Michelle Flood
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View article: Accuracy of diagnostic codes and algorithms used to identify rheumatoid arthritis and juvenile idiopathic arthritis in administrative claims and electronic health records: systematic review and meta‐analysis.
Accuracy of diagnostic codes and algorithms used to identify rheumatoid arthritis and juvenile idiopathic arthritis in administrative claims and electronic health records: systematic review and meta‐analysis. Open
Objective This systematic review aimed to assess the diagnostic accuracy of algorithms used to identify rheumatoid arthritis (RA) and juvenile idiopathic arthritis (JIA) in electronic health records (EHRs). Methods We searched MEDLINE, Emb…
View article: A qualitative exploration of pharmacists' roles in centralised vaccination centres during the COVID-19 pandemic
A qualitative exploration of pharmacists' roles in centralised vaccination centres during the COVID-19 pandemic Open
View article: Changes in benzodiazepine, z-drug, and other sedative prescribing in primary care in Ireland between 2014 and 2022
Changes in benzodiazepine, z-drug, and other sedative prescribing in primary care in Ireland between 2014 and 2022 Open
Background The trends in sedative use have varied in recent years. Benzodiazepines and z-drugs are indicated for anxiety and/or sleep disorders but should be limited to short-term use. The aim of this study is to examine trends and pattern…
View article: Identifying outcomes for evaluating the impact of pharmacist prescribing: A rapid overview of reviews
Identifying outcomes for evaluating the impact of pharmacist prescribing: A rapid overview of reviews Open
Objectives Given the expansion of pharmacist prescribing, this study aims to identify and categorise outcomes reported in research evaluating impacts of pharmacist prescribing specifically for minor ailments (or common conditions) and in o…
View article: Medications and individual factors associated with serotonin syndrome: a protocol for an overview of reviews
Medications and individual factors associated with serotonin syndrome: a protocol for an overview of reviews Open
Introduction Serotonin syndrome is a potentially lethal adverse drug reaction caused by exposure to one or more serotonin-elevating medications. Its burden is unknown due to the absence of official diagnostic criteria, under-reporting and…
View article: Patterns of Analgesic Prescribing and High‐Risk Prescribing in Primary Care in Ireland 2014–2022—A Repeated Cross‐Sectional Study
Patterns of Analgesic Prescribing and High‐Risk Prescribing in Primary Care in Ireland 2014–2022—A Repeated Cross‐Sectional Study Open
Background Pain is a significant burden on individuals, healthcare systems and society. Analgesic drugs carry many therapeutic benefits; however, all drugs are associated with adverse effects and risk of harm. Non‐steroidal anti‐inflammato…
View article: An essential medicines list in Ireland: A qualitative interview study of interest-holders
An essential medicines list in Ireland: A qualitative interview study of interest-holders Open
Background The World Health Organization recommends each country develop a national essential medicines list (NEML), prioritising a core medicines set aligned with national health needs. Policy in Ireland partly focusses on prescribing cos…
View article: Trends in analgesia prescribing in primary care in Ireland and England between 2014 and 2022: A repeated cross‐sectional study
Trends in analgesia prescribing in primary care in Ireland and England between 2014 and 2022: A repeated cross‐sectional study Open
Aims Analgesic medicines are an important component of pain management, with different medicines carrying different risks and benefits. The aim of this study was to examine trends in analgesic prescribing in Ireland and England between 201…
View article: Identifying and measuring important outcomes for evaluating the impact of pharmacist prescribing in Ireland: A modified Delphi study
Identifying and measuring important outcomes for evaluating the impact of pharmacist prescribing in Ireland: A modified Delphi study Open
Background Pharmacist role expansion, including pharmacist prescribing, is increasing globally. Assessing the impact of such role expansion is vital. Purpose To identify key outcomes to evaluate pharmacist prescribing within Ireland’s plan…
View article: Accuracy of diagnostic codes and algorithms used to identify rheumatoid arthritis and juvenile idiopathic arthritis in electronic health records: systematic review and meta-analysis
Accuracy of diagnostic codes and algorithms used to identify rheumatoid arthritis and juvenile idiopathic arthritis in electronic health records: systematic review and meta-analysis Open
Objective This systematic review aimed to assess the diagnostic accuracy of algorithms used to identify rheumatoid arthritis (RA) and juvenile idiopathic arthritis (JIA) in electronic health records (EHRs). Methods We searched MEDLINE, Emb…
