Updated Clinical Key app now available

An updated version of the Clinical Key mobile app is now available.

Clinical Key is an easy to use resource with a wealth of content including:

• Over 800 full text electronic journals, including the complete Lancet series of titles
• Over 960 full text electronic books
• Over 1,300 clinical overviews giving comprehensive clinical topic summaries 
• Over 2,500 drug monographs by Gold Standard
• Over 300 procedures consult topics
• Clinical guidelines (including NICE)
• Videos and other multimedia content
• Patient education materials in a variety of languages

Clinical Key also allows you to:

• Capture the information you use to develop CME credits
• Create presentations from multimedia content
• Store favourite items for easy access
• Save searches

The enhanced and redesigned mobile app is available now for iOS (Apple) and Android devices. There is a quick reference sheet for guidance on how to download, authenticate and optimize the mobile experience.

You can also access Clinical Key online with a web browser.

For both App and online access, you will need a trust OpenAthens account. NHFT and NGH staff and students on placement can register for one here https://openathens.nice.org.uk/.

Co-morbidities manager tool added to BMJ Best Practice

Health Education England (HEE) has extended their national subscription to BMJ Best Practice to include the Comorbidities Manager for all NHS staff and learners in England.

In the UK alone, one in three patients admitted to hospital as an emergency has five or more conditions. This poses a significant problem for healthcare systems. Clinical guidelines only focus on single conditions, but failure to treat the whole patient leads to worse clinical outcomes, and longer lengths of stay. The COVID-19 pandemic further highlighted the problem, with over 60% of patients admitted to intensive care units having comorbidities.

The BMJ Best Practice Comorbidities Manager supports the management of the whole patient by including guidance on the treatment of a patient’s acute condition alongside their pre-existing comorbidities.

BMJ Best Practice is a practical tool to help clinicians meet the changing and more complex needs of patients and maximise NHS resources, together resulting in better care for patients.

Available on desktop or app, 24/7 on and offline, NHS staff and learners in England can use BMJ Best Practice for free via an NHS OpenAthens account. Find out more at bmj.com/hee or watch the short video.

UpToDate LIVE - free training for NGH staff

Whether you are an experienced consultant, a new junior doctor, a nurse or midwife, a pharmacist or AHP, UpToDate is a valuable resource enabling you to access high quality evidenced-based information when you need it. 

UpToDate LIVE is a free one hour Teams training session available to all NGH staff covering how to get the best from the system.

The sessions are aimed at all clinical staff and will be running from August until December. Each session will be delivered by a member of the Wolters Kluwer team.

Join one of our free 60-minute LIVE sessions to learn more about UpToDate, including:

• Creating an account
• Earning and submitting CPD including Federation of the Royal Colleges of Physicians of the UK
• Conducting a normal/advanced search
• Customising your UpToDate homepage
• Help reduce medication errors with our Drug Interactions tool
• COVID-19 common questions and answers
• What's New & Practice Changing Updates
• Patient engagement/safety

To book on a session simply pick the date that suits you, click the link, and register online:

• Wednesday 10th August 2pm 
• Wednesday 24th August 2pm
• Monday 12th September 6 pm
• Wednesday 5th October 2 pm
• Wednesday 19th October 3 pm
• Wednesday 16th November 2 pm
• Wednesday 30th November 2 pm
• Wednesday 14th December 2 pm

If you have any questions, please contact the Richmond Library.

NHS Knowledge and Libraries Awareness Week 2022 #KLSNAW – Quick and easy access to digital knowledge resources part 2

Do you know you have access to lots of eBooks? Including:

The Maudsley: prescribing guidelines in psychiatry (2021) and Royal Marsden Manual of Clinical Nursing Procedures (RMM)?

 

Check Clinical Key – comprehensive point of care medical evidence, eJournals, eBooks, topic synopsis and more all in one place. Login with NHS OpenAthens (App available).

 

Try BMJ Best Practice – a trusted point of care resource for confirming your knowledge, supporting your decisions, reassuring you. Login with NHS OpenAthens (App available).

 

To access these and much more just register for an NHS OpenAthens account, the key to online resources!

 

Need some help? Library staff are on hand to help with:

-       Queries relating to setting up your OpenAthens account

-       Getting started with using the resources

Please contact us for more information or help with accessing Apps.

BMJ Best Practice now available

Did you know you now have access to BMJ Best Practice?

BMJ Best Practice is a trusted clinical decision support tool which provides healthcare professionals with access to the latest relevant clinical information when making diagnosis and treatment decisions.

