Glenda Fleming
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View article: iSIMPATHY: a multinational pre–post non-randomised intervention study transforming medication review
iSIMPATHY: a multinational pre–post non-randomised intervention study transforming medication review Open
Background Taking multiple medicines can be appropriate but has the potential to be problematic. The Implementing Stimulating Innovation in the Management of Polypharmacy and Adherence THrough the Years (iSIMPATHY) project used the 7-Steps…
View article: The Medicines Optimisation Innovation Centre (MOIC): A dedicated centre driving innovation in medicines optimisation - influencing healthcare policy
The Medicines Optimisation Innovation Centre (MOIC): A dedicated centre driving innovation in medicines optimisation - influencing healthcare policy Open
View article: SHAPES of things to come- medicine control and optimisation
SHAPES of things to come- medicine control and optimisation Open
Background: The Smart & Healthy Ageing through People Engaging in Supportive Systems (SHAPES) Innovation Action comprised 36 partners across 14 countries to build, deploy and pilot an EU-standardised open platform integrating a range of te…
View article: Health and Social Care Industry Partnership- a framework enabling collaborations to introduce transformative medicines-related innovations across the HSC system
Health and Social Care Industry Partnership- a framework enabling collaborations to introduce transformative medicines-related innovations across the HSC system Open
Launched by NI Health Minister in 2020, the goal of the HSC Industry Partnership Agreement is to develop and accelerate improvements to the health and wellbeing of patients affected by conditions under the care of the HSC System who are fr…
View article: Person-Centered approach to improve wellbeing and outcomes from medicines: iSIMPATHY (Stimulating Innovation in management of Polypharmacy, Adherence Through the Years)
Person-Centered approach to improve wellbeing and outcomes from medicines: iSIMPATHY (Stimulating Innovation in management of Polypharmacy, Adherence Through the Years) Open
Introduction: Inappropriate polypharmacy and adherence impact adversely on both population health and quality of life and health system burden and costs. The EU-funded SIMPATHY project identified recommendations to manage polypharmacy in E…
View article: The Medicines Optimisation Innovation Centre: a dedicated centre driving innovation in medicines optimisation-impact and sustainability
The Medicines Optimisation Innovation Centre: a dedicated centre driving innovation in medicines optimisation-impact and sustainability Open
View article: Service development project to pilot a digital technology innovation for video direct observation of therapy in adult patients with asthma
Service development project to pilot a digital technology innovation for video direct observation of therapy in adult patients with asthma Open
Background Adherence to pharmacotherapy and use of the correct inhaler technique are important basic principles of asthma management. Video- or remote-direct observation of therapy (v-DOT) could be a feasible approach to facilitate monitor…
View article: Patients’ UX Impact on Medication Adherence in Czech Pilot Study for Chronically Ill
Patients’ UX Impact on Medication Adherence in Czech Pilot Study for Chronically Ill Open
This article presents a comprehensive and multistage approach to the development of the user experience (UX) for an mHealth application targeting older adult patients with chronic diseases, specifically chronic heart failure and chronic ob…
View article: The importance and added value of patient involvement in person-centred medication reviews.
The importance and added value of patient involvement in person-centred medication reviews. Open
Background: The iSIMPATHY (implementing Stimulating Innovation in the Management of Polypharmacy and Adherence Through the Years) team is conducting person-centred medication reviews using a 7-step review tool focusing on ‘what matters to …
View article: Antimicrobial prescribing in a secondary care setting during the COVID-19 pandemic
Antimicrobial prescribing in a secondary care setting during the COVID-19 pandemic Open
Background Increased antimicrobial resistance patterns lead to limited options for antimicrobial agents, affecting patient health and increasing hospital costs. Objectives To investigate the antimicrobial prescribing patterns at two distri…
View article: C-reactive protein point of care testing in community pharmacy: Observational study of a Northern Ireland pilot
C-reactive protein point of care testing in community pharmacy: Observational study of a Northern Ireland pilot Open
This pilot was successful in introducing POC CRP testing in keeping with National Institute of Health and Care Excellence (NICE) recommendations for the assessment of non-pneumonic lower RTIs and both stakeholders and patients reported pos…
View article: Adherence to metformin in adults with type 2 diabetes: a combined method approach
Adherence to metformin in adults with type 2 diabetes: a combined method approach Open
Background Medication adherence, one of the most important aspects in the process of optimal medicines use, is unfortunately still a major challenge in modern healthcare, and further research is required into how adherence can be assessed …
View article: Optimising the multimedia design of a user-facing mHealth app for older individuals
Optimising the multimedia design of a user-facing mHealth app for older individuals Open
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020…
View article: Ensuring the quality and quantity of personal protective equipment (PPE) by enhancing the procurement process in Northern Ireland during the coronavirus disease 2019 pandemic: Challenges in the procurement process for PPE in NI
Ensuring the quality and quantity of personal protective equipment (PPE) by enhancing the procurement process in Northern Ireland during the coronavirus disease 2019 pandemic: Challenges in the procurement process for PPE in NI Open