View article: Developing and assessing the usability of a prescribing quality and safety dashboard in Irish general practice: protocol for a qualitative study
Developing and assessing the usability of a prescribing quality and safety dashboard in Irish general practice: protocol for a qualitative study Open
Background The third WHO Global patient safety challenge, “Medication Without Harm” aims to reduce severe avoidable medication related ham by 50% globally. One approach to reducing medication related harm is to develop interventions that i…
View article: Impact of eliciting treatment priorities on analgesic prescribing in older patients with high levels of polypharmacy
Impact of eliciting treatment priorities on analgesic prescribing in older patients with high levels of polypharmacy Open
Background Multimorbidity guidelines recommend tailoring care to patients’ priorities. The Supporting Prescribing in Multimorbidity in Primary Care (SPPiRE) trial focused on optimizing medicines use in older adults with significant polypha…
View article: RxTrends: An R-based Shiny Application for Visualising Open Data on Prescribed Medications in Ireland
RxTrends: An R-based Shiny Application for Visualising Open Data on Prescribed Medications in Ireland Open
Background The Health Service Executive (HSE) in Ireland releases monthly reports on prescription dispensing claims and payments relating to community drug schemes. This paper describes the implementation of an R-based Shiny application th…
View article: Modelling the impact of changes to prescription medicine cost-sharing schemes among middle aged and older adults
Modelling the impact of changes to prescription medicine cost-sharing schemes among middle aged and older adults Open
Co-payment changes led to average savings of €62 for GMS-eligible participants and €174 for DPS-eligible participants. Although absolute savings were smaller for GMS participants, as the scheme is primarily for low-income populations and t…
View article: Study protocol and data dictionary: Effectiveness of a GP delivered medication review in reducing polypharmacy and potentially inappropriate prescribing in older patients with multimorbidity in Irish primary care: a cluster randomised controlled trial (SPPiRE study)
Study protocol and data dictionary: Effectiveness of a GP delivered medication review in reducing polypharmacy and potentially inappropriate prescribing in older patients with multimorbidity in Irish primary care: a cluster randomised controlled trial (SPPiRE study) Open
Methods Study design and participants The methods for the SPPiRE cluster RCT have been described in the trial protocol (21). This study is reported in line with the CONSORT 2010 cluster RCT checklist (22), see Appendix 1, and was approved …
View article: Patterns of analgesic prescribing and high-risk prescribing in primary care in Ireland 2014-2022 – a repeated cross-sectional study
Patterns of analgesic prescribing and high-risk prescribing in primary care in Ireland 2014-2022 – a repeated cross-sectional study Open
Background Pain is a significant burden on individuals, healthcare systems, and society. Analgesic drugs carry many therapeutic benefits; however, all drugs are associated with adverse effects and risk of harm. Non-steroidal anti-inflammat…
View article: RxTrends: An R-based Shiny Application for Visualising Open Data on Prescribed Medications in Ireland
RxTrends: An R-based Shiny Application for Visualising Open Data on Prescribed Medications in Ireland Open
Background The Health Service Executive (HSE) in Ireland releases monthly reports on prescription dispensing claims and payments relating to community drug schemes. This paper describes the implementation of an R-based Shiny application th…
View article: Use of complementary and alternative medicine (CAM) among people living with Sjögren’s: a cross-sectional survey using a modified international CAM questionnaire (I-CAM-Q)
Use of complementary and alternative medicine (CAM) among people living with Sjögren’s: a cross-sectional survey using a modified international CAM questionnaire (I-CAM-Q) Open
Sjögren’s is a chronic autoimmune disease with diverse symptomatology, and varying patient satisfaction with management. Patients with chronic conditions are known to be higher users of complementary and alternative (CAM) practices, yet li…
View article: Modelling the impact of changes to prescription medicine cost-sharing schemes among middle aged and older adults
Modelling the impact of changes to prescription medicine cost-sharing schemes among middle aged and older adults Open
Objective To assess impacts of government changes to prescription medicine co-payments on individuals’ out-of-pocket prescription medicine expenditure. Methods Data from The Irish Longitudinal Study on Ageing were used. Participants were c…