BMJ Best Practice includes:

• A modern, fresh user interface and navigation
• Enhanced differential diagnosis and treatment algorithms
• Videos covering the most common clinical procedures
• Improved page designs with quick links to increase speed to answer
• More than 250 integrated medical calculators
• Patient discussions and nearly 400 patient leaflets
• The latest evidence and Cochrane Clinical Answers
• Plus an award-winning app that can be used offline, ensuring that you always have the information you need, when you need it. 

To access BMJ Best Practice go to: https://bestpractice.bmj.com/

Log in using your NHS OpenAthens account (if you don’t have an account yet you can register for one here). 

Once logged in you can also register for a personal account which allows you to record CME/CPD activity for revalidation and you can access it offline via a free app for Android and iOS devices.

To support you in getting started, download the user guide or visit the FAQ section. If you need any more information, please contact the library.

New Cochrane Library website preview

The Cochrane Library, home of the Database of Systematic Reviews is relaunching its website. In advance of the final version, a preview site is currently available for viewing.

The preview site is fully functional (although you will not be able to save any searches), so you can have a look at the new enhancements on the site and even give Wiley feedback on the changes or any problems you may encounter.

https://betacochranelibrary.com/

TRIP Pro access extended for NHS staff in England

Health Education England have renewed the subscription for the premium version of TRIP until the end of March 2019.

If you aren't already familiar with it, TRIP is a UK clinical database designed to allow clinicians to find the best evidence to answer their clinical questions.

TRIP presents search results in a hierarchy based on the level of evidence, so you always see the highest quality information, for example, systematic reviews or metaanalysis, first (but you can sort the results by date or relevance too).

TRIP has an easy to use simple search, but TRIP Pro also offers two other ways to search in a more sophisticated way.

The advanced search option is very similar to the same feature in Google and allows you to combine search terms in different ways to find the information you want (including phrase searching, limiting by year and excluding words).

The PICO (Patient/Population Intervention Comparison Outcome) interface allows you easily break your search down into its most important elements which is really useful when answering a clinical question.

TRIP Pro is only accessible from an NHS computer (via its IP address). When accessing the site you should see the message about your account being provided by Health Education England as below.

TRIP is still accessible for free outside of the NHS, but with more limited search functionality.

A great resource for finding high quality health information, TRIP is a great starting point for any literature search...

Web site of the month: The Hearing Aid podcasts

http://thehearingaidpodcasts.org.uk/

Produced by two NHS geriatricians, The Hearing Aid offers a series of educational podcasts (audio files) aimed at heath professionals caring for older adults.

The MDTea (Multidisciplinary Team Education on Ageing) series of podcasts present the evidence based rationale for care, recent advances, as well as established good practice in geriatrics. The podcasts cover topics such as:

• Delirium
• Falls
• Pain management
• Frailty
• Multimorbidity 

Notes for each of the podcasts are available which include links to relevant NICE guidelines, journal articles and more.

All are open access (free to use) and you can even log in and get an email showing you listened to the podcast which can be used as evidence for CPD.

You can also subscribe to the Podcasts via iTunes, email, or by following @MDTea_podcast on Twitter.

The Hearing Aid is a great way to stay up to date with the evidence and practice in geriatrics and well worth a listen.

Access to TRIP Pro extended for 2017

www.tripdatabase.com

Health Education England have funded access to the premium version of TRIP until the end of December 2017.

If you aren't already familiar with it, TRIP is a UK clinical database designed to allow clinicians to find the best evidence to answer their clinical questions.

TRIP presents search results in a hierarchy based on the level of evidence, so you always see the highest quality information, for example, systematic reviews or metaanalysis, first (but you can sort the results by date or relevance too).

TRIP has an easy to use simple search, but also offers two other ways to search in a more sophisticated way.

The advanced search option is very similar to the same feature in Google and allows you to combine search terms in different ways to find the information you want (including phrase searching, limiting by year and excluding words).

The PICO (Patient/Population Intervention Comparison Outcome) interface allows you easily break your search down into its most important elements which is really useful when answering a clinical question.

TRIP Pro is only accessible from an NHS computer (via its IP address). When accessing the site you should see the message about your account being provided by Health Education England as below.

TRIP is still accessible for free outside of the NHS, but with more limited search functionality.

A great resource for finding high quality health information, TRIP is a great starting point for any literature search...

Web site of the month: Students 4 Best Evidence

www.students4bestevidence.net

Students 4 Best Evidence (S4BE) is an award-winning international blogging network for students interested in evidence based healthcare and supported by the Cochrane UK. Produced by nurses, medical students, AHPs and others, S4BE pulls together useful resources on evidence based healthcare and puts them all into a single interactive space.

