Monday, 17 October 2016

World Thrombosis Day

This was last week.  But the issue has not gone away, so blogging about it now is not too late!

Lots of names for aspects of the topic - venous thrombosis, venous thromboembolism, VTE, deep vein thrombosis, DVT, pulmonary embolism.   Searching NHS Choices for thrombosis links to resources about many of these, and each page links to information about causes and treatment, as well as information on trials and personal stories.

World Thrombosis Day itself has a page of resources.   This includes information about the the global burden, hospital associated VTE and about research into public awareness.   There are campaign materials, including a list of research articles for health professionals (although the Clinical Librarian Service would be pleased to conduct a specific search for you).   Under Campaign Materials there are also personal stories.

The International Society on Thrombosis and Haemostasis is involved in World Thrombosis Day, and it publishes the Journal of Thrombosis and Haemostasis (some content freely available, some needs a subscription).

Other resources include:

British Committee for Standards on Haematology - guidelines on thrombosis, accessible via the BCSH site but also through NICE Evidence Search, which will also help you locate guidelines from other organisations.

Using NICE Evidence Search will help you find NICE guidelines, but NICE's Pathway on venous thromboembolism gives an overview of NICE guidance and links to publications.

Clinical Knowledge Summaries includes deep vein thrombosis, pulmonary embolism, and DVT prevention for travellers.   All are written for primary care, so do not cover prevention or management in hospital.  

Monday, 10 October 2016

E-Learning for Health - Available now with your OpenAthens account

e-Learning for Health (e-LfH) is a Health Education England Programme in partnership with the NHS and relevant Professional Bodies providing high quality e-learning resources free of charge for the training of the NHS workforce across the UK.

Content is presented using various templates such as ‘real-life’ scenarios, case studies and ‘knowledge bites’.

You can access the resources here:

Wednesday, 5 October 2016

Sudden Arrhythmic Death Syndrome (SADS)

This week is SADS Awareness Week.   SADS is a heart condition, often hidden, which can claim the lives of young people and can affect people while taking part in sport or exercise.

SADS Awareness Week is an annual event and this year includes a Marvellous Medicine talk on responding to SADS, another about sudden cardiac death in sport, and a Friday Forum for UHL staff to raise awareness of SADS. 

For UHL colleagues, the intranet, InSite, has for more about SADS Awareness Week.

Joe Humphries, a local lad, tragically died at the age of 14 while jogging, with no prior symptoms, and the Joe Humphries Memorial Trust works to promote research and education.

For more information about SADS, try these:

The causes listed by SADS UK are:
  • Arrhythmogenic Right Ventricle Dysplasia (ARVD)
  • Brugada Syndrome
  • Catecholaminergic Polymorphic Ventricular Tachycardia (CPVT)
  • Hypertrophic Cardiomyopathy (HCM)
  • Long QT Syndrome (LQT)
  • Short QT Syndrome
  • Wolff Parkinson White Syndrome (WPW)

Try a search of NHS Choices or NICE Evidence Search for a cause to find more.  If you work at UHL, the Clinical Librarian Service can search the literature for you.  Please contact us if we can help.

Fault affecting the BNF and BNFc apps

We have become aware of a fault affecting the British National Formulary and British National Formulary for Children apps on some Apple devices. Some content may be out of date. 

NICE’s advice is to uninstall the app and then reinstall it from the App Store, and we would strongly recommend you do this with both apps. 

Android devices and all web versions of the BNF are unaffected. 

If you have an NHS Athens username, you can use the BNF and BNFc apps.  For information about NHS Athens and about the apps, please contact any UHL Library or the Clinical Librarian Service.

Tuesday, 4 October 2016

Understanding Health Research - A tool for making sense of health studies

This resource created by Glasgow Uni with MRC support and helps with critical appraisal.

Understanding Health Research was supported by the population Health Sciences Research Network, funded by the MRC

Developing Understanding Health Research involved many different steps and input from a wide range of people involved in creating, communicating and using health research. Together, we identified the need for a resource for both lay and professional audiences in the form of an interactive, web-based tool that does not require any prior scientific knowledge. The aims of the tool are to:
allow lay and professional audiences to understand how to assess the quality of research evidence
raise awareness of what evidence is and how it is generated
teach or reaffirm critical health literacy skills

The tool was developed iteratively through continuous testing and feedback with a variety of audiences. We aim to continue to refine and evolve Understanding Health Research to make it as useful as possible.

