Current awareness suts nov15

Page 1

Library Service Musgrove Park Academy

Current Awareness Sign Up To Safety This monthly Current Awareness Bulletin is produced by the Library, Musgrove Park Academy to provide staff with a range of resources to support Sign Up To Safety. It includes recently published guidelines and research articles, news and policy items.

This guide provides a selection of relevant resources and is not intended to be a comprehensive list. All websites have been evaluated and details are correct at the time of publications. Details correct at time of going to print. Please note that resources are continuously updated. For further help or guidance, please contact a member of library staff.

This guide has been compiled by: Carol-Ann Regan Musgrove Park Hospital Library Service Carol-ann.regan@tst.nhs.uk @musgrovesompar

ď€şď€ http://librarymph.wordpress.com/ Issue 1 November 2015

1


Contents Click on a section title to navigate contents Page Recent journal articles

1

Books

9

Cochrane Systematic Reviews

10

UpToDate & DynaMed

10

Reports, publications and resources

11

Literature search service

12

Training and Athens

12

Library contact details: Library Musgrove Park Academy Musgrove Park Hospital Taunton Somerset TA1 5DA Tel: 01823 34 (2433) Fax: 01823 34 (2434) Email: library@tst.nhs.uk Blog: http://librarymph.wordpress.com @musgrovesompar

2


RECENT JOURNAL ARTICLES BACK TO TOP Some articles are available in the library or on-line via an OpenAthens password by following the fulltext link. If you would like an article which is not available as full-text then please contact library staff. Please note that abstracts are not always available for articles.

SUTS Title: Sign up to Safety: developing a safety improvement plan Citation: Nursing Management (UK), Apr 2015, vol. 22, no. 1, p. 20-24, 1354-5760 (April 2015) Author(s): Dight, Carol, Peters, Hayley Abstract: The Sign up to Safety (SutS) programme was launched in June 2014 by health secretary Jeremy Hunt. It focuses on listening to patients, carers and staff, learning from what they say when things go wrong, and then taking action to improve patient safety. The programme aims to make the NHS the safest healthcare system in the world by creating a culture devoted to continuous learning and improvement (NHS England 2014). Musgrove Park Hospital, part of Taunton and Somerset NHS Foundation Trust, was one of 12 NHS organisations that signed up to the SutS programme, making public its commitment to the national pledges to be 'open and transparent' and to develop a safety improvement plan. This paper describes the development of the strategy. [PUBLICATION] 3 references Full text: Available RCN Publishing at Nursing Management - UK Full text: Available RCN Publishing at Nursing Management - UK

FALLS Title: Reducing the risk of baby falls in maternity units Citation: Nursing Times, Jul 2015, vol. 111, no. 28-29, p. 21-23, 0954-7762 (July 8, 2015) Author(s): Janiszewski, Helen Abstract: During a 12-month period there were 17 baby falls on the maternity wards at Nottingham University Hospitals Trust; two of the babies who fell were injured. By collecting information about the baby falls and how they happened, we were able to compile a guideline for both preventing and managing baby falls. This formed part of the trust's patient safety programme. We then piloted and implemented risk-prevention strategies for baby falls. These involved a risk assessment to identify women needing closer observation and the installation of bedside cots. These strategies brought about a marked reduction of baby falls and are now being established across all the maternity units across the trust. [PUBLICATION] 1 reference Full text: Available NURSING TIMES at NURSING TIMES Full text: Available NURSING TIMES at Library MPH ________________________________________________________________________________ Title: Need for improved recognition of in-hospital newborn falls Citation: Australian Nursing and Midwifery Journal, Jul 2015, vol. 23, no. 1, p. 28-31, 2202-7114 (July 2015) Author(s): Teuten, Polly, Bolger, Sarah, Paul, Siba Prosad