S4BE is described as a community for students, by students, although in reality the content would be of equal interest to anyone with a focus on using evidence in their clinical practice.

The site aims to guide you through an understanding of what is evidence-based health care, how it is practised and what resources are available to support it. Sections of the site will take you through the whole evidence based practice cycle:

• Asking questions
• Searching for evidence
• Appraising research
• Acting on evidence
• Evaluating your practice

The site also has an interactive element and features blogs written by students as well as reviews of useful resources (websites, courses, databases etc). Students can also sign up to be a contributor to the site.

There are also a related social media sites including an S4BE Twitter & Facebook page, as well as a YouTube channel.

We think Students 4 Best Evidence is a really useful resource for students and anyone else who is interested in developing their skills in evidence based practice. Highly recommended 👍👍👍👍

Web site of the month: Understanding health research A tool for making sense of health studies

Understanding Health Research is a tool designed to help you understand and review published health research to decide how dependable and relevant a piece of research is.

www.understandinghealthresearch.org

The tool, using a series of questions about the study, allows you to examine specific types of research, and helps you to understand what the answers to those questions mean for the quality of the research.

Once you have been through the questions, you can add any notes you wish and save (or email) the outcome as a .PDF document which lists all the responses to the questions.

The site also features other useful critical appraisal resources including a useful information section which includes a basic introduction to the scientific concepts involves (e.g. sampling and populations, sources of bias or correlation and causation). There are also links to other critical appraisal tools and research that has already been appraised, as well as to other sites to help you better understand scientific research.

Understanding Health Research is a really useful site allowing you to make a quick assessment of the quality of a piece research (even if you do not know much about critical appraisal) as well as providing other critical appraisal resources. Very highly recommended.

Web site of the month: Cochrane Clinical Answers

NHS staff now have access to a new resource, Cochrane Clinical Answers. Covering 32 different clinical specialities, it provides short, readable, clinically focused access to the high quality research from the Cochrane Library. Each question is designed to be clinically relevant, aiming to inform decision making at the point of care.

Each clinical answer contains a clinical question, a short answer and the ability to look deeper into the evidence from Cochrane reviews, displayed in a user friendly format. You can browse all the answers by broad topic areas, or search for more specific information.

Cochrane Clinical Answers is aimed at healthcare professionals and is a very useful resource for obtaining short, actionable evidence that can be used in clinical practice. 

Library training: Evidence into Practice: a CPD opportunity for nurses undertaking revalidation

This course offers the opportunity to refresh your skills in searching for the latest evidence, while finding information that is relevant to your day to day work.

Come to the course with a question related to your scope of practice and go away not only with updated skills, but also with evidence to feed back in to your department. 

You will log 3 hours of CPD time and at the end of the session will complete one of the 5 reflective accounts required by the NMC for revalidation, based on what you have learned.

The course will be running on the following dates in the Rowan Room at Berrywood Hospital:

• Monday 16th May 1.30-4.30
• Thursday 16th June 9.30-12.30
• Tuesday 12th July 1.30-4.30
• Thursday 18th August 1.30-4.30
• Tuesday 20th September 9.30-12.30

Please contact any of our libraries to book a place or for more information:

• Berrywood Library: berrywoodlibrary@nhft.nhs.uk / 01604 682650
• Isebrook Library: isebrooklibrary@nhft.nhs.uk / 01933 235862
• Richmond Library, Northampton General Hospital: richmondlibrary@nhft.nhs.uk / 01604 545929

Evidence for everyday nursing and midwifery

The UK Cochrane Centre have started a new social media based service to share the latest evidence in nursing and midwifery called Evidence for Everyday Nursing and Evidence for Everyday Midwifery.

The service offers evidence on common topics in nursing or midwifery in short summaries they call "blogshots" (like the one below), with links to the full evidence (often Cochrane reviews), if you want to look further.

See the evidence at the Cochrane Library

The service is available across a number of social media platforms, including Twitter, Facebook and Pinterest.

We think following the the hashtags #EENursing or #EEMidwifery on Twitter is the easiest way to keep up with what's new (and if you are unsure about Twitter you can contact us for help).

This is a very easy way to keep up to date with the latest evidence affecting everyday practice, and also a useful resource in helping with revalidation. You can even share it with your colleagues or the wider professional community.

If you want more information you can find it on the Evidently Cochrane blog.

March Eyes on Evidence from NICE

Eyes on Evidence is a free monthly bulletin from NICE Evidence Services which reviews significant new evidence as it emerges and what this might mean for current practice.

