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DSM staff profile

Professor Murray Tilyard

PositionProfessor of General Practice
DepartmentDepartment of General Practice and Rural Health (Dunedin)
QualificationsBSc MB ChB DipObst MD(Otago) FRNZCGP(Dist)
Research summaryGeneral Practice research focusing on research translation and patient safety, especially in medicines use.
MembershipsCEO BPACnz, BPAC Inc., Southlink Health Inc., NZ Formulary
ClinicalGeneral Practice

Research

I have built a career around making research useful to primary care clinicians. My clinical and research experiences have been intertwined since very early in my career. My research was initially driven by questions about my own clinical practice, then by questions about how and why my clinical practice was different to the practices of my colleagues, then by a need to find and make available the best research evidence to inform our clinical practices. Most recently I have researched changed clinical behaviour following information about best research evidence.

My research interest in patient safety has grown throughout my career and I now think of safety as the major challenge for our health system presently and into the future. I led the New Zealand arm of the first international primary care patient safety study that set up a reporting system so that GPs could report safety incidents that they had observed in their practices.

Publications

Tomlin, A. M., Woods, D. J., Reid, J. J., & Tilyard, M. W. (2020). Trends in prescription medicine use by older people in New Zealand 2010-2015: A national population-based study. New Zealand Medical Journal, 133(1513), 61-72. Retrieved from https://www.nzma.org.nz/journal

Tomlin, A., Woods, D. J., Lambie, A., Eskildsen, L., Ng, J., & Tilyard, M. (2020). Ethnic inequality in non-steroidal anti-inflammatory drug-associated harm in New Zealand: A national population-based cohort study. Pharmacoepidemiology & Drug Safety. Advance online publication. doi: 10.1002/pds.5028

Fountain, J. S., Tomlin, A. M., Reith, D. M., & Tilyard, M. W. (2020). Fatal toxicity indices for medicine-related deaths in New Zealand, 2008-2013. Drug Safety, 43, 223-232. doi: 10.1007/s40264-019-00885-4

Lloyd, H., Li, G., Tomlin, A., Tilyard, M. W., Walker, R., & Schollum, J. (2019). Prevalence and risk factors for chronic kidney disease in primary health care in the Southern Region of New Zealand. Nephrology, 24(3), 308-315. doi: 10.1111/nep.13395

Fountain, J. S., Reith, D. M., Tomlin, A. M., Smith, A. J., & Tilyard, M. W. (2019). Deaths by poisoning in New Zealand, 2008-2013. Clinical Toxicology, 57(11), 1087-1094. doi: 10.1080/15563650.2019.1582777

Edited Book - Research

Dovey, S. M., & Tilyard, M. (Eds.). (1998). Evaluation of the Free Child Health Care Scheme. Dunedin: University of Otago, 82p.

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Journal - Research Article

Tomlin, A. M., Woods, D. J., Reid, J. J., & Tilyard, M. W. (2020). Trends in prescription medicine use by older people in New Zealand 2010-2015: A national population-based study. New Zealand Medical Journal, 133(1513), 61-72. Retrieved from https://www.nzma.org.nz/journal

Fountain, J. S., Tomlin, A. M., Reith, D. M., & Tilyard, M. W. (2020). Fatal toxicity indices for medicine-related deaths in New Zealand, 2008-2013. Drug Safety, 43, 223-232. doi: 10.1007/s40264-019-00885-4

Tomlin, A., Woods, D. J., Lambie, A., Eskildsen, L., Ng, J., & Tilyard, M. (2020). Ethnic inequality in non-steroidal anti-inflammatory drug-associated harm in New Zealand: A national population-based cohort study. Pharmacoepidemiology & Drug Safety. Advance online publication. doi: 10.1002/pds.5028

Lloyd, H., Li, G., Tomlin, A., Tilyard, M. W., Walker, R., & Schollum, J. (2019). Prevalence and risk factors for chronic kidney disease in primary health care in the Southern Region of New Zealand. Nephrology, 24(3), 308-315. doi: 10.1111/nep.13395

Fountain, J. S., Reith, D. M., Tomlin, A. M., Smith, A. J., & Tilyard, M. W. (2019). Deaths by poisoning in New Zealand, 2008-2013. Clinical Toxicology, 57(11), 1087-1094. doi: 10.1080/15563650.2019.1582777

