Publications by authors named "Julie Wilcox"

2 Publications

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Pharmacy Technicians' Perceptions of Risk Reduction Strategies Implemented in Response to the Repetitive Strain Injury Associated with Sterile Compounding.

Int J Pharm Compd 2021 May-Jun;25(3):182-186

Pharmacy Department, Eastern Health, Melbourne, Victoria, Australia.

Following a 240% increase in the number of compounded sterile preparations between 2012 and 2013, three pharmacy technicians at a metropolitan public hospital suffered hand-related, repetitive strain injuries. This study describes the main safety measures implemented to reduce the risk of repetitive strain injuries associated with sterile compounding at the study hospital, and reports pharmacy technicians' perceptions of their effectiveness. The implemented risk reduction strategies were categorized into five domains of 1) equipment and consumables, 2) training and assessment, 3) Lean waste reduction, 4) roster and shift limits, and 5) workload allocation score. Pharmacy technicians' feedback was collected through an anonymous survey in 2020, five years after the implementation of all safety measures. Responders rated their perceived effectiveness of each strategy domain using a five-point Likert Scale, ranging from very ineffective to very effective. All pharmacy technicians who had been undertaking aseptic compounding activities for at least one year between 2015 and 2020 were invited to take the survey. The five domains of 1) equipment and consumables, 2) training and assessment, 3) Lean waste reduction, 4) roster and shift limits, and 5) workload allocation score were rated effective or very effective by 86%, 67%, 86%, 57%, and 71% of pharmacy technicians, respectively (n=7). The overall effectiveness of all interventions combined was rated effective or very effective by 72% of the participants. Pharmacy technicians' feedback indicates the majority perceive the implemented strategies effective in reducing the risk of repetitive strain injuries associated with aseptic compounding.
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June 2021

Depression and anxiety screening after stroke: adherence to guidelines and future directions.

Disabil Rehabil 2012 17;34(9):733-9. Epub 2011 Oct 17.

Cardiff University /Cardiff and Vale University Health Board, Clinical Psychology Training, Archway House, Llanishen, Cardiff, UK.

Purpose: This article examines practical approaches to increasing rates of screening for depression and anxiety in hospital-based stroke services.

Method: The literature on depression and anxiety following stroke is briefly reviewed together with evidence relating to screening. A small-scale trial of an educational and support package to improve screening rates compared 30 consecutive admissions before and after the intervention. An extended commentary on the outcome considered alternative approaches to improving screening.

Results: The literature review confirmed that depression after stroke has multiple adverse effects and that screening is not universally applied. There has been less research into anxiety after stroke, but it is likely that anxiety screening is also incomplete. The trial of the intervention to promote screening demonstrated strong trends towards improvement for depression (23.3%; odds ratio 2.67; χ(2) p = 0.067) and a trend for anxiety (16.7%; odds ratio 1.96; χ(2) p = 0.20).

Conclusions: Education and training about depression and anxiety screening and access to screening materials improved rates of screening to a limited degree. An extended commentary explored how screening rates might be further improved by considering the intervention strategy, the staffing model, the training approach and the screening methods themselves. Finally, consideration is given to treatment approaches for mood disorders.
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http://dx.doi.org/10.3109/09638288.2011.619623DOI Listing
May 2012
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