safe use of medicines
TRANSCRIPT
Project TeamQUB Fran Lloyd
Michael MawhinneyMaureen McCannSuzanne Murray Gillian Redpath
Project Overview
The aim of this project was to develop online courses for pharmacists, doctors, dentists and nurse prescribers on controlled drugs and safer use of medicines to equip them with the knowledge and skills to promote safer practice. Two courses were developed: • Controlled Drugs – Striking a Balance and Improving Medicines Safety.
Each course provided 8 hours of learning. A high level of interactive engagement and variety in learning stimulus for the multidisciplinary audience was assured by the use of; Clickable diagrams,
• Animation, MCQs, Drag and drop interactions, Calculations, Text input questions, Case study interactions, Video and Expert commentary. While NICPLD has a pharmacist website, we did not have a platform to deliver courses to other professions. Thus we developed a new website (www.medicinesNI.com), which allowed self-registration, access to courses and assessments and enabled learners to print certificates of completion.
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