3


Abstract: In-hospital newborn falls can be described as an event when a neonate falls to the hospital floor accidentally, either as a result of environmental factors or errors in judgement of the hospital staff or carer (Phalen and Smolenski, 2010; Paul et al. 2011). In-hospital newborn falls occur at a rate of 1.6 to 4.4 per 10,000 live births (Helsley et al. 2010), however this is likely to be an underestimate given that this remains an under-reported entity. The incidence data highlighted is based on studies from the United States but the findings can be reasonably transferred to the United Kingdom (UK) and other developed countries. A local guideline (from two tertiary maternity units in the UK) released in response to in-hospital newborn falls, has revealed an incidence figure of 15 per 10,000 births (Janiszewski and Lee, 2014). [Publication] 11 references Full text: Available EBSCOhost at Australian Nursing and Midwifery Journal Full text: Available EBSCOhost at Australian Nursing & Midwifery Journal ________________________________________________________________________________ Title: Older Adult Inpatient Falls in Acute Care Hospitals: Intrinsic, Extrinsic, and Environmental Factors Citation: Journal of Gerontological Nursing, Jul 2015, vol. 41, no. 7, p. 29-43, 0098-9134 (July 2015) Author(s): Zhao, Yunchuan (Lucy), Kim, Heejung Abstract: The current integrative literature review of 23 studies aimed to identify multidimensional risk factors of falls among older adult patients in acute care hospitals. The incidence rate of fall-related injuries ranged from 6.8% to 72.1%. Advanced age was a major intrinsic risk factor, whereas being a patient in a geriatric unit was a significant extrinsic factor for inpatient falls and fall-related injuries based on statistical significance obtained from quantitative data analyses. Other critical risk factors were: (a) cognitive impairment; (b) impaired mobility; (c) prolonged length of hospital stay; and (d) fall history. Environmental/situational factors, such as patient ambulation and fall locations, also contributed to inpatient falls. In clinical practice, nurses need to know who are the most vulnerable patients in the hospital and develop comprehensive interventions to decrease intrinsic, extrinsic, and environmental risk factors. Prospective mixed-methods studies are needed to examine psychosocial factors and consequences of falls. [Publication] 41 references Full text: Available ProQuest at Journal of Gerontological Nursing ________________________________________________________________________________ Title: Prevention of in-hospital falls: development of criteria for the conduct of a multi-site audit Citation: International Journal of Evidence-Based Healthcare, Jun 2015, vol. 13, no. 2, p. 104-111, 1744-1609 (June 1, 2015) Author(s): Giles, Kristy, Stephenson, Matthew, McArthur, Alexa, Aromataris, Edoardo Abstract: Background: Patient falls are a significant issue for hospitals due to the high rates of morbidity and mortality associated with these events, as well as the financial costs for the healthcare system. Objectives: To establish what constitutes best practice in terms of fall prevention in acute care facilities and use this to inform the development of best practice audit criteria. Methods: Criteria for clinical audit were developed from evidence derived from systematic reviews and guidelines. While these were drawn from the best available evidence, they were also developed in conjunction with clinicians undertaking a fall-prevention clinical audit and key stakeholders from the clinical settings to ensure their relevance and applicability to the acute care setting. Results: Current literature recommends a comprehensive and multifactorial approach to fall prevention. Eight audit criteria were derived from the best available evidence including the domains of physical environment, hospital culture and care processes, use of technology and targeted interventions. [PUBLICATION] 21 references ________________________________________________________________________________ Title: Outcome of in-patient falls in hospitals with 100% single rooms and multi-bedded wards. Citation: Age & Ageing, 2015, vol./is. 44/6(1032-1035), 00020729 Abstract: Background: falls in hospital account for almost two-fifths of the patient safety incidents reported to the National Reporting and Learning System in UK. Studies have suggested an increased

