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Rosemary Lim

Rosemary Lim
  • 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 projects

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.

Background

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

Professional bodies/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

Selected publications

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.

Publications