Nicholas Appelbaum

Co-founder @dosiumuk Honorary Research Fellow @Imperial_IGHI, @helixcentre

[Nicholas Appelbaum @nicapples]

#Medicationerrors need urgent attention. Our latest paper uses a #humanfactors approach to show that even with some of the best doctors and nurses in the world current systems are letting us down. https://t.co/94MKev3xsE @calandrafeather @Jonny_M_Clarke @philipjpratt @helixcentre

[Calandra Feather RNC @calandrafeather]

Thank you @sarahpslight and Gaby Judah for the time and attention you gave to examining my work. It was great to be able to spend time discussing it and with a successful outcome of course.
Thank you also to my supervisors @BryonyDF and Prof Darzi, not forgetting @nicapples.

[Dosium @dosiumuk]

Thanks to @Imperial_IGHI for sharing our story! It highlights how Touchdose can reduce prescription errors by 76.5%, plus our latest implementation at @ImperialNHS, and soon @ChelwestFT.

Read about our journey and why our CEO, a former surgeon, finds prescribing "terrifying" ⬇️

[Nicholas Appelbaum @nicapples]

Thrilled to announce
@dosiumuk's partnership with @WLCH_NHS. Our Touchdose solution, powered by the BNF, is now live at St Mary’s Hospital, marking a huge step towards safer prescribing for nearly 500K children.
@ImperialNHS @ChelwestFT

https://t.co/Cziv0mmH1y

[Calandra Feather RNC @calandrafeather]

Such a pleasure to be asked to write a post about a subject I’m passionate about, indication documentation and indication-based prescribing, for @BMJ_Qual_Saf Now is the time to move this on from ABx and PRN medications to ALL 💊medications 😊 @Imperial_IGHI @Imperial_PSTRC

[Joel Boggan @JoelBoggan]

The latest @BMJ_Qual_Saf blog post by @calandrafeather on the potential of #indication-based 💊 #prescribing

https://t.co/ujwIrsmxir

#medication #safety #patientcare

@CMSSQ_research @ImperialNHS @School_Pharmacy @BryonyDF @AiliLangford

[Nicholas Appelbaum @nicapples]

Variability in clinical practice guidelines in under appreciated. Our new paper in @PLOSONE gives some idea of the degree of heterogeneity present in guidelines for a commonly managed emergency. Should the way we represent best practice vary by facility?

[Nicholas Appelbaum @nicapples]

Variation in clinical guidance is underestimated. Often it is warranted. Not infrequently though, it is because we do not yet have a common ontology for representing guidelines that allows us to share treatment recommendations electronically and measure their change over time.

[Nicholas Appelbaum @nicapples]

Loved working on this paper exploring global variation in hypertension guidelines with @Jonny_M_Clarke, @DrThomasBeaney and team @Imperial_PCPH, @CMPHImperial. 

 https://t.co/WGwRgONcKU

[Calandra Feather RNC @calandrafeather]

A scary and relevant article, featuring our simulation study as an example that more work is urgently needed if we are to stop these errors from occurring. https://t.co/MfqlYH4LQo

[Better @bettercareIT]

@INTEROPenAPI #medshack21 is over. Congratulations, Better Meds team, for the 2nd place 🎉. A great event once again and a great collab with EPS, @SomersetFT and @dosiumuk; you guys, rock🙌

#Interoperability #medicationmanagement #fhirhack

[Dosium @dosiumuk]

Moving out of #stealthmode with a fantastic two days at the @INTEROPenAPI #medshack21. Working with our brilliant partner @bettercareIT and supported by @NHSx we were blown away to witness our #FHIR API power the next generation of #electronicprescribing and #patientsafety.

[INTEROPen @INTEROPenAPI]

Next up we have the team from @bettercareIT - as past FHIRHack winners, they've been determined to do some even more impressive stuff this time round 💪🔥

Working with the fab new meds tech suppliers @dosiumuk they have been making great progress for EPS dispensing 💊💊💉

[Matthew Jones @MatthewJonesUoB]

Our new paper highlights the importance of guideline usability to #patientsafety. Relevant design changes have now been made
Enjoyed working on this with @nicapples, @calandrafeather, @BryonyDF &
@helixcentre
https://t.co/lgh4w02LQZ
@PharmUnivBath @UKMedicinesInfo @msonetwork

[Nicholas Appelbaum @nicapples]

Rules written for humans don’t always make sense for computers. Our latest piece in @ADC_BMJ shows how following UK national guidance for prescribing using ideal bodyweight can lead to illogical dosing in #childhoodobesity. @Jonny_M_Clarke @helixcentre https://t.co/teRzzrTzyH

[Calandra Feather RNC @calandrafeather]

Great to see our research being picked up in the anaesthetic world too. @nicapples @Jonny_M_Clarke @helixcentre

[Dr Katy Nicholson @nicholson_katy]

Fascinating talk by @nicapples about evolving technology to tackle #drugerrors Generated a real buzz. #patientsafety #paedsanaesthesia #SALG

[Nicholas Appelbaum @nicapples]

@nicholson_katy Thank you @nicholson_katy and thank you @AAGBI for having me at #SALG 2019! A great day with an extraordinary community who push the #patientsafety agenda relentlessly

[Nicholas Appelbaum @nicapples]

@docmikewells @hypoxicchicken @GongGasGirl @mjslabbert @docmikewells PK-adj strategies / >1 weight scalar raises 2 flags in my mind:
1. Is it cognitively feasible without CDSS?
2. Are we doing what we think we are compartment-wise? We showed significant variability for IBW https://t.co/afPERk7Bip. Could apply similar approach to LBW?

[Nicholas Appelbaum @nicapples]

@miekefoster There’s place for pragmatism, sure, but medicine is getting ever more complicated as our knowledge expands. Quality human factors research underpinning the development of user-centric decision support tools (read: apps as medical devices) is what we are focussing on @helixcentre