4


incidence of falls in single-bedded hospitals. Objective: to compare the outcome of in-patient falls occurring in units with 100% single rooms (SRs) and multi-bedded wards (M-BWs). Sampling design and methods: an observational study. Retrospective standard incident reporting data (DATIX) on inpatient falls and associated injury were obtained from both sites over 18 months each. There was no change in demographics, size and characteristics of population except change in the geography of new hospitals. Results: the total number of in-patient fall incidents reported over the 3 years was 1,749. The mean age of patients on M-BW and SR sites was 81.0 ± 2.4 (51.3% females) and 80.3 ± 10.3 (50.7% females), respectively. The mean incidence of falls/1,000 patient-bed days on M-BW and SR sites was 5.44 ± 4.76 and 15.82 ± 19.56, respectively (P< 0.01). Overall fracture incidence/ 1,000 patient-bed days on M-BW and SR sites was 0.07 ± 0.48 and 0.36 ± 1.52 (P< 0.01), respectively. The hip fracture incidence/1,000 patient-bed days on M-BW and SR sites was 0.04 ± 0.38 and 0.15 ± 1.00 (P < 0.01), respectively. One-year mortality from the date of first incident fall was lower in M-BWs (41.1%) compared with SRs (47.1%), but this is not significant (P = 0.12). Conclusion: this observational study shows a significantly increased incidence of falls and fracture in a hospital design with SRs compared with a multi-bedded facility. Consideration should be given to increased incidence of falls and falls-related injury in SRs when deciding on the percentage of single-room provision in new hospitals to admit frail older adults. Full text: Available Ovid online collection at Age & Ageing ________________________________________________________________________________ Title: Firefighting to Innovation: Using Human Factors and Ergonomics to Tackle Slip, Trip, and Fall Risks in Hospitals. Citation: Human Factors, 2015, vol./is. 57/7(1195-1207), 00187208 Abstract: Objective: The aim of this study was to use a theoretical model (bench) for human factors and ergonomics (HFE) and a comparison with occupational slips, trips, and falls (STFs) risk management to discuss patient STF interventions (bedside).Background: Risk factors for patient STFs have been identified and reported since the 1950s and are mostly unchanged in the 2010s. The prevailing clinical view has been that STF events indicate underlying frailty or illness, and so many of the interventions over the past 60 years have focused on assessing and treating physiological factors (dizziness, illness, vision/hearing, medicines) rather than designing interventions to reduce risk factors at the time of the STF.Method: Three case studies are used to discuss how HFE has been, or could be, applied to STF risk management as (a) a design-based (building) approach to embed safety into the built environment, (b) a staff- (and organization-) based approach, and (c) a patient behaviorbased approach to explore and understand patient perspectives of STF events.Results and Conclusion: The results from the case studies suggest taking a similar HFE integration approach to other industries, that is, a sustainable design intervention for the person who experiences the STF event-the patient.Application: This paper offers a proactive problem-solving approach to reduce STFs by patients in acute hospitals. Authors of the three case studies use HFE principles (bench/book) to understand the complex systems for facility and equipment design and include the perspective of all stakeholders (bedside). ________________________________________________________________________________ Title: Retrospective Case Reviews of Adult Inpatient Falls in the Acute Care Setting. Citation: MEDSURG Nursing, 2015, vol./is. 24/5(318-324), 10920811 Abstract: The article discusses the retrospective case reviews of hospitalized older adults who are at risk for falls. Topics covered include how falls may lead to increased health care costs and patient death, the individual assessed fall risk factors like vital signs and medications, and the use of an individualized multimedia educational technique to increase the patient's knowledge of falls. Full text: Available EBSCOhost at Medsurg Nursing Full text: Available EBSCOhost at MEDSURG Nursing ________________________________________________________________________________

5


PRESSURE ULCERS Title: Recording pressure ulcer risk assessment and incidence Citation: Nursing Standard, Jul 2015, vol. 29, no. 46, p. 54-61, 0029-6570 (July 15, 2015) Author(s): Plaskitt, Anne, Heywood, Nicola, Arrowsmith, Michaela Abstract: This article reports on the introduction of an innovative computer-based system developed to record and report pressure ulcer risk and incidence at an acute NHS trust. The system was introduced to ensure that all patients have an early pressure ulcer risk assessment, which prompts staff to initiate appropriate management if a pressure ulcer is detected, thereby preventing further patient harm. Initial findings suggest that this electronic process has helped to improve the timeliness and accuracy of data on pressure ulcer risk and incidence. In addition, it has resulted in a reduced number of reported hospital-acquired pressure ulcers. [PUBLICATION] 18 references Full text: Available NURSING STANDARD at Library MPH ________________________________________________________________________________ Title: A quality improvement programme to reduce pressure ulcers Citation: Nursing Standard, Jul 2015, vol. 29, no. 46, p. 62-70, 0029-6570 (July 15, 2015) Author(s): Heywood, Nicola, Brown, Lisa, Arrowsmith, Michaela, Poppleston, Alexa Abstract: This article outlines an innovative way of preventing pressure ulcers in the acute hospital setting. A programme using Rapid Spread Methodology was undertaken to reduce hospital-acquired pressure ulcers over a short period of time. Results demonstrated a reduction to zero in the prevalence of hospital-acquired pressure ulcers and an 80% reduction in their incidence, in a sixmonth period. [PUBLICATION] 28 references Full text: Available NURSING STANDARD at Library MPH ________________________________________________________________________________ Title: Using Rapid Spread methodology to reduce the incidence of hospital-acquired pressure ulcers Citation: Wounds U K, Jul 2015, vol. 11, no. 2, p. 42-50, 1746-6814 (July 2015) Author(s): Heywood, Nicola, Arrowsmith, Michaela, Poppleston, Alexa Abstract: This article reports on the process of engaging an entire hospital in a pressure ulcer prevention programme using a 'Rapid Spread' approach. The Rapid Spread methodology comprises an initial preparatory phase, an immersion phase, an action phase and sustainability. It allowed the gold standard practices to be embedded in a 12-week period and resulted in large reductions in both pressure ulcer incidence and pressure ulcer point prevalence and also reduced the estimated cost of caring for people with hospital-acquired pressure ulcers. [PUBLICATION] 16 references ________________________________________________________________________________

