exploiting the power of knowledge in nhs scotland integrating knowledge with patient care dr ann...
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Exploiting the Power of Knowledge
in NHS Scotland
Integrating Knowledge with Patient Care
Dr Ann Wales NHS Scotland Library Service Development Coordinator
NHS Education for Scotland
Knowledge - definition
“The property of intelligent agents which helps them to reach their goals effectively”
Allen Newell, 1981
Technology networks facilitate access to knowledge
Human networks translate knowledge into goals.
Knowledge Support for NHS Scotland :
Strategic Goals
Equipping and empowering staff
Partnership – national, local, cross-sectoral
Service Modernisation
Public Involvement
Health Improvement
Quality and Standards
Knowledge Support for
an
Integrated Healthcare
System
Knowledge Support for NHS Scotland :
Strategic Needs
Knowledge Needs of NHS staff
Of Knowledge Sources
Integration
National, Local, Sectoral
Managed Clinical Networks, Community Health Partnerships
Burnett et al, Knowledge needs analysis of NHS Scotland staff. Robert Gordon University, 2003.
Knowledge Needs of NHS staff
With workflow and patient care processes
Staff roles and responsibilities
Focus, Quality, Relevance
All staff grades and disciplines
Integration
Evidence on applying Knowledge to Practice
Linking Knowledge with Case-finding SystemsReminders / prompts linked with patient records
Audit and feedback
Peers and Patients as Knowledge Channels
Communities of Practice
The Need for Change
• Existing Knowledge Services
• Fragmentation
• Inequity
• Under-resourced
• Low strategic / management profile
Vision
E-Library as primary vehicle
Local / national Knowledge Support Infrastructure
With Patient Care Processes
With Staff Roles and Responsibilities
Modernised by technology
Supported by human information and communication skills
Integrated
Integration of Knowledge Sources
Search on e-Library
Is transferred seamlessly to other Knowledge PartnersResource Discovery
NetworkHealth Scotland
Database of Guidelines and Systematic Reviews (TRIP)
Scottish Executive database of policy documents
Also cross-searches:
Integrated access to Knowledge Sources
depends on
international standards for data exchange
Same standards can facilitate
integrated access
to other national and local knowledge sources.
Advanced Search Technologies
Focused Subject Search
Focusing Knowledge Support
Subject
Indexing
At detailed level
MESH
GCL
Caredata
Natural Language
Portals:
Cancer, Coronary Heart Disease, Mental HealthPortals planned for:
Health Care Associated Infections
Remote and Rural Healthcare
Stroke Therapy
Knowledge Exchanges
Cancer Portal
Login to create Personal Knowledge Space
Expert Searches
Updating Services
My Knowledge Space
Tools to manage information overload
Create your own knowledge profile
Create portable Favourites
Create your own Specialist Homepage
Receive Alerts on new Knowledge in field of interest
Knowledge Content
Biomedicine
Nursing, midwifery
Allied Health Professions
Science and Technology
Pharmacy
Estates and Facilities
Health Improvement
4000 ejournals
200 ebooks
100 databases
1500 free evaluated Internet resources
Roadmap: Linking Knowledge to Patient Care
1. Consolidation of e-Library
2. Integration of Knowledge Sources
3. Linking Knowledge to Human Behaviour
4. Information Skills Training
5. Development of NHS Librarian role
6. Ensuring Quality and Continuous Improvement
Cost of preventable adverse events
•Additional bed days:
•£1 billion per year UK-wide
•Costs of litigation
The Cost of Ignorance
Scenario 1:
A Public Health Consultant on-call used the e-Library to look up changes in Haemophilus influenza B (Hib) as a cause of acute epiglottis.
“The textbooks were way out of date. What I found influenced the management of a child with acute epiglottitis admitted to the local teaching hospital.”
Benefits of integrated knowledge support
Scenario 2:
Benefits of integrated knowledge support
A GP on a house-call to visit a child with croup was unsure about the application of dexamethasone.
A 5 minute search of the e-Library gives up- to-date evidence and guidance.
Today’s Seminar
Define milestones on roadmap
Recognise shared responsibility
Understand extended role of e-Library