Jones, G. T., Sandiford, P., Hill, G. B., Williams, M. J. A., Khashram, M., Tilyard, M. W., Hammond-Tooke, G. D., Krysa, J., & van Rij, A. M. (2019). Correcting for body surface area identifies the true prevalence of abdominal aortic aneurysm in screened women. European Journal of Vascular & Endovascular Surgery, 57(2), 221-228. doi: 10.1016/j.ejvs.2018.08.048

Tomlin, A. M., Woods, D. J., Lloyd, H. S., Stewart, R. A. H., & Tilyard, M. W. (2018). Understanding medicines with a propensity to increase the risk of heart failure: Combining existing knowledge with targeted population assessment. Pharmacoepidemiology & Drug Safety, 27(9), 1019-1028. doi: 10.1002/pds.4586

Tomlin, A. M., Woods, D. J., Lloyd, H. S., & Tilyard, M. W. (2018). Trends in outpatient prescription medicine use in New Zealand children 2010-2015: A national population-based study. Pediatric Drugs, 20, 465-474. doi: 10.1007/s40272-018-0303-3

Ranta, A., Dovey, S., Gommans, J., Tilyard, M., & Weatherall, M. (2018). Impact of general practitioner transient ischemic attack training on 90-day stroke outcomes: Secondary analysis of a cluster randomized controlled trial. Journal of Stroke & Cerebrovascular Diseases, 27(7), 2014-2018. doi: 10.1016/j.jstrokecerebrovasdis.2018.02.064

Leitch, S., Dovey, S. M., Samaranayaka, A., Reith, D. M., Wallis, K. A., Eggleton, K. S., … Williamson, M. I., … Tilyard, M. W. (2018). Characteristics of a stratified random sample of New Zealand general practices. Journal of Primary Health Care, 10(2), 114-124. doi: 10.1071/HC17089

Tomlin, A. M., Reith, D. M., Woods, D. J., Lloyd, H. S., Smith, A., Fountain, J. S., & Tilyard, M. W. (2017). A pharmacoepidemiology database system for monitoring risk due to the use of medicines by New Zealand primary care patients. Drug Safety, 40(12), 1259-1277. doi: 10.1007/s40264-017-0579-1

Tomlin, A. M., Lloyd, H. S., & Tilyard, M. W. (2017). Atrial fibrillation in New Zealand primary care: Prevalence, risk factors for stroke and the management of thromboembolic risk. European Journal of Preventive Cardiology, 24(3), 311-319. doi: 10.1177/2047487316674830

Ranta, A., Weatherall, M., Gommans, J., Tilyard, M., Odea, D., & Dovey, S. (2017). Appropriateness of general practitioner imaging requests for transient ischaemic attack patients: Secondary analysis of a cluster randomised controlled trial. Journal of Primary Health Care, 9(2), 131-135. doi: 10.1071/HC17005

Tomlin, A. M., Lloyd, H., & Tilyard, M. W. (2016). Risk stratification of New Zealand general practice patients for emergency admissions in the next year: Adapting the PEONY model for use in New Zealand. Journal of Primary Health Care, 8(3), 227-237. doi: 10.1071/HC15000

Jones, G. T., Hill, B. G., Curtis, N., Kabir, T. D., Wong, L. E., Tilyard, M. W., Williams, M. J. A., & van Rij, A. M. (2016). Comparison of three targeted approaches to screening for abdominal aortic aneurysm based on cardiovascular risk. British Journal of Surgery, 103(9), 1139-1146. doi: 10.1002/bjs.10224

Tomlin, A. M., Gillies, T. D., Tilyard, M. W., & Dovey, S. M. (2016). Variation in the pharmaceutical costs of New Zealand general practices: A national database linkage study. Journal of Public Health, 38(1), 138-146. doi: 10.1093/pubmed/fdu116

Ranta, A., Dovey, S., Weatherall, M., O'Dea, D., Gommans, J., & Tilyard, M. (2015). Cluster randomised controlled trial of TIA electronic decision support in primary care. Neurology, 84(15), 1545-1551. doi: 10.1212/WNL.0000000000001472