SEPSIS Title: Progression from severe sepsis in pregnancy to death: a UK population-based case-control analysis. Citation: BJOG : an international journal of obstetrics and gynaecology, Oct 2015, vol. 122, no. 11, p. 1506-1515 (October 2015) Author(s): Mohamed-Ahmed, O, Nair, M, Acosta, C, Kurinczuk, J J, Knight, M Abstract: To identify factors associated with progression from pregnancy-associated severe sepsis to death in the UK. A population-based case-control analysis using data from the UK Obstetric Surveillance System (UKOSS) and the UK Confidential Enquiry into Maternal Death (CEMD). All pregnancy care and death settings in UK hospitals. All non-influenza sepsis-related maternal deaths (January 2009 to December 2012) were included as cases (n = 43), and all women who survived

6


severe non-influenza sepsis in pregnancy (June 2011 to May 2012) were included as controls (n = 358). Cases and controls were identified using the CEMD and UKOSS. Multivariable logistic regression was used to estimate adjusted odds ratios (aOR) with 95% confidence intervals. Odds ratios for socio-demographic, medical, obstetric and management factors in women who died from sepsis, compared with those who survived. Four factors were included in the final regression model. Women who died were more likely to have never received antibiotics [aOR = 22.7, 95% confidence interval (CI) 3.64-141.6], to have medical comorbidities (aOR = 2.53, 95%CI 1.23-5.23) and to be multiparous (aOR = 3.57, 95%CI 1.62-7.89). Anaemia (aOR = 13.5, 95%CI 3.17-57.6) and immunosuppression (aOR = 15.0, 95%CI 1.93-116.9) were the two most important factors driving the association between medical comorbidities and progression to death. There must be continued vigilance for the risks of infection in pregnant women with medical comorbidities. Improved adherence to national guidelines, alongside prompt recognition and treatment with antibiotics, may reduce the burden from sepsis-related maternal deaths. Medical comorbidities, multiparity and antibiotic delays increase the risk of death from maternal sepsis. Š 2015 The Authors. BJOG An International Journal of Obstetrics and Gynaecology published by John Wiley & Sons Ltd on behalf of Royal College of Obstetricians and Gynaecologists. ________________________________________________________________________________ Title: Early goal-directed therapy vs usual care in the treatment of severe sepsis and septic shock: a systematic review and meta-analysis. Citation: Internal and emergency medicine, Sep 2015, vol. 10, no. 6, p. 731-743 (September 2015) Author(s): Rusconi, Anna Maria, Bossi, Ilaria, Lampard, James Geoffrey, Szava-Kovats, Michael, Bellone, Andrea, Lang, Eddy Abstract: Sepsis is a common and high-burden healthcare problem with a mortality exceeding 20 % in severe sepsis and nearly 50 % when septic shock is present. Early goal-directed therapy (EGDT) is recommended by sepsis guidelines as the standard of care following a landmark study by Rivers et al. alongside other observational studies. Three recent randomized controlled trials have questioned the Rivers' results. The objective of our systematic review was to assess the effectiveness of EGDT in reducing the mortality of severe sepsis or septic shock. Relevant primary studies were identified by searching the MEDLINE and EMBASE databases and the Cochrane Central Register of Controlled Clinical Trials to identify randomized controlled trials assessing the effectiveness of EGDT for sepsis. Data from all trials were combined and analyzed using a random effects model. Five studies, enrolling a total of 4033 patients, were included in the meta-analysis. In-hospital mortality did not differ between the two treatment groups (RR 0.93, 95 % CI 0.77-1.11, P = 0.42), although moderate heterogeneity between studies was noted (I (2) = 48 %). A non-significant trend toward reduction in 60-day mortality in the EGDT group was noted (RR 0.93, 95 % CI 0.82-1.05, P = 0.22, I (2) = 24 %). Heterogeneity between trials precludes a definitive conclusion on the utility of EGDT in severe sepsis. Until further evidence is available, it is reasonable to consider EGDT in the care of patients with severe sepsis and septic shock. ________________________________________________________________________________ Title: Appropriate Antibiotic Treatment in Severe Sepsis and Septic Shock: Timing Is Everything. Citation: Critical Care Medicine, 2015, vol./is. 43/10(2258-2259), 00903493 Abstract: The article focuses on the timely administration of antibiotics that cover the pathoges in patients with infections is one of the successful treatment. It mentions that the hospital mortality and length of stay (LOS) has worsened significantly. It mentions that the Surviving Sepsis Campaign guideline recommends starting broad-spectrum coverage within the first hour of recognition of severe sepsis or septic shock. Full text: Available Ovid online collection at Critical Care Medicine ________________________________________________________________________________

