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Knowledge broker event Jan 30th 2013
The Lighthouse, 11 Mitchell Lane, Glasgow G1 3NU
PBSGL (Practice based small group learning) is a popular form of CPD involving over 30%
of GPs in Scotland and increasingly other primary care professionals. PBSGL uses real
clinical problems to stimulate reflection, discussion and learning among groups of peers.
In 2012 knowledge brokers provided support to clinicians in developing a PBSGL module
on cervical screening. Following identification of key questions by the clinical team,
knowledge brokers identified the relevant literature and provided a summary answer and
reference list for each question to form the information section of the module.
Knowledge brokers and PBSGL in Scotland
Further information
Key messages (for/from)Achievements
• Fifteen clinical questions answered in support of one module
• Knowledge brokers developed skills in summarising clinical
evidence
• Highly positive feedback from clinical team
• Module information section robust and evidence based
• High quality PBSGL module drafted and piloted in 2012
Name: Jenny Harbour
Title: Health Information Scientist
Board: Healthcare Improvement Scotland
Contact Details: jenny.harbour@nhs.net
Lessons Learned
3. Relational use of
knowledge
2. Actionable
Knowledge
4. Building
organisational
capacity and culture
5. Knowledge
broker network
6. Physical library
resource
1. Evidence Search
& Synthesis
Getting
Knowledge
into Action
30th Jan
2013
Knowledge Brokers
1. Provide expert resource
knowledge and searching
2. Knowledge brokers can
summarise clinical evidence
3. Knowledge brokers support
quality clinical CPD
Clinicians
1. Working together we can deliver
high-quality, Scotland focused
modules
2. Clinicians and knowledge brokers
can work effectively together
3. There is support out there
• Always agree the deliverables in advance
• Direct answers are desirable….. lots of statistics are not
• Quality assurance of summaries is important
Notes / Spreading the word Notes, ideas from poster Key action or could you use this locally, and how? Contacts, networking opportunities
The Sepsis Collaborative aims to contribute to overall aim of the Scottish Patient Safety Programme of reducing HSMR by 20% by December 2015 by facilitation of clinical teams to improve reliability of delivery of evidence-based interventions to optimise patient care and reduce avoidable harm.
Sepsis and VTE Collaborative
Further information
Key messages (for/from)Achievements
Name: Alison Hunter
Title: Improvement Advisor
Board: Healthcare Improvement Scotland
Contact Details: Alisonhunter4@nhs.net
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Challenges / Lessons Learned
3. Relational use of
knowledge
2. Actionable
Knowledge
4. Building
organisational
capacity and culture
5. Knowledge
broker network
6. Physical library
resource
1. Evidence Search
& Synthesis
Getting
Knowledge
into Action
30th Jan 2013
Knowledge Brokers
1. High level search and synthesis
2. Collaborative working and shared methodologies
3. Support for developing community website
4. Developing an app for monitoring sepsis using mobile technology
Clinicians
1. Clinical drive for innovation in knowledge services
2. Provide question and review results of literature searches
3. Contribute to website
4. Define requirements for the app
• Clinical leadership key to driving forward innovation• Collaborative working is essential.• Shared working practices may have improved output • Timescales were a major challenge
Notes / Spreading the word Notes, ideas from poster Key action or could you use this locally, and how? Contacts, networking opportunities
NES worked with NHS Tayside to develop a pathways publication toolkit which would:
•Design visual flow pathway diagrams
•Link pathways and bits of pathways to related information, e.g. guidelines, patient
info, evidence from The Knowledge Network
•Embed metadata and taxonomy so that the pathways can be consistently described
and thus more easily retrieved
Clinical Knowledge Publisher
Further information
Key messages (for/from)Achievements
• Delivery of the Clinical Knowledge Publisher toolkit
• Effective example of partnership working between NES and NHS
Tayside
Name: Sandra Davies
Title: Senior Information Manager
Board: NHS Education for Scotland
Contact Details: sandra.davies@nes.scot.nhs.uk
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Challenges / Lessons Learned
3. Relational use of
knowledge
2. Actionable
Knowledge
4. Building
organisational
capacity and culture
5. Knowledge
broker network
6. Physical library
resource
1. Evidence Search
& Synthesis
Getting
Knowledge
into Action
30th Jan 2013
Knowledge Brokers
1. Apply skills to source and
link to evidence
2. Apply cataloguing and
classification skills for
effective description of
clinical knowledge
Clinicians
1. Aim is to make it easier to
create clinical pathways
using a single tool for NHS
Scotland
2. NES are seeking further
partners to pilot the toolkit
• Need to establish a common presentation format for clinical
pathways
• Need to align with local editorial policies
• Need to establish ways of working and workflows
Notes / Spreading the word Notes, ideas from poster Key action or could you use this locally, and how? Contacts, networking opportunities
Using the clinical decision support search (CDSS) to enable clinical
staff to readily access relevant local and national evidence-based
practice guidelines.
