Exploring the Impact of Information Standards and Computerised Health Records Upon Inpatient Medicines Optimisation
Self-funded PhD students only
School of Computing
February and October
Applications accepted all year round
This is a self-funded, 3 year full-time or 6 year part-time PhD studentship, to commence in February 2019 or October 2019. The project is supervised by Dr Philip Scott, Dr Helena Herrera, and Prof Gordon Blunn.
Annual NHS expenditure on medication is over £15 billion, but within ten days of a new prescription a third of patients do not take it as directed. Many patients experience avoidable drug errors due to incomplete information-sharing between care providers.
Your aim in this project is to improve medication adherence for patients with long-term conditions through the use of personal health records. You'll explore how clinically-defined information standards and computerised health records (patient-held, organisational, regional) support medicine optimisation for hospitalised patients.
The work will include:
- exploring the practical experience of healthcare professionals who are implementing Professional Record Standards Body for health and social care (PRSB) standards, and the effect of variations in the computer systems that apply to them
- the use of mixed methods, including: qualitative exploration of user experience through observation and interview (patient and practitioner); quantitative analysis of outcome variables such as patient adherence to prescriptions, metrics of usability and user satisfaction and errors in prescription and administration
- use of the realist evaluation framework to identify the ideal configuration of context, mechanism and outcome in the use of information standards and computerised health records for the optimisation of medicine
- attending a range of Graduate School courses in research methodology
The Royal Pharmaceutical Society has led work with NHS England, the Royal College of GPs, the Royal College of Nursing and the Association of the British Pharmaceutical Industry to develop a framework for medicines optimisation.
Current health policy outlines patient empowerment as an essential driver for change, and highlights computerised personal health records as a way to support that.
However, the evidence base for personal health record benefits remains inconclusive. Evidence of the positive impact of electronic information systems in regards to cost, quality and safety of healthcare, remains contested.
Experts remain split on the existing evidence, between aspirational “believers” and more cautious evaluators. While it seems obvious that having better information about a patient will improve care, the translation of information into better decision-making is not well understood.
PhD full-time and part-time courses are eligible for the Government Doctoral Loan
- Home/EU/CI full-time students: £4,327 p/a*
- Home/EU/CI part-time students: £2,164 p/a*
- International full-time students: £15,900 p/a*
- International part-time students: £7,950 p/a*
Bench fees may also apply - for more information please contact the project supervisor.
By Publication Fees 2019/2020
- Members of staff: £1,610 p/a*
- External candidates: £4,327 p/a*
*All fees are subject to annual increase.
- A good honours degree or equivalent in a relevant subject or a master’s degree in an appropriate subject.
- Exceptionally, equivalent professional experience and/or qualifications will be considered. All applicants are subject to interview.
- English language proficiency at a minimum of IELTS band 6.5 with no component score below 6.0.
- The candidate should have a background in Computer Science or Mathematics.
- Prior knowledge of machine learning is desirable.
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