burden of iatrogenic harm associated with medications by 50% in the next 5 years. We aimed to assess whether the number and type of medication errors changed as an electronic prescribing system was optimised over time in a UK hospital.

Methods: We did a prospective observational study at a tertiary-care teaching hospital.

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Objectives: A systematic review was undertaken to understand the nature of the relationship between the UK National Health Service (NHS) labour force and satisfaction, retention and wages.

Design: Narrative systematic review.

Data Sources: The literature was searched using seven databases in January 2020: MEDLINE (1996-present), the Cumulative Index to Nursing and Allied Health Literature (CINAHL via EBSCO) (1984-present), Embase (1996-present), PsycINFO (1987-present), ProQuest (1996-present), Scopus (all years) and Cochrane library (all years).

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Objective: Nursing time represents one of the highest costs for most health services. We conducted a systematic review of the literature on the impact of health information technology on nurses' time.

Materials And Methods: We followed PRISMA guidelines and searched 6 large databases for relevant articles published between Jan 2004 and December 2019.

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Purpose: Current uses of medication-related clinical decision support (CDS) and recommendations for improving these systems are reviewed.

Summary: Using a systematic approach, articles published from 2007 through 2014 were identified in MEDLINE and EMBASE using MeSH terms and keywords relating to the 5 basic medication-related CDS functionalities. A total of 156 full-text articles and 28 conference abstracts were reviewed across each of the 5 areas: drug-drug interaction (DDI) checks ( = 78), drug allergy checks ( = 20), drug dose support ( = 55), drug duplication checks ( = 11), and drug formulary support ( = 20).

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Article Synopsis
  • The research aimed to identify factors leading to medication errors in pediatric care using computerized provider order entry (CPOE) systems and provide recommendations for improvement.
  • A systematic review of 47 articles discovered five main contributors to these errors: insufficient drug dosing alerts, inappropriate alert generation, incorrect drug duplication warnings, dropdown selection errors, and poor system design.
  • The study concluded that enhancing clinical decision support, particularly for drug dosing based on specific indications, is essential to reduce medication errors in pediatrics.
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