View article: Out-of-pocket prescription medicine expenditure amongst community-dwelling adults: Findings from the Irish longitudinal study on ageing (TILDA) in 2016
Out-of-pocket prescription medicine expenditure amongst community-dwelling adults: Findings from the Irish longitudinal study on ageing (TILDA) in 2016 Open
View article: Developing a collaborative serious game to support individual and interprofessional learning
Developing a collaborative serious game to support individual and interprofessional learning Open
View article: Trends and patterns of sedative prescribing in primary care in Ireland between 2014 and 2022 - a repeated cross-sectional study
Trends and patterns of sedative prescribing in primary care in Ireland between 2014 and 2022 - a repeated cross-sectional study Open
Background The trends in sedative use have varied in recent years. Benzodiazepines and z-drugs are indicated for anxiety and sleep disorders, but should be limited to short term use. The aim of this study is to examine trends and patterns …
View article: Cost effectiveness of a GP delivered medication review to reduce polypharmacy and potentially inappropriate prescribing in older patients with multimorbidity in Irish primary care: the SPPiRE cluster randomised controlled trial
Cost effectiveness of a GP delivered medication review to reduce polypharmacy and potentially inappropriate prescribing in older patients with multimorbidity in Irish primary care: the SPPiRE cluster randomised controlled trial Open
Background Evidence on the cost effectiveness of deprescribing in multimorbidity is limited. Objective To investigate the cost effectiveness of a general practitioner (GP) delivered, individualised medication review to reduce polypharmacy …
View article: A Qualitative Exploration of Student Cognition When Answering Text-Only or Image-Based Histology Multiple-Choice Questions
A Qualitative Exploration of Student Cognition When Answering Text-Only or Image-Based Histology Multiple-Choice Questions Open
Interpretation of images and spatial relationships is essential in medicine, but the evidence base on how to assess these skills is sparse. Thirty medical students were randomized into two groups (A and B), and invited to “think aloud” whi…
View article: The Development of Principles for Patient and Public Involvement (PPI) in Preclinical Spinal Cord Research: A Modified Delphi Study
The Development of Principles for Patient and Public Involvement (PPI) in Preclinical Spinal Cord Research: A Modified Delphi Study Open
Introduction There is currently limited guidance for researchers on Patient and Public Involvement (PPI) for preclinical spinal cord research, leading to uncertainty about design and implementation. This study aimed to develop evidence‐inf…
View article: Trends in analgesia prescribing in primary care in Ireland and England between 2014 and 2022 - a repeated cross-sectional study
Trends in analgesia prescribing in primary care in Ireland and England between 2014 and 2022 - a repeated cross-sectional study Open
Background Pain is a major public health issue, and a common reason people seek medical care. Pharmacological treatments depend on the type of pain and carry different risks and benefits. The aim of this study was to examine trends in anal…
View article: The role of Patient and public involvement (PPI) in pre-clinical spinal cord research: An interview study
The role of Patient and public involvement (PPI) in pre-clinical spinal cord research: An interview study Open
Background Patient and public involvement in research (PPI) has many benefits including increasing relevance and impact. While using PPI in clinical research is now an established practice, the involvement of patients and the public in pre…
View article: A qualitative exploration of student cognition when answering text-only or image-based histology multiple-choice questions.
A qualitative exploration of student cognition when answering text-only or image-based histology multiple-choice questions. Open
Interpretation of images and spatial relationships is essential in medicine, but the evidence-base on how to assess these skills is sparse. Thirty medical students were randomized into two groups (A and B), and invited to “think aloud” whi…
View article: Perspectives of researchers and clinicians on patient and public involvement (PPI) in preclinical spinal cord research: An interview study
Perspectives of researchers and clinicians on patient and public involvement (PPI) in preclinical spinal cord research: An interview study Open
Introduction Patient and public involvement (PPI) in research is an embedded practice in clinical research, however, its role in preclinical or laboratory‐based research is less well established and presents specific challenges. This study…
View article: Prescribing differences among older adults with differing health cover and socioeconomic status: a cohort study
Prescribing differences among older adults with differing health cover and socioeconomic status: a cohort study Open