7


Deteriorating Patient Title: The effectiveness of a patient at risk team comprised of predominantly ward experienced nurses: A before and after study Citation: Intensive and Critical Care Nursing, Jun 2015, vol. 31, no. 3, p. 133-140, 0964-3397 (June 2015) Author(s): Pirret, Alison M., Takerei, Susan F., Kazula, Lesley M. Abstract: Introduction: Improving care to deteriorating ward patients require systems to trigger a response and a response team. This paper describes the effectiveness of a Patient at Risk team (PART) comprised predominantly of experienced ward nurses. Method: The study used a single site before and after historical control design. The number of medical emergency team (MET) calls, cardiac arrest calls and hospital admissions occurring prior to the establishment of the PART (January-December 2008 inclusive) were compared to those occurring after the team was established (January 2011-December 2012 inclusive). Primary outcome was the number of MET and cardiac arrest calls per 1000 hospital admissions. Results: The introduction of the PART resulted in a significant reduction in ward cardiac arrests per 1000 admissions (MD?=?0.9, 95% CI: 0.3-1.5, p?=?0.009), hospital length of stay per 1000 admissions (MD?=?294.4, 95% CI: 260.9-328.7, p???0.001) and direct ward admissions to ICU (95% CI: 0.7-5.2) but no change in the number of MET calls per 1000 admissions (MD?=?1.3, 95% CI: ?2.3-4.9, p?=?0.46). Conclusion: A PART comprising of experienced ward nurses was associated with reduced ward cardiac arrests but no change in the number of MET calls. This suggests this team composition may be effective in providing care to the deteriorating patient. [Publication] 20 references Source: BNI Full text: Available ProQuest at Intensive and Critical Care Nursing ________________________________________________________________________________ Title: Factors affecting response to national early warning score (NEWS). Citation: Resuscitation, May 2015, vol. 90, p. 85-90 (May 2015) Author(s): Kolic, Ivana, Crane, Smiley, McCartney, Suzanne, Perkins, Zane, Taylor, Alex Abstract: The NEWS is a physiological score, which prescribes an appropriate response for the deteriorating patient in need of urgent medical care. However, it has been suggested that compliance with early warning scoring systems for identifying patient deterioration may vary out of hours. We aimed to (1) assess the scoring accuracy and the adequacy of the prescribed clinical responses to NEWS and (2) assess whether responses were affected by time of day, day of week and score severity. We performed a prospective observational study of 370 adult patients admitted to an acute medical ward in a London District General Hospital. Patient characteristics, NEW score, time of day, day of week and clinical response data were collected for the first 24h of admission. Patients with less than a 12h hospital stay were excluded. We analysed data with univariate and multivariate logistic regression. In 70 patients (18.9%) the NEW score was calculated incorrectly. There was a worsening of the clinical response with increasing NEW score. An appropriate clinical response to the NEWS was observed in 274 patients (74.1%). Patients admitted on the weekend were more likely to receive an inadequate response, compared to patients admitted during the week (p<0.0001). After adjusting for confounders, increasing NEWS score remained significantly associated with an inadequate clinical response. Furthermore, our results demonstrate a small increase in inadequate NEWS responses at night, however this was not clinically or statistically significant. The high rate of incorrectly calculated NEW scores has implications for the prescribed actions. Clinical response to NEWS score triggers is significantly worse at weekends, highlighting an important patient safety concern. Copyright Š 2015 Elsevier Ireland Ltd. All rights reserved. Source: Medline ________________________________________________________________________________

