Staff Profile:Dr Rosemary Lim
- Name:
- Dr Rosemary Lim
- Job Title:
- Associate Professor
- Responsibilities:
- Module convenor for Delivering Pharmacy Services 1 (PM2D)
- University Research and Ethics Committee member
- Health Humanities Research Centre steering committee member
- Main Teaching: MPharm Programme (including PM1C, PM2D, PM3C, PM4A and PM4B)
- Areas of Interest:
My research is about enhancing and creating safe use of medications in healthcare settings and peoples' homes. Informed by my experience and training in pharmacy and human factors, I lead and collaborate in research on medication management in dementia, insulin infusions and antimicrobial resistance.
My work is largely collaborative, interdisciplinary and co-produced with users, an approach that I believe is key to generating meaningful and sustainable impact in applied research. A range of competitive funders including the Wellcome Trust, Arts and Humanities Research Council, Global Challenges Research Fund pump-priming funds, fund my recent and current research.
Research highlights include:
- Medication safety in care homes: systems analysis of the medication system, developed a new method to analyse medication errors, error analysis.
- Methodological development: 1. Prospective Hazard Analysis - developed a toolkit of methods suitable for use in healthcare 2. Cognitive Work Analysis - application of methodology in care homes and in-patient diabetes management 3. Video-reflexive Ethnography - part of a wider feasibility study to explore Resilient Healthcare in a hospital in-patient setting on the use of intravenous insulin infusions
- Medication management in dementia: peoples' experiences of managing medication in dementia at home, wider systems issues
- Antimicrobial resistance: the development of a UK antimicrobial stewardship framework for undergraduate healthcare students, developing, implementing and evaluating healthcare interventions to improve antibiotic prescribing by non-medical prescribers and designing and communicating antimicrobial resistance messages to community pharmacy users in the UK (https://amrpharmacy.org) and in a Rwandan setting.
Professional body affiliations:
- Fellow of the Higher Education Academy
- Member of the General Pharmaceutical Council
- Member of the Royal Pharmaceutical Society
- Associate member of the Chartered Institute of Human Factors and Ergonomics
External appointments:
- Associate Editor BMC Health Services Research
- Chartered Institute of Human Factors and Ergonomics Pharmaceutical Human Factors Education and Training sub-team member
- Q Co-Production Special Interest Group co-convenor
- Research groups / Centres:
- Publications:
-
YNumber of items: 24.
2021
- Lim, R., Shalhoub, R. and Sridharan, B. K. (2021) The experiences of the community pharmacy team in supporting people with dementia and family carers with medication management during the COVID-19 pandemic. Research in Social and Administrative Pharmacy, 17 (1). pp. 1825-1831. ISSN 1934-8150 doi: https://doi.org/10.1016/j.sapharm.2020.10.005
2020
- Chater, A., Family, H., Lim, R. and Courtenay, M. (2020) Influences on antibiotic prescribing by non-medical prescribers for respiratory tract infections: a systematic review using the Theoretical Domains Framework. Journal of Antimicrobial Chemotherapy, 75 (12). ISSN 0305-7453 doi: https://doi.org/10.1093/jac/dkaa335
- Kalantari, M., Hollywood, A., Lim, R. and Hashemi, M. (2020) Mapping the experiences of people with achalasia from initial symptoms to long-term management. Health Expectations. ISSN 1369-7625 doi: https://doi.org/10.1111/hex.13160
- Lim, R., Courtenay, M., Deslandes, R., Ferriday, R., Gillespie, D., Hodson, K., Reid, N., Thomas, N. and Chater, A. (2020) Theory-based electronic learning intervention to support appropriate antibiotic prescribing by nurse and pharmacist independent prescribers: an acceptability and feasibility experimental study using mixed methods. BMJ Open, 10 (6). e036181. ISSN 2044-6055 doi: https://doi.org/10.1136/bmjopen-2019-036181