Clinical Decision Support Search for Lung Cancer (Fife)
Further information
Key messages (for/from)Achievements
• Installation of CDSS on all appropriate computers
• Resource identification and cataloguing
• Securing champions in clinical area
• Delivering education to the multi-professional team
• Staff are using the knowledge retrieved to support clinical
decision making
Name: Dorothy Woolley / Marianne Murdoch
Title: Librarian / Practice Education Facilitator
Board: NHS Fife
Contact Details: dorothy.woolley@nhs.net
marianne.murdoch@nes.scot.nhs.uk
Challenges / Lessons Learned
3. Relational use of
knowledge
2. Actionable
Knowledge
4. Building
organisational
capacity and culture
5. Knowledge
broker network
6. Physical library
resource
1. Evidence Search
& Synthesis
Getting
Knowledge
into Action
30th Jan 2013
Knowledge Brokers
1. Having IT support from the
outset
2. Getting staff to value CDSS
3. Identification of champions
4. Having the right project team
5. Importance of planning
including identification of
roles/responsibilities
Clinicians
1. "It's an extra tool that's
available when you need it"
2. "Everybody positive about it
including medics”
3. “Type in what you are looking
for and it comes up straight
away …. Most up to date
information relevant to area"
• Timing of project coincided with hospital move
• Having CDSS toolbar activated on all computers
• Access to staff to deliver education sessions
• Identification of appropriate resources for inclusion
Notes / Spreading the word Notes, ideas from poster Key action or could you use this locally, and how? Contacts, networking opportunities
Health Scotland’s Equalities team aims to be the hub for equalities knowledge inScotland, supporting evidence-informed decision-making to improve equality & reduce health inequalities, a key priority of A Fairer Healthier Scotland. The team is aligning its
activities with KIA principles, to achieve strong awareness of the knowledge base & as Knowledge Brokers, synthesising, translating & using knowledge & by building
links with partners to influence and support policy & practice.
Health Scotland’s Equalities team aims to be the hub for equalities knowledge in
Scotland, supporting evidence-informed decision making to improve equality & reduce
health inequalities. The team is aligning its activities with KIA principles, to achieve
strong awareness of the knowledge base, synthesising, translating & using knowledge
& by building links with partners to influence and support policy & practice.
Health Scotland, Equalities Team: Knowledge into Action
Further information
Key messages (for/from)Achievements
• Development of the Equalities Knowledge into Action
Framework and Improvement Plan emphasising the importance
of knowledge, partnership working, brokering and evaluation.
• Stronger links with Knowledge Services culminating in a
monthly alert and training to help the team maintain an
awareness of the knowledge base.
• Text
Name: Debbie Sigerson / Julie Arnot
Title: Equalities Team / Knowledge Services
Board: NHS Health Scotland
Contact Details: julie.arnot@nhs.net debbie.sigerson@nhs.net
Challenges / Lessons Learned
3. Relational use of
knowledge
Getting
Knowledge
into Action
30th Jan 2013
Knowledge Brokers
-Identifying relevant evidence,
translating into accessible
language
-Critically appraised briefings,
relevant to Scotland
-Intersections between
characteristics considered.
Clinicians
-Evidence for impact assessments
-Effective interventions – what should
we do differently?
-Defining the problem – more data on
performance required.
• Translating evidence to inform practice is a specific skill – need
time to build skills to do this effectively.
• Building team capacity and culture for KIA requires a significant
investment of time and leadership to become embedded.
1. Evidence Search
& Synthesis
2. Actionable
Knowledge
4. Building
organisational
capacity and culture
5. Knowledge
broker network
6. Physical library
resource
Notes / Spreading the word Notes, ideas from poster Key action or could you use this locally, and how? Contacts, networking opportunities
Thank you for attending today’s event and participating in the knowledge market. We hope you enjoyed it and found much to take away from the presentations and networking. For more information about Knowledge into Action and knowledge and information services within health and social care, please contact:
NHS Education for Scotland Knowledge Services Group Clifton House, Clifton Place Glasgow G3 7LD Email: knowledge@nes.scot.nhs.uk http://www.nes.scot.nhs.uk
Healthcare Improvement Scotland Gyle Square 1 South Gyle Crescent Edinburgh EH12 9EB Email: comments.his@nhs.net http://www.healthcareimprovementscotland.org
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