Gillies, T. D., Tomlin, A. M., Dovey, S. M., & Tilyard, M. W. (2013). Ethnic disparities in asthma treatment and outcomes in children aged under 15 years in New Zealand: Analysis of national databases. Primary Care Respiratory Journal, 22(3), 312-318. doi: 10.4104/pcrj.2013.00068

Tomlin, A. M., Dovey, S. M., & Tilyard, M. W. (2013). Patient outcomes from 10 years of annual diabetes reviews in New Zealand. Diabetes Research & Clinical Practice, 102(2), 129-137. doi: 10.1016/j.diabres.2013.09.002

Tomlin, A., Reith, D., Dovey, S., & Tilyard, M. (2012). Methods for retrospective detection of drug safety signals and adverse events in electronic general practice records. Drug Safety, 35(9), 733-743. doi: 10.2165/11631970-000000000-00000

Dovey, S., Tilyard, M., Cunningham, W., & Williamson, M. (2011). Public and private funding of general practice services for children and adolescents in New Zealand. Health Policy, 103, 24-30. doi: 10.1016/j.healthpol.2010.09.003

Tomlin, A., Dovey, S., Gauld, R., & Tilyard, M. (2011). Better use of primary care laboratory services following interventions to 'market' clinical guidelines in New Zealand: A controlled before-and-after study. BMJ Quality & Safety, 20(3), 282-290. doi: 10.1136/bmjqs.2010.048124

Gauld, R., Dovey, S., Tilyard, M., & Tomlin, A. (2011). How physicians can drive comparative-effectiveness research: Lessons from New Zealand [Commentary]. American Journal of Medicine, 124(2), 93-94. doi: 10.1016/j.amjmed.2010.09.014

Tomlin, A. M., Dovey, S. M., & Tilyard, M. W. (2008). Risk factors for hospitalization due to diabetes complications. Diabetes Research & Clinical Practice, 80(2), 244-252. doi: 10.1016/j.diabres.2007.12.017

Tomlin, A., Dovey, S., & Tilyard, M. (2007). Health outcomes for diabetes patients returning for three annual general practice checks. New Zealand Medical Journal, 120(1252). Retrieved from http://journal.nzma.org.nz/journal/120-1252/2493/content.pdf

McClenaghan, T., Dovey, S., Tilyard, M., & Tomlin, A. (2007). Checking 'Get Checked'. New Zealand Family Physician, 34(3), 177-182.

Tilyard, M., Dovey, S., & Krebs, V. (2006). General practitioners' actual and scheduled charges for consultations with children and the elderly in South Island PHOs. New Zealand Family Physician, 33(3), 184-187.

Dovey, S. M., Fraser, T. J., Tilyard, M. W., Ross, S. J., Baldwin, K. E., & Kane, D. (2006). 'Really simple, summary, bang! That's what I need.' : Clinical information needs of New Zealand general practitioners and the resources they use to meet them. New Zealand Family Physician, 33(1), 18-24.

Tomlin, A., Tilyard, M., Dawson, A., & Dovey, S. (2006). Health status of New Zealand European, Māori, and Pacific patients with diabetes in 242 New Zealand general practices. New Zealand Medical Journal, 119(1235). Retrieved from http://journal.nzma.org.nz/journal/119-1235/2004/content.pdf

Tomlin, A. M., Tilyard, M. W., Dovey, S. M., & Dawson, A. G. (2006). Hospital admissions in diabetic and non-diabetic patients: A case-control study. Diabetes Research & Clinical Practice, 73, 260-267.

Tilyard, M., Dovey, S., & Hall, K. (2005). Avoiding and fixing medical errors in general practice: Prevention strategies reported in the Linnaeus Collaboration's Primary Care International Study of Medical Errors. New Zealand Medical Journal, 118(1208), 1264. Retrieved from http://journal.nzma.org.nz/journal/118-1208/1264/content.pdf

Morrison, N. A., George, P. M., Vaughan, T., Tilyard, M. W., Frampton, C. M., & Gilchrist, N. L. (2005). Vitamin D receptor genotypes influence the success of calcitriol therapy for recurrent vertebral fracture in osteoporosis. Pharmacogenetics & Genomics, 15(2), 127-135.

