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: https://storify.com/HannahBeckitt/twitter-does-health-libraries-group-conference-201
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 http://learning.wm.hee.nhs.uk/node/107 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 http://www.ihi.org/topics/Sepsis/Pages/default.aspx
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.

Monday, 5 September 2016

Report on the International Clinical Librarian Conference. 13-18 May 2016, Toronto, Canada


Mosaic was a joint meeting of the Medical Library Association (MLA), the Canadian Health Libraries Association/Association des bibliothèques de la santé du Canada (CHLA/ABSC), and the International Clinical Librarian Conference (ICLC).

The synergy of all three groups meeting together and the new format for the meeting produced the largest number of abstract submissions in the history of the MLA annual meeting, and this in a year when most MLA members would find travel difficult because of having to bid for funding for an international event.

Sarah Sutton, Clinical Librarian from University Hospitals of Leicester has provided a report on this exciting event and the presentations she attended, to give us a taste of MLA 2016. As she highlights, Point of Care Tools were a popular topic along with Clinical Decision Making. Read More Here

http://www.cilip.org.uk/sites/default/files/documents/report_on_mosaic_hlg_2016.pdf

Thursday, 1 September 2016

Medline strategy for chronic kidney disease

I devised this, gathering ideas from a number of sources, and from suggestions made when I asked lis-medical, and from more suggestions made when I posted a draft there.

Here it is.   The syntax is for the current (September 2016) NHS HDAS interface, and of course may need amending for use in other interfaces.   The subject headings in use will need altering if you want to use the strategy in Embase or Cinahl.


1.            ((endstage or “end stage” or established or chronic or progressive) adj1 (renal or kidney) adj1 (failure or disease* or insufficienc*)).ti,ab

2.            (Chronic adj1 nephropath*).ti,ab

3.            (“Chronic uremia” or “chronic uraemia”).ti,ab

4.            (CKD or CKF or CKI or CRD or CRF or CRI).ti,ab

5.            (ESKD or ESRD or ESRF).ti,ab

6.            kidney diseases/ and chronic.ti,ab.

7.            exp Renal insufficiency, chronic/ 

8.            Renal insufficiency/ AND chronic.ti,ab. 


9.            1 or 2 or 3 or 4 or 5 or 6 or 7 or 8

Why the need for so many search terms?   An article by Hsu and Chertow explores the ambiguity in the use of disease terminology in nephrology, as discussed on this blog post elsewhere.

Tuesday, 30 August 2016

Evidence Updates from UHL Clinical Librarian Service



A reminder of the Evidence Updates that we produce, and can be found on our website  or follow us on Twitter to find out when a new one is published @UHLCL

We now design and distribute these via Mailchimp, allowing us to obtain some 'click data'.  It enables us to see how many people are opening the email, and which content they are most interested in.

Regular places that we search when looking for content include NICE, The Cochrane Library, NHS Behind the Headlines and Dynamed Plus.


We produce regular bulletins detailing the latest evidence and literature in the following areas:

Friday, 19 August 2016

More about search filters

This follows on from an earlier post about the ISSG Search Filter Resource.

In Medline and some other databases, you can limit a search to a particular publication type, for example, an RCT.  But publication types are not always consistently indexed in Medline, with some references that are RCTs not indexed as such, and some which are not RCTs indexed as if they were.  

Very new references will not have any indexing, so will have no publication type.   They will therefore be missed if you rely on the publication type limit.

So, relying on publication type limits may cause you problems if you are conducting a systematic review and need to find all RCTs on your topic.

A search filter is a search strategy that finds a particular publication type.  For example, this, from SIGN, to find RCTs:

1
 Randomized Controlled Trials as Topic/
2
 randomized controlled trial/
3
 Random Allocation/
4
 Double Blind Method/
5
 Single Blind Method/
6
 clinical trial/
7
 clinical trial, phase i.pt
8
 clinical trial, phase ii.pt
9
 clinical trial, phase iii.pt
10
 clinical trial, phase iv.pt
11
 controlled clinical trial.pt
12
 randomized controlled trial.pt
13
 multicenter study.pt
14
 clinical trial.pt
15
 exp Clinical Trials as topic/
16
 or/1-15
17
 (clinical adj trial$).tw
18
 ((singl$ or doubl$ or treb$ or tripl$) adj (blind$3 or mask$3)).tw
19
 PLACEBOS/
20
 placebo$.tw
21
 randomly allocated.tw
22
 (allocated adj2 random$).tw
23
 or/17-22
24
 16 or 23
25
 case report.tw
26
 letter/
27
 historical article/
28
 or/25-27
29
 24 not 28

This uses MeSH headings that might be applied to an RCT, but also title or abstract words that might indicate that a study is an RCT.

The ISSG Search Filter Resource links to search filters for retrieving different study designs, and to information about designing search filters.  

If you are doing a systematic search (including, but not only, searches for evidence for systematic reviews), we recommend looking at the ISSG Search Filter Resource.    For advice on search filters, please do contact your Clinical Librarian.