Staff Profile:Dr Rosemary Lim

Dr Rosemary Lim
Job Title:
Lecturer in Pharmacy Practice
Areas of Interest:

The overarching aim of my research is to improve patient safety and the quality of healthcare services. Specifically, I am interested in systems safety; safety from an organisational and process point of view. Healthcare systems are complex entities and "The variable size, scope, and membership of systems make them difficult to analyze and under­stand." (Kohn, Corrigan, & Donaldson, 2000, p. 52) Thus, improving safety and quality in healthcare can be very challenging. My research is focused on improving system safety based on an in-depth understanding of the interactions between humans and technology in the workspace using a human factors approach.

Highlights of my research work include:

Safety in care homes: systems analysis of the medication system, developed a new method to analyse medication errors, error analysis.

Methodological development:

Prospective Hazard Analysis - developed a toolkit of methods suitable for use in healthcare. Application of methods in surgical theatre.

Cognitive Work Analysis - application of methodology in care homes and in-patient diabetes management.

Non-medical prescribing: role of the non-medical prescribing lead, barriers and facilitators to the adoption of non-medical prescribing

Evaluation of novel training programmes

Current research projects include:

  • How people with Alzheimer's and their family carers view and manage medicine-taking? (Wellcome Trust funded)
  • Antibiotics for acute respiratory tract infections: a mixed methods study of patient experiences of non-medical prescriber management (Industry funded)
  • Critical factors to creating a resilient intravenous insulin infusion system in hospitals: an exploratory study in one hospital
  • Evaluating an electronic prescribing system in Intensive Care Unit in a hospital

On-going research interests in:

1. Methodological development; methods to represent complex information, error analysis and strategy development, including among others, Cognitive Work Analysis.

2. Organisational resilience; how to create resilient healthcare organisations and processes.

3. Education; teaching and training in patient safety and quality in healthcare.

Prospective PhD candidates (self-funded) are welcome to email Dr. Rosemary Lim directly with an initial research proposal for further discussion.

Research groups / Centres:
Jump to: 2019 | 2018 | 2017 | 2016 | 2015 | 2013 | 2009
Number of items: 18.








This list was generated on Mon Jul 22 11:49:08 2019 UTC.


Lim R, Courtenay M and Fleming G (2013) Non-medical Prescribing Lead Roles Within Organisations Across a Strategic Health Authority: Perceived Functions and Factors Supporting the Role. International Journal of Pharmacy Practice. 21(2): 82-91


Lim R (2012) An evaluation of the King's NIHR Patient Safety and Service Quality Research Centre's NHS Staff Secondment Programme. Report to the NIHR PSSQ Research Centre, King's College London, UK.

Ross AJ, Anderson JE, Kodate N, Thompson K, Lim R (2012) Evaluation of a training intervention to improve care of older people, June and July 2011.

Anderson, J., Ross, A.J., Lim. R., Thompson, K. & Kodate, N. (2012) Understanding team processes in nursing care of older people using the Health Care Team (HCT) model. Organisational Behaviour in Health Care (OBHC) 15-18 April 2012 Dublin, Ireland


Courtenay M. and Lim R. (2010) Non-Medical Prescribing Lead. Report to the South East Coast Strategic Health Authority, UK.

Ward J., Clarkson P., Buckle P., Berman J., Lim R. & Jun G. (2010) Prospective hazard analysis: Tailoring prospective methods to a healthcare context. Report to the Patient Safety Research Portfolio, Department of Health, UK.

Buckle P., Hanna G. & Lim R. (2010) The design of the physical environment and the influence on patient safety during the peri-operative process. Report to the National Patient Safety Agency, UK.


Barber N.D., Alldred D.P., Raynor D.K., Dickinson R., Garfield S., Jesson B., Lim R., Savage I., C Standage C., Buckle P., J Carpenter J., Franklin B., Woloshynowych M., Zermansky A.G. (2009) The Care Home Use of Medicines Study: prevalence, cause and potential harm of medications errors in care homes for older people. Quality and Safety in Health Care. 18: 341-346.

Alldred D., Barber N., Buckle P., Carpenter J., Dean-Franklin B., Dickinson R., Garfield S., Jesson B., Lim R., Raynor D., Savage I., Standage C., Wadsworth P., Woloshynowych M. & Zermansky A. (2009) Care Home Use of Medicines Study (CHUMS) Medication errors in nursing and residential care homes - prevalence, consequences, causes and solutions. Report to the Patient Safety Research Portfolio, Department of Health, UK. Available on


Buckle, P., Ward, J., Anderson, J., Lim, R., Berman, J., & Clarkson, P. (2011). Developing Prospective Hazard Analysis in Healthcare: Evaluating the operating theatre environment using a new toolkit. Proceedings of the Healthcare Ergonomics Systems and Patient Safety (HEPS) conference, 22-24 June, Oviedo, Spain.


Lim R (2009) A new method for analysing and improving complex systems in healthcare. Festival of Research, Faculty of Health and Medical Sciences, University of Surrey. Selected oral presentation.

Anderson J., Lim R. & Buckle P. (2009). Healthcare users' requirements for proactive hazard analysis tools: A systems view. Human Factors and Ergonomics Society Europe Chapter Annual Meeting, 14-16 October 2009, Sweden.


Lim R., Anderson J. & Buckle P. (2008) Analysing care home medication errors: A comparison of The London Protocol and Work Domain Analysis. Proceedings of the Human Factors and Ergonomics Society 52nd Annual Meeting 22-26 September 2008, New York, USA.

Lim R., Anderson J. & Buckle P. (2008) Analysing care home medication errors using work domain analysis. In Hignett et al. (Eds) Improving Patient Safety 2008 'From Safe Design to Safe Practice'. Proceedings of the Improving Patient Safety

Conference 16-18 July 2008, Cambridge, UK. Loughborough, The Ergonomics Society, pp. 147-151

Lim R (2008) A systems approach to medication safety in care homes: Understanding the medication system, investigating medication errors and identifying the requirements of a safe medication system. Unpublished PhD thesis. University of Surrey, Guildford, UK.

Anderson J., Buckle P. & Lim R. (2008) Cognitive Work Analysis: A systems approach to patient safety. Proceedings of the Healthcare Systems Ergonomics and Patient Safety 25-27 June 2008, Strasbourg, France.

Wadsworth P, Buckle P, Lim R, Anderson J and the CHUMS Team (2008) Ergonomics of the medication round in care homes. In: Improving Patient Safety 2008 'From Safe Design to Safe Practice'. Eds Hignett S, Norris B, Catchpole K, Hutchinson A and Tapley S. Publ Ergonomics Society, England ISBN 978-0-9554225-2-2 pp 159-163


Lim R., Anderson J. & Buckle P. (2007) Using Work Domain Analysis to understand the Care Home Medication System. Proceedings of the Patient Safety Research Conference, 24-26 September, Porto, Portugal. Poster.

Lim R., Anderson J., Buckle P. & Watkinson J. (2007) Developing Healthcare Process Models: An example from the care home system. In Bust, P (Ed) Contemporary Ergonomics 2007. Proceedings of the Ergonomics Society Annual Conference 17-19 April 2007, Nottingham, UK. Wiltshire, Taylor & Francis, pp. 475-480.

Wadsworth P., Lim R., Anderson J. & Buckle P. (2007) Can ergonomics help care for us in our twilight years? In Bust, P (Ed) Contemporary Ergonomics 2007. Proceedings of the Ergonomics Society Annual Conference 17-19 April 2007, Nottingham, UK. Wiltshire, Taylor & Francis, pp. 481- 486.

Buckle P., Anderson J., Ward J., Jeffcott S., Snadden C., Gleeson A., Lim R. & Wadsworth P. (2007) Patient safety: An ergonomics study of innovative design in pharmaceutical packaging. In Bust, P (Ed) Contemporary Ergonomics 2007. Proceedings of the Ergonomics Society Annual Conference 17-19 April 2007, Nottingham, UK. Wiltshire, Taylor & Francis, pp.457-462.

Past and present research collaborators

Centre for Applied Resilience in Healthcare, King's College London

Centre for Health Informatics and Multiprofessional Education and School of Pharmacy, University College London

Engineering Design Centre, Cambridge University

Greenstreet Berman Ltd.

Imperial College Healthcare Trust

University of Leeds

University of Surrey


Member of the Royal Pharmaceutical Society

Member of the General Pharmaceutical Council

Invited talks and seminars

"Application of Work Domain Analysis in healthcare: An example from analysing medication errors in care homes." Engineering Design Centre, University of Cambridge.

Rosemary Lim Staff Profile Photo

Contact Details

+44 (0) 118 378 8010
Harry Nursten 1.05c

Page navigation

See also


Search Form

A-Z lists