- Walker, S., Hignett, S., Lim, R., Parkhurst, C. and Samuel, F. (2020) Explaining drug-resistant infection in community pharmacies through effective information design. Design for Health, 4 (1). pp. 82-104. ISSN 2473-5132 doi: https://doi.org/10.1080/24735132.2020.1731201
- Iflaifel, M., Lim, R. H., Ryan, K. and Crowley, C. (2020) Resilient health care: a systematic review of conceptualisations, study methods and factors that develop resilience. BMC Health Services Research, 20. 324. ISSN 1472-6963 doi: https://doi.org/10.1186/s12913-020-05208-3
2019
- Anderson, J. E., Ross, A. J., Lim, R., Kodate, N., Thompson, K., Jensen, H. and Cooney, K. (2019) Nursing teamwork in the care of older people: a mixed methods study. Applied Ergonomics, 80. pp. 119-129. ISSN 0003-6870 doi: https://doi.org/10.1016/j.apergo.2019.05.012
- Courtenay, M., Rowbotham, S., Lim, R., Peters, S., Yates, K. and Chater, A. (2019) Examining influences on antibiotic prescribing by nurse and pharmacist prescribers: a qualitative study using the Theoretical Domains Framework and COM-B. BMJ Open, 9 (6). e029177. ISSN 2044-6055 doi: https://doi.org/10.1136/bmjopen-2019-029177
- Courtenay, M., Castro-Sanchez, E., Fitzpatrick, M., Gallagher, R., Lim, R. and Morris, G. (2019) Tackling antimicrobial resistance 2019-2024 – the UK’s five-year national action plan. The Journal of Hospital Infection, 101 (4). pp. 426-427. ISSN 0195-6701 doi: https://doi.org/10.1016/j.jhin.2019.02.019
- Iflaifel, M. H., Lim, R., Ryan, K., Crowley, C. and Iedema, R. (2019) Understanding safety differently: developing a model of resilience in the use of intravenous insulin infusions in hospital in-patients - a feasibility study protocol. BMJ Open, 9 (7). e029997. ISSN 2044-6055 doi: https://doi.org/10.1136/bmjopen-2019-029997
- Courtenay, M., Lim, R., Deslandes, R., Ferriday, R., Gillespie, D., Hodson, K., Reid, N., Thomas, N. and Chater, A. (2019) A theory-based electronic learning intervention to support appropriate antibiotic prescribing by nurses and pharmacists: intervention development and feasibility study protocol. BMJ Open, 9. e028326. ISSN 2044-6055 doi: https://doi.org/10.1136/bmjopen-2018-028326
2018
- Lim, R. H. and Sharmeen, T. (2018) Medicines management issues in dementia and coping strategies used by people living with dementia and family carers: a systematic review. International Journal of Geriatric Psychiatry, 33 (12). pp. 1562-1581. ISSN 0885-6230 doi: https://doi.org/10.1002/gps.4985
- Courtenay, M., Lim, R., Castro-Sanchez, E., Deslandes, R., Hodson, K., Morris, G., Reeves, S., Weiss, M., Ashiru-Oredope, D., Bain, H., Black, A., Bosanquet, J., Cockburn, A., Duggan, C., Fitzpatrick, M., Gallagher, R., Grant, D., McEwan, J., Reid, N., Sneddon, J., Stewart, D., Tonna, A. and White, P. (2018) Development of consensus based national antimicrobial stewardship competencies for UK undergraduate healthcare professional education. The Journal of Hospital Infection, 100 (3). pp. 245-256. ISSN 0195-6701 doi: https://doi.org/10.1016/j.jhin.2018.06.022
- Courtenay, M., Castro-Sanchez, E., Deslandes, R., Hodson, K., Lim, R., Morris, G., Reeves, S. and Weiss, M. (2018) Defining antimicrobial stewardship competencies for undergraduate health professional education in the United Kingdom: a study protocol. Journal of Interprofessional Care, 32 (5). pp. 638-640. ISSN 1469-9567 doi: https://doi.org/10.1080/13561820.2018.1463200
- Walker, S., Hignett, S., Lim, R., Parkhurst, C., Samuel, F. and Mole, M. C. (2018) Design, architecture, pharmacy: making a difference to understanding anti-microbial resistance (AMR). In: Design4Health2018, 4-6 September 2018, Sheffield. (ISBN: 9781843874218)
- 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, 25. pp. 257-261. 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
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
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.
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
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
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.
- Qualifications:
- MPharm (Hons), Ph.D (Health Ergonomics and Pharmacy), MRPharmS, FHEA