If you have any feedback on how to improve the Understanding Health Research tool, please contact us.


Wednesday, 21 September 2016

HLG Scarborough Spa 2016

Following my trip to the lovely Scarborough Spa last week, I will try to capture some of my thoughts about the Health Libraries group (HLG) conference 2016.

Prolific Tweeting occurred; with Philip Barlow @hammerslibrary reckoning about 1600 tweets were generated with the hashtag HLG2016. My storify could only hold 1000, so this list is incomplete but might give you a flavour:
HLG 2016 was an extremely well-organised event, so congratulations to Sarah Hennesy, Imrana Gumrha, Novus and everyone that contributed. As you would expect, there were plenty of opportunities for both social networking and serious thought-provoking professional discussion. Knowledge for Healthcare featured highly, which may have been less relevant to non-NHS attendees, however many of the workstreams and resources generated from K4H are transferrable.

Some overall messages from the 2-days:
· STP’s are the only game in town and we need to engage with them in order to have our work on their agenda. Find out which STP you are part of and start promoting yourself as a service that can bring in the evidence, and demonstrate our value to them.
· Use the new toolkits (e.g. Impact Toolkit, Talent Management Toolkit) that K4H have produced and give feedback. Provide your own case studies to enable the profession to shout about the work we do.
· Succession planning is important to ensure we have a workforce for the future. A second NHS Leadership course will be offered shortly. Roles are diverse and certainly not just admin, even though that is how we are categorised in NHS ESR!

Some highlights:

Current Awareness:
Ben Skinner and Helen Bingham discussed duplication of current awareness services and the work that K4H Task and Finish group have done to address this. They found that 700+ bulletins of varying quality are produced and many have similar topics such as dementia, end of life. Added to the ‘embarrassing’ amount of duplication, is the problem of users not receiving them.

Repeatedly ‘one size does not fit all’ was championed, and various platforms were identified as already in use: KnowledgeShare, CASH, Netvibes, Protopage, North West Horizon Scanning. Most of us forgave some of our lunch break to see a demonstration of KnowledgeShare from Ben Skinner, which seems like a useful tool for current awareness, managing training and organising literature search requests - it would be good to know how much this resource costs. The CASH website will be having a facelift, and is free to join and contribute.

The Task & Finish group concluded that they needed to come up with a range of options to cater for different services. In the coming year, they have 2 aims:
1) Improve collaboration by creating a sharing portal, and promote schemes that already exist
2) Improve quality by developing some ‘good practice’ guidelines
In order to cater for different service needs, a portal via the K4H blog will have 5 strands: Best practice; Find a scheme; Find a bulletin; Find a collaborator; Share with pride.

Many people in the room seemed negative about providing a current awareness service, and this is perhaps understandable given how time-consuming it can be with little feedback as to its impact. At University Hospitals of Leicester NHS Trust we have been working hard to engage with our clinicians to find out what they want and to try and obtain data regarding usage and impact. We are currently using Mailchimp to send out our Evidence Updates and would welcome any collaboration with others who use Mailchimp.

NICE Evidence Search 
Fran Wilke and Michael Raynor delivered a really interesting session looking at the ‘train the trainer’ or student champion programme. This allows NICE to cascade search skills through a student trainer who then trains their peers in using the NICE Evidence search platform. Michael describes NICE Evidence search to students as ‘a Google for Health and Social Care’ but it is not designed to find primary research, it is more of a ‘point of care’ tool, or a synthesis of evidence. Fran highlighted the training materials page on the website: go to ‘About NICE’ – ‘Communities’ – ‘Library and Knowledge’ - ‘Training Materials’.

Disseminating ‘lessons learned’ bulletins with Tracey Pratchett - 38 feedback responses from about 600 recipients of this bulletin which focuses on an aspect of patient safety such as duty of candour, never events and insulin errors.