This article outlines the purchasing process for personal protective equipment that was established for Health and Social Care in Northern Ireland in response to the outbreak of coronavirus disease 2019. The Business Services Organisation …
View article: Medicines Optimisation for Respiratory Patients: The Establishment of a New Consultant Respiratory Pharmacist Role in Northern Ireland
Medicines Optimisation for Respiratory Patients: The Establishment of a New Consultant Respiratory Pharmacist Role in Northern Ireland Open
Medicines optimisation for those with respiratory conditions can have a significant impact on clinical outcomes and substantial efficiency gains for health care. Consultant pharmacists are experts working at the top of their specialism in …
View article: Shaping the Future of Digitally Enabled Health and Care
Shaping the Future of Digitally Enabled Health and Care Open
People generally need more support as they grow older to maintain healthy and active lifestyles. Older people living with chronic conditions are particularly dependent on healthcare services. Yet, in an increasingly digital society, there …
View article: General practitioner practice-based pharmacist input to medicines optimisation in the UK: pragmatic, multicenter, randomised, controlled trial
General practitioner practice-based pharmacist input to medicines optimisation in the UK: pragmatic, multicenter, randomised, controlled trial Open
Background Changing demographics across the UK has led to general practitioners (GPs) managing increasing numbers of older patients with multi-morbidity and resultant polypharmacy. Through government led initiatives within the National Hea…
View article: Approaching difficult situations: how to have challenging conversations
Approaching difficult situations: how to have challenging conversations Open
Improving pharmacy consultations for older people with disabilities.
View article: A novel approach to medicines optimisation post-discharge from hospital: pharmacist-led medicines optimisation clinic
A novel approach to medicines optimisation post-discharge from hospital: pharmacist-led medicines optimisation clinic Open
Background There is a major drive within healthcare to reduce patient readmissions, from patient care and cost perspectives. Pharmacist-led innovations have been demonstrated to enhance patient outcomes. Objective To assess the impact of a…
View article: Analysis of activities undertaken by ward-based clinical pharmacy technicians during patient hospital journey
Analysis of activities undertaken by ward-based clinical pharmacy technicians during patient hospital journey Open
CPTs are completing more than seven different ward pharmacy-related activities which enhance medicines optimisation, medicines management and patient care. They are a valuable resource carrying out many roles which were previously complete…
View article: Ensuring continuity of patient care across the healthcare interface: Telephone follow‐up post‐hospitalization
Ensuring continuity of patient care across the healthcare interface: Telephone follow‐up post‐hospitalization Open
Aims To implement pharmacist‐led, postdischarge telephone follow‐up (TFU) intervention and to evaluate its impact on rehospitalization parameters in polypharmacy patients, via comparison with a well‐matched control group. Method Pragmatic,…
View article: A case study of polypharmacy management in nine European countries: Implications for change management and implementation
A case study of polypharmacy management in nine European countries: Implications for change management and implementation Open
Within the studied EU countries, polypharmacy management was not widely addressed. These results highlight the importance of change management and theory-based implementation strategies, and provide examples of polypharmacy management init…
View article: A modified Delphi study to determine the level of consensus across the European Union on the structures, processes and desired outcomes of the management of polypharmacy in older people
A modified Delphi study to determine the level of consensus across the European Union on the structures, processes and desired outcomes of the management of polypharmacy in older people Open
Consensus was obtained amongst key EU strategists around many aspects of polypharmacy management in older people. Notably, no consensus was achieved in relation to statements relating to the need to alter legislation in areas of healthcare…
View article: A pilot to evaluate the extension of the role of a Pharmacist Independent Prescriber on a Care of Older Persons /Stroke Ward through the introduction of a Doctor Light Discharge service
A pilot to evaluate the extension of the role of a Pharmacist Independent Prescriber on a Care of Older Persons /Stroke Ward through the introduction of a Doctor Light Discharge service Open
Introduction: To maintain patient flow and avoid breaches of Emergency Department (ED) targets it is critical that patient discharges are processed quickly and safely. Discharge paperwork consists of two sections. The medication section is…
View article: The Impact of a Pharmacist Independent Prescriber on the Discharge Processes at the Weekend in an Acute Hospital
The Impact of a Pharmacist Independent Prescriber on the Discharge Processes at the Weekend in an Acute Hospital Open
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020…
View article: Polypharmacy and Adherence: Key Components of Integrated Care. The case of Northern Ireland
Polypharmacy and Adherence: Key Components of Integrated Care. The case of Northern Ireland Open
Introduction: Polypharmacy and medication adherence in the older population are significant public health issues throughout the European Union (EU), and are critical issues in integrated care. SIMPATHY (Stimulating Innovation Management of…
View article: Integrated medicines management to medicines optimisation in Northern Ireland (2000–2014): a review
Integrated medicines management to medicines optimisation in Northern Ireland (2000–2014): a review Open
Objective The objective of this review was to assess the improvement in medicines processes in Northern Ireland focusing mainly on secondary care and at the interface with primary care and also to consider the benefits of enabling technolo…