Reith, D., Fountain, J., & Tilyard, M. (2005). Opioid poisoning deaths in New Zealand (2001-2002). New Zealand Medical Journal, 118(1209). Retrieved from http://journal.nzma.org.nz/journal/118-1209/1293/content.pdf

Martin, I. R., McNamara, D., Sutherland, F. R., Tilyard, M. W., & Taylor, D. R. (2004). Care plans for acutely deteriorating COPD: A randomized controlled trial. Chronic Respiratory Disease, 1, 191-195.

Reith, D. M., Fountain, J., McDowell, R., & Tilyard, M. (2003). Comparison of the fatal toxicity index of zopiclone with benzodiazepines. Journal of Toxicology: Clinical Toxicology, 41(7), 975-980.

Johansson, M., Hall, J., Reith, D. M., Jackson, P., & Tilyard, M. (2003). Trends in the use of inhaled corticosteroids for childhood asthma in New Zealand. European Journal of Clinical Pharmacology, 59, 483-487.

Cunningham, W., & Tilyard, M. (2003). The Queenstown report: Proposals for change in the medical disciplinary complaints process [Review article]. New Zealand Medical Journal, 116(1170). Retrieved from http://journal.nzma.org.nz/journal/116-1170/358/content.pdf

Reith, D., Fountain, J., Tilyard, M., & McDowell, R. (2003). Antidepressant poisoning deaths in New Zealand for 2001. New Zealand Medical Journal, 116(1184). Retrieved from http://journal.nzma.org.nz/journal/116-1184/646/content.pdf

de la Porte, M., Reith, D. M., & Tilyard, M. (2002). Impact of safety alerts upon prescribing of cisapride to children in New Zealand. New Zealand Medical Journal, 115(1157), U24. Retrieved from www.nzma.org.nz/journal/115-1157/24

Jaye, C., & Tilyard, M. (2002). A qualitative comparative investigation of variation in general practitoners' prescribing patterns. British Journal of General Practice, 52(478), 381-386.

Hall, J., Tomlin, A. M., Martin, I. R., & Tilyard, M. (2002). A general practice minimum data set for New Zealand. New Zealand Medical Journal, 115(1163). Retrieved from http://www.nzma.org.nz/journal/115-1163/200/

Dovey, S. M., & Tilyard, M. (1999). RNZCGP computer research network: An update. New Zealand Family Physician, 26, 37-39.

Denz-Penhey, H., Tilyard, M., Shaw, R., & Harvey, R. J. (1999). Patient self-management in chronic fatigue syndrome: An action research study. New Zealand Family Physician, 26(1), 43-50.

Dovey, S. M., Morton, L. M., & Tilyard, M. (1999). What is happening to primary health care access for young children? Evaluation of the Free Child Health Care Scheme. Childrenz Issues, 3(2), 18-22.

Cunningham, W. K., & Tilyard, M. W. (1999). Making Read Codes easy and useful in New Zealand general practice: A simplified approach to the classification of Reasons for Encounter. New Zealand Family Physician, 26, 52-55.

Tilyard, M., & Dovey, S. M. (1999). The role of sentinel networks in general practice in New Zealand and internationally. New Zealand Family Physician, 26, 48-51.

Tilyard, M., Munro, N., Walker, S. A., & Dovey, S. M. (1998). Creating a general practice national minimum data set: present possibility or future plan? New Zealand Medical Journal, 111, 317-320.

Swinburn, B. A., Walter, L. G., Arroll, B., Tilyard, M., & Russell, D. G. (1998). The Green Prescription Study: a randomized controlled trial of written exercise advice provided by general practioners. American Journal of Public Health, 88(2), 288-291.

Pethica, B. D., Penrose, A. J., Mackenzie, D. I., Hall, J., Beasley, C. R., & Tilyard, M. (1998). Comparison of potency of inhaled beclomethasone and budesonide in New Zealand: retrospective study of computerised general practice records. British Medical Journal, 317, 986-990.

Baker, D. J. M., Graham, G. G., & Tilyard, M. (1997). Serology testing for measles: a survey of general practioners in Southland and Otago. New Zealand Medical Journal, 110(1053), 379-380.