Measuring the quality of literature searches
with Elaine Garrett - Surveys are notoriously hard to get responses, casual feedback is a no no….could comparing your own search to a gold standard be a way of measuring the quality of your searching? Elaine compared hers to The Royal College of Obstetrics and Gynaecology ‘Green Top Guidelines’ which are a gold standard guideline.

“Access denied”? Accessing published professional information within the NHS in England
Catherine Ebeneezer’s research project into NHS IT systems restricting access to websites and published professional information. ‘IT staff should be at pains to avoid blocking the good when attempting to prevent the bad’ it seems this is rarely the case however! There is also research to support the notion that staff accessing personal websites while at work can have benefits in terms of morale and work-life balance.

Writing for Publication with HILJ Editor Maria Grant
Top Tips:
· Try to match the readers expectations (such as to inform practice or gain new ideas/ inspiration) with the writers’ expectations.
· When writing, keep the question ’So what?’ in your head.
· Look at the author guideline for whichever journal you are trying to publish in. This shows a commitment to publishing in that journal.
· Don’t try to include everything you learned, report on a clearly defined area.
· Be clear about the question you are trying to answer.

Bishop and Le Fanu Memorial Lecture - PT your brain - The benefits of exercise on mental health with Gareth Allen from Woburn Coaching
Really interesting and enlightening presentation from a British Triathlon coach who delivers exercise programmes to alleviate symptoms of mental illness and promote well-being.

Q & A with Nick Poole (CILIP) and Sue Lacey Bryant (Health Education England)
See Twitter feed #HLG2016

Health Information for patients and the public with Carol-Ann Regan and Sarah Greening
This was a recurring issue across the conference and highlighted as a core priority in K4H. The Patient Information Forum (PIF) have resources such as ‘making the case’ to help when trying to campaign for this as an NHS library and information service. The task and Finish group as part of K4H developed an ‘ideas bank’ to help others create and grow this role. 60 % of people with long term conditions struggle to find trustworthy sources of information. Reading Well’s ‘Books on prescription’ is apparently well-known but I have to confess I was not aware of the scheme. It was stressed that this is not an alternative 111, but we do have skills for signposting patients to good information sources.

Carol-Ann has been working on a book which is a self-management tool for cancer patients called ‘So what do I do now’.

Call to get involved with Health Information Week which was originally a West Midlands initiative that is now being rolled out nationally. See for info on 2016 event which took place 4-10th July.

Value and Impact Toolkit with Susan Smith and Doug Knock
Great online resource for trying to evidence our impact. Presenters asked us NOT to change the wording on the tool, as the language used is based on robust evidence. The Task and Finish group are hoping for lots of case studies that demonstrate our value and impact, and want to eventually compare data across the country. This is a call to action, and the creators would like feedback on this evolving project.

Scarborough Spa itself is an amazing building, tired in places, but full of grandeur, interesting rooms and heritage. It was great to be away from the motorways and busy cities that usually play host to ‘easily-accessible’ conference venues…. Just a shame that the sun didn’t shine, especially during the fire alarm evacuation!

The monthly #UKMedLibs twitter chat held on 20th September was HLG2016-themed and the transcript will be available here.

Thursday, 15 September 2016

Useful Sepsis Resources

It was World Sepsis Day on Tuesday 13th September so there has been a lot of awareness-raising and promotion around sepsis in our Trust. We put together a list of useful resources around sepsis earlier in the year and thought it would be worth sharing these in case anyone else finds them useful.

Institute for Healthcare Improvement (IHI) – Sepsis pages
Includes information on bundles and tools

JAMA Sepsis/Septic Shock Collection
Content includes articles, some are free full text, otherwise contact your librarian for how to obtain copies.

The UK Sepsis Trust
Includes information for both the public and professionals

CDC – Sepsis pages
Includes clinical guidelines and tools, data resources and quality improvement links

UpToDate – Various topic reviews
Full access will depend on local subscriptions - Athens login required for UHL staff

Royal College of Physicians - Acute care toolkit 9: Sepsis

Surviving Sepsis Campaign
The Surviving Sepsis Campaign is a joint collaboration of the Society of Critical Care Medicine and the European Society of Intensive Care Medicine committed to reducing mortality from severe sepsis and septic shock worldwide.