8


BOOKS BACK TO TOP If you are unable to find a book, or require a book that is not on this list, please ask library staff who will be able to locate the book for you using interlibrary loan. We now have a subscription to EBL Electronic Books and would be interested to know if there are any titles you feel would be of benefit to be added to our collection. The catalogue can be browsed here; you will need your OpenAthens password to access it. You can request books either on the site itself or by emailing us on library@tst.nhs.uk

Patient Safety and Healthcare Improvement at a Glance This is a timely and thorough overview of healthcare quality written specifically for students and junior doctors and healthcare professionals. It bridges the gap between the practical and the theoretical to ensure the safety and wellbeing of patients. It maps out and follows the World Health Organization Patient Safety curriculum and draws upon the quality improvement work of the Institute for Healthcare Improvement. This practical guide, covering a vital topic of increasing importance in healthcare, provides the first genuine introduction to patient safety and quality improvement grounded in clinical practice. Check for availability here

Human factors in healthcare The majority of errors, litigation, and complaints in the health service are due to "human factors", yet the term is still not widely understood and is sometimes used interchangeably to refer to team training or communication skills. Although including these, the subject of "human factors"goes far beyond this to look at systems, environmental influences, and interactions with equipment, in addition to selfawareness and human interaction. All of these aspects are captured in Human Factors in Healthcare and are built into a new framework: the SHEEP model. Check for availability here

9


COCHRANE SYSTEMATIC REVIEWS BACK TO TOP Interventions for preventing falls in older people: an overview of Cochrane Reviews Julie E Udell , Amy Drahota , Taraneh P Dean , Ruth Sander and Heather Mackenzie Online Publication Date: January 2015

Interventions for preventing falls in older people in care facilities and hospitals Ian D Cameron , Lesley D Gillespie , M Clare Robertson , Geoff R Murray , Keith D Hill , Robert G Cumming and Ngaire Kerse Online Publication Date: December 2012 Repositioning for treating pressure ulcers Zena EH Moore and Seamus Cowman Online Publication Date: January 2015

Wound-care teams for preventing and treating pressure ulcers Zena EH Moore , Joan Webster and Ray Samuriwo Online Publication Date: September 2015

Negative pressure wound therapy for treating pressure ulcers Jo C Dumville , Joan Webster , Debra Evans and Lucy Land Online Publication Date: May 2015

UPTODATE & DYNAMED BACK TO TOP What’s new from our clinical decision-making tools on the topic of dementia.

UpToDate 

Falls in older persons: Risk factors and patient evaluation

Falls: Prevention in nursing care facilities and the hospital setting

Prevention of pressure ulcers

Evaluation and management of severe sepsis and septic shock in adults

10


DynaMed 

Falls in the elderly

Pressure ulcer

Sepsis treatment in adults

Sepsis in children

Sepsis treatment in children

Late-onset neonatal sepsis

Please contact library staff for details on how to access these resources; you will need an Athens password if accessing from home.

REPORTS, PUBLICATIONS AND RESOURCES

BACK TO TOP BACK TO TOP

First inpatient falls audit shows serious shortfalls in hospital care Despite falls in hospitals being the most commonly reported patient safety incident in England and Wales, a report today’s reveals serious deficiencies in care. The first-ever National Audit for Inpatient Falls, reviews how well hospital trusts and local health boards prevent inpatient falls in England and Wales, which are set against the NICE guideline (CG161) on falls assessment and prevention. http://www.hqip.org.uk/news-events/news/first-inpatient-falls-audit-shows-shortfalls-incare/?utm_medium=email&utm_campaign=2015-10-28+ebulletin&utm_content=2015-1028+ebulletin+CID_b2ea3fb951fbb4b4bcafe76477bba9c4&utm_source=ebulletin&utm_term=ww whqiporguknews-eventsnewsfirst-inpatient-falls-audit-shows