Download - Safe use of medicines
Supporting safe use of medicines
Colin G AdairNI Centre for Pharmacy Learning and Development
School of Pharmacy, Queen’s University, Belfast
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 - 2006
NI Response to the Recommendations of the Shipman Inquiry
– GPs– Pharmacists– Nurse prescribers– Foundation doctors– Other trainees
Sustainable
Learning methods
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 methodscourse evaluation (2007)
Descriptor Live Printed* eLearning*
Objectives (1-5) 4.64 4.47 4.46
Relevance (1-5) 4.73 4.50 4.49
Content (1-5) 4.67 4.28 3.93
Presentation (1-5) 4.62 4.25 3.93
Stimulus (1-4) 3.75 3.50 3.70
Overall (0-9) 8.09 7.81 7.58
*significantly lower than live
Comparison of methodscourse evaluation (2011)
Descriptor Live Printed* eLearning
Objectives (1-5) 4.64 4.47 4.68
Relevance (1-5) 4.73 4.50 4.75
Content (1-5) 4.67 4.28 4.65
Presentation (1-5) 4.62 4.25 4.70
Stimulus (1-4) 3.75 3.50 3.70
Overall (0-9) 8.09 7.81 7.99
*significantly lower than live and eLearning
Can you
get it to run
on my
iPad?
Feedback
“First time I have used elearning and was pleased I could use it successfully”
“I will be in an environment where the particular errors mentioned could occur and I feel that the added awareness I now have after the course should help me in my daily practice.”
Comparison of methodspost-course assessment
Live Printed eLearning
87±8% 85±5% 84±7%
Six month post-course test: 83±7%
Programme costs
Overall NICPLD costs: £9.65/hour
Daytime workshop
Evening workshop
Distance learning
Vocational training
£15.10 £10.10 £6.49 £6.30
Programme costs
Overall NICPLD costs: £9.65/hour
Daytime workshop
Evening workshop
Distance learning
Vocational training
£15.10 £10.10 £6.30£2.7
7
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 pharmacy education
• NES
• CPPE
• WCPPE
• NICPLD
• ICCPE
Professional pharmacy education
Fran Lloyd
Michael Mawhinney
Maureen McCann
Suzanne Murray
Gillian Redpath
Thanks to Norman Morrow and Diane Taylor, DHSSPSNI