Campbell, A. J., Robertson, M. C., Gardner, M. M., Norton, R. N., Tilyard, M. W., & Buchner, D. M. (1997). Randomised controlled trial of a general practice programme of home based exercise to prevent falls in elderly women. British Medical Journal, 315(7115), 1065-1069.

Frear, D., & Tilyard, M. (1997). Abdominal pain in New Zealand general practice. New Zealand Medical Journal, 110(1051), 333-334.

Tilyard, M., Dovey, S. M., & Walker, S. A. (1997). Otitis media treatment in New Zealand general practice. New Zealand Medical Journal, 110(1042), 143-145.

Swinburn, B., Walter, L., Arroll, B., Tilyard, M., & Russell, D. G. (1997). Green prescriptions: attitudes and perceptions of general practitioners towards prescribing exercise. British Journal of General Practice, 47(422), 567-569.

Dovey, S. M., & Tilyard, M. (1996). The computer research network of the Royal New Zealand College of General Practioners: an approach to general practice research in New Zealand. British Journal of General Practice, 46(413), 749-752.

Barton, G., Tilyard, M., & Dovey, S. M. (1996). General practice patient satisfaction in Otago. New Zealand Family Physician, 23(5), 49-51.

Tilyard, M., Gurr, E., & Dovey, S. M. (1996). Changes in payments for general practice consultations 1989-93. New Zealand Medical Journal, 109, 252-254.

Penrose, A. J., Dovey, S. M., & Tilyard, M. (1996). Trends in antihypertensive prescribing. New Zealand Medical Journal, 109, 4-7.

Gardner, T., Dovey, S. M., Tilyard, M., & Gurr, E. (1996). Differences between prescribed and dispensed medications. New Zealand Medical Journal, 109, 69-72.

Dovey, S. M., McNaughton, T., Tilyard, M., Wilson, P. D., Gurr, E., & Jolleys, J. (1996). General practitioners' opinions of continence care training. New Zealand Medical Journal, 109, 340-343.

Tilyard, M. (1996). Information technology: serving patients better. New Zealand Family Physician, 23(5), 5-6.

Morris, R. W., Robinson, G., Tilyard, M., & Gurr, E. (1996). Pravastatin and risk factor modification in patients with moderate primary hypercholestoerolaemia. New Zealand Medical Journal, 109, 319-322.

McGregor, A., Dovey, S. M., & Tilyard, M. (1995). Antibiotic use in upper respiratory tract infections in New Zealand. Family Practice, 12, 166-170.

Tilyard, M. W., Spears, G. F. S., Thomson, J., & Dovey, S. (1992). Treatment of postmenopausal osteoporosis with calcitriol or calcium. New England Journal of Medicine, 326(6), 357-362. doi: 10.1056/NEJM199202063260601

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Journal - Research Other

Dovey, S. M., Leitch, S., Wallis, K. A., Eggleton, K. S., Cunningham, W. K., Williamson, M. I., … Tilyard, M. W., Reith, D. M., Samaranayaka, A., & Hall, J. E. (2017). Epidemiology of patient harms in New Zealand: Protocol of a general practice records review study. JMIR Research Protocols, 6(1), e10. doi: 10.2196/resprot.6696

Young, A., Tordoff, J., Dovey, S., Reith, D., Lloyd, H., Tilyard, M., & Smith, A. (2016). Using an electronic decision support tool to reduce inappropriate polypharmacy and optimize medicines: rationale and methods. JMIR Research Protocols, 5(2), e105. doi: 10.2196/resprot.5543

Thomas, M. G., Smith, A. J., & Tilyard, M. (2014). Rising antimicrobial resistance: A strong reason to reduce excessive antimicrobial consumption in New Zealand. New Zealand Medical Journal, 127(1394). Retrieved from http://www.nzma.org.nz/journal

Reith, D. M., Fountain, J. S., & Tilyard, M. (2005). 'Opioid poisoning deaths in New Zealand (2001-2002)' and the UK's recent decision to withdraw the pain killer coproxamol [Letter]. New Zealand Medical Journal, 118(1209). Retrieved from http://journal.nzma.org.nz/journal/118-1209/1294/content.pdf

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