In the March issue you can find:

• HIV testing in healthcare settings other than specialist clinics
• Allopurinol for chronic gout
• Genetic testing for foetal chromosome abnormalities
• Child safeguarding in acute health services
• Local food environment and diet in children and young people
• New NICE evidence search

There are also new Evidence Updates highlighting new information worth considering along side current guidance:

• Feverish illness in children (NICE Clinical Guideline 160)

You can find subscribe to receive the bulletin by email on the NICE Evidence Services site.

Web site of the month: Royal Marsden Manual of Clinical Nursing Procedures 9th edition

www.rmmonline.co.uk

The new 9th edition of the Royal Marsden Manual is now available on-line. The manual is recognised as the essential guide to clinical nursing skills.

The fully updated edition provides up-to-date, evidence-based clinical skills procedures related to essential aspects of patient care. The procedures in The Manual are based on the latest research findings and advice from clinical experts, to enable students and qualified nurses to provide the best possible care. All procedures include the rationale for each action and the evidence used is graded to help nurses assess its validity.

The RMM's site has also been completely revamped, giving a much cleaner and more user-friendly interface.

You can access the RMM from anywhere, via your NHS OpenAthens password (if you don't have one, NHFT and NGH staff and attached students can apply online here).

To log in via OpenAthens, simply click on the login on the top right corner of the screen, then click on OpenAthens in the box and enter your user name and password.

The library service will also be getting some print copies of the new manual which will be available in stock shortly after its publication on the 13th of March.

February Eyes on Evidence from NICE

Eyes on Evidence is a free monthly bulletin from NICE Evidence Services which reviews significant new evidence as it emerges and what this might mean for current practice.

In the February issue you can find:

• Community based palliative care teams
• Preoperative chemotherapy for treatment of non-small-cell lung cancer
• Probiotics to prevent necrotising enterocolitis in preterm infants
• Surgical safety check lists and short-term mortality
• Risk of fall injuries in older people with commonly prescribed medicines
• Effects of inhaled corticosteroids on growth in children and young people with asthma

You can find subscribe to receive the bulletin by email on the NICE Evidence Services site.

www.nice.org.uk/news/nice-newsletters-and-alerts

January Eyes on Evidence from NICE

Eyes on Evidence is a free monthly bulletin from NICE Evidence Services which reviews significant new evidence as it emerges and what this might mean for current practice.

In the January issue you can find:

• Pharmacy-based screening for cardiovascular risk
• Self-management of hypertension in people at risk from cardiovascular events
• Mental health after stopping smoking
• Alpha-blockers for the expulsion of ureteral stones
• Haemoglobin thresholds for blood transfusion

You can find all the previous issues of Eyes on Evidence or subscribe to receive the bulletin by email on the NICE Evidence Services site.

There are also new Evidence Updates highlighting new information worth considering along side current guidance:

• Spasticity in children and young people with non-progressive brain disorders (NICE guideline 145)
• Ectopic pregnancy and miscarriage (NICE guideline 154) 
• Hyperphosphataemia in chronic kidney disease (NICE guideline 157)

New web site: Fact Check Central

factcheckcentral.org

Fact Check Central is produced by Sense About Science who's main aim to to enable the public to make sense of scientific developments and evidence.

Featuring a lot of health stories, but also covering food and diet, education, policy and the media, the site aggregates stories from blogs and sites that offer scrutiny and high quality analysis of claims and news stories for factual accuracy.

More than that, as Sense About Science say on their blog about the site launch, "fact checking isn't just about separating true from false. Done well, it can give proper context to claims, allow space for deeper understanding, and deflate the rhetoric and bluster that often surrounds controversial issues."

Fact Check Central is a really useful site for getting a balanced, factual view of stories and claims in the media, and in an election year, it could prove very useful indeed...

Web site of the month: OTseeker

OTseeker advanced search

OTseeker is a database of systematic reviews, randomised control trials and other resources related to interventions in occupational therapy.

OTseeker has both a basic keyword search box and a more advanced search function that allows you to search specific fields that includes drop down menus of specific interventions and diagnosis.

OTseeker also features phrase searching and you can use Boolean operators (AND / OR / NOT) to make your searching more precise.

As well as the main database, OTseeker also features other useful resources:

• Evidence Based Practice includes tutorials, articles and links on EBP, searching for information and critical appraisal.
   
• Implementing Evidence in Practice is focused on closing the gap between research evidence and clinical practice by enabling the implementation of evidence more routinely.
  
• Injury Management is a specialist resource focused on occupational therapy interventions for people who have sustain spinal, brain and other traumatic injuries.

OTseeker is managed by occupational therapists from Queensland and Sydney universities and is completely free to access. We highly recommend it as a resource for occupational therapists and others looking for high quality evidence on OT interventions.