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A conceptual framework for identifying and managing system vulnerabilities for diversion of controlled substances in healthcare.
Res Social Adm Pharm
January 2025
Institute of Health Policy, Management and Evaluation, University of Toronto, 155 College Street, Suite 425, Toronto, Ontario, M5T 3M6, Canada; Research & Innovation, North York General Hospital, 4001 Leslie Street, Toronto, Ontario, M2K 1E1, Canada.
Purpose: Diversion or theft of controlled substances is a recognized problem affecting healthcare systems globally. The purpose of this study was to develop a framework for identifying and characterizing system factors leading to vulnerabilities for diversion within hospitals.
Methods: We applied a qualitative framework method, which involved 1) compiling a list of critical diversion vulnerabilities through observations and proactive risk analyses in the inpatient pharmacy, emergency department and intensive care unit of two Canadian hospitals; 2) coding the vulnerabilities into deductively and inductively derived themes and subthemes; and 3) building a conceptual framework.
"I Say I'm Kind of Out": An Insider Qualitative Study of Queer Medical Students.
Clin Teach
February 2025
Medical Education Innovation & Research Centre, Department of Primary Care and Public Health, School of Public Health, Imperial College London, UK.
Background: United Kingdom Queer medical students' experiences have only been explored in depth in one previous study, despite longstanding calls to address National Health Service queerphobia. The study aims to combine our participants' data with personal insights from the Queer medical student research team to both record Queer medical students' experiences and provide practical actions that can promote support, inclusivity and celebration for Queer medical students.
Methods: Individual semi-structured interviews were conducted with 12 participants across three medical schools in England and Scotland.
Prioritising and including children in intersectoral policymaking: uncovering Immunity to Change in Ghana.
BMJ Glob Health
December 2024
Institute for Global Health, University College London, London, UK.
Despite strong commitments to improving children's well-being, nearly a third of Ghanaian children aged 36-59 months are not developmentally on track, with additional challenges due to the COVID-19 pandemic. Improvements in children's health and well-being rely on effective intersectoral policies, however, not enough is known about how to achieve this in practice, particularly in low- and middle-income countries. We report on a case study of participatory intersectoral policymaking for child health in Ghana in 2021, feeding into the national Early Childhood Care and Development Policy.
View Article and Find Full Text PDFImproving recruitment to occupational health professions through highlighting intrinsic rewards.
Occup Med (Lond)
January 2025
Department of Population Health Sciences, Faculty of Life Sciences & Medicine, King's College London, London SE1 1UL, UK.
Background: There are currently 2.5 million people economically inactive in the UK due to sickness. The government is considering a range of new initiatives to bring them back into the workforce; however, a lack of occupational health (OH) professionals, who play an important part in the recovery of physical and mental conditions that would otherwise inhibit employees from working, is hindering these efforts.
View Article and Find Full Text PDFThe collaborative and professional boundary challenges from a bottom-up perspective: an insider action research study on a hospital ward.
J Health Organ Manag
November 2024
University of Gothenburg, Gothenburg, Sweden.
Purpose: The aim of this study was to identify and describe the collaborative and professional boundary challenges at a hospital ward from a bottom-up perspective.
Design/methodology/approach: The study was conducted as a bottom-up improvement project at a hospital ward in western Sweden. An insider action research (IAR) approach was used during the project.
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