Staff Profile:Dr Rosemary Lim
- Name:
- Dr Rosemary Lim
- Job Title:
- Lecturer in Pharmacy Practice
- Responsibilities:
- 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:
- Publications:
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YNumber of items: 9.
2018
- Axon, D. R., Lim, R. H. M., Lewis, P. J., Sandher, S., Thondee, J., Edwards, K. and Howard, R. L. (2018) Junior doctors’ communication with hospital pharmacists about prescribing: findings from a qualitative interview study. European Journal of Hospital Pharmacy. ISSN 2047-9956 doi: https://doi.org/10.1136/ejhpharm-2017-001449
2017
- Courtenay, M., Gillespie, D. and Lim, R. (2017) Patterns of dispensed non-medical prescriber prescriptions for antibiotics in primary care across England: a retrospective analysis. Journal of Antimicrobial Chemotherapy, 72 (10). pp. 2915-2920. ISSN 0305-7453 doi: https://doi.org/10.1093/jac/dkx230
- Courtenay, M., Rowbotham, S., Lim, R., Deslandes, R., Hodson, K., MacLure, K., Peters, S. and Stewart, D. (2017) Antibiotics for acute respiratory tract infections: a mixed methods study of patient experiences of non-medical prescriber management. BMJ Open, 7 (3). e013515. ISSN 2044-6055 doi: https://doi.org/10.1136/bmjopen-2016-013515
2016
- Poonthananiwatkul, B., Howard, R. L., Williamson, E. M. and Lim, R. H. (2016) Why cancer patients choose in-patient complementary therapy in palliative care: a qualitative study at Arokhayasala Hospice in Thailand. European Journal of Integrative Medicine, 8 (3). pp. 260-265. ISSN 1876-3820 doi: https://doi.org/10.1016/j.eujim.2016.02.002
- Lim, R., Anderson, J. E. and Buckle, P. W. (2016) Work Domain Analysis for understanding medication safety in care homes in England: an exploratory study. Ergonomics, 59 (1). pp. 15-26. ISSN 0014-0139 doi: https://doi.org/10.1080/00140139.2015.1057542
2015
- Poonthananiwatkul, B., Lim, R., Howard, R., Pibanpaknitee, P. and Williamson, E. (2015) Traditional medicine use by cancer patients in Thailand. Journal of Ethnopharmacology, 168. pp. 100-107. ISSN 0378-8741 doi: https://doi.org/10.1016/j.jep.2015.03.057
- Poonthananiwatkul, B., Howard, R. L., Williamson, E. M. and Lim, R. H. M. (2015) Cancer patients taking herbal medicines: a review of clinical purposes, associated factors, and perceptions of benefit or harm. Journal of Ethnopharmacology, 175. pp. 58-66. ISSN 0378-8741 doi: https://doi.org/10.1016/j.jep.2015.08.052
2013
- Lim, R., Courtenay, M. and Fleming, G. (2013) Roles of the non-medical prescribing leads within organisations across a Strategic Health Authority: perceived functions and factors supporting the role. International Journal of Pharmacy Practice, 21 (2). pp. 82-91. ISSN 0961-7671 doi: https://doi.org/10.1111/j.2042-7174.2012.00224.x
2009
- Barber, N. D., Alldred, D. P., Raynor, D. K., Dickinson, R., Garfield, S., Jesson, B., Lim, R., Savage, I., Standage, C., Buckle, P., Carpenter, J., Franklin, B., Woloshynowych, M. and Zermansky, A. G. (2009) Care homes’ use of medicines study: prevalence, causes and potential harm of medication errors in care homes for older people. Quality and Safety in Health Care, 18 (5). pp. 341-346. ISSN 1475-3898 doi: https://doi.org/10.1136/qshc.2009.034231
2013
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
2012
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
2010
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.
2009
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 http://www.haps.bham.ac.uk/publichealth/psrp/PS025_Project_Summary.shtml
2011
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.
2009
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.
2008
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
2007
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
Affiliations
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.