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Pharmacy & Medicines Management Centre:  Publications 2006-2012

The Publication booklet of the Pharmacy Department of the Northern Health and Social Care Trust contains information on:

  • Publications: HCAI
  • Publications: Medicines Management
  • Abstracts: HCAI
  • Abstracts: Medicines Management
  • Awards & Higher Degrees

Pharmacy & Medicines Management Centre Publications 2006-2012

Healthcare Acquired Infections

Research and Development, in collaboration with our partners, aims to prevent Healthcare Acquired Infections (HCAI) and to improve the management of HCAIs when they occur. This is achieved via:

  • Improved antibiotic stewardship.
  • Implementation and evaluation of new infection control practices.
  • Use of mathematical modelling techniques for the identification of critical factors in the development of HCAIs.
  • Development and use of novel IT surveillance systems for HCAI incorporating
  • Intelligent Alert technology.

We are involved in a range of projects which are testing interventions to prevent the occurrence of HCAIs and to improve management of HCAIs should they occur:

  • Development and Implementation of prescribing guidelines and the monitoring of the adherence by prescribers to such guidelines.
  • Development and testing of new procedure packs, designed to reduce the rate of
  • HCAI (eg peripheral line packs, blood culture packs).
  • Testing of novel disinfectant agents and processes in both the hospital and managed care facilities.
  • The effects of antibiotic cycling policies on resistance of organism patterns.
  • The use of educational interventions by midwives to reduce surgical site infection following Caesarean section.
  • The impact of needleless devices on catheter related bloodstream infections in ICU.
  • The impact of the introduction of new procedure packs in the hospital setting, including their impact on HCAIs.

Work in this area is being supported through development of a new web-based, software application to improve the Trust’s management of HCAIs: Live Automated Microbiology Pharmacy Surveillance (LAMPs, look at MOIC LAMPs Poster). The system has live data-feeds from multiple existing healthcare databases.

In conjunction with European Surveillance of Antimicrobial Consumption (ESAC) and Antibiotic Resistance and Prescribing in European Children (ARPEC), the Centre is involved with prescribing data surveys which enables useful comparison to be drawn about relative prescribing with the aim of further improvement.

Integrated Medicines Management

The delivery of pharmacy services in secondary care has been successfully re-engineered through the Integrated Medicines Management (IMM) process. The initial project was conducted as a randomised controlled trial1,2 in collaboration with researchers at the Queen’s University, Belfast, during which patients, meeting the defined eligibility criteria, were randomised to receive an enhanced clinical pharmacy service (provided by pharmacists and technicians) or to receive normal care. The study indicated that those in the intervention group had improved medication appropriateness, had reduced length of stay in hospital, had faster discharge from hospital and a reduced re-admission rate. This model of care has now been adopted throughout Northern Ireland and is also used in hospitals in England, Sweden, the Netherlands and the South of Ireland. In order to support this re-engineered medicines system various technology support systems have been introduced. A bespoke locker was designed in order to facilitate more efficient medicines use. This utilises computer monitored fob technology.

1. Scullin C, Scott MG, Hogg A, McElnay JC. An innovative approach to integrated medicines management. Journal of Evaluation in Clinical Practice. 2007; 13: 781-788.
2. Scullin C, Hogg A, Lou R, Scott MG, McElnay JC. Integrated medicines management – can routine implementation improve quality? Journal of Evaluation in Clinical Practice. 2012; 18(4) 807-15.[/vc_column_text][/vc_column][/vc_row][vc_row full_width=”stretch_row” foundry_padding=”pt64 pb64″ css=”.vc_custom_1449497560157{background-color: #ededed !important;}”][vc_column][foundry_testimonial_carousel pppage=”5″ layout=”carousel-bordered”][/vc_column][/vc_row][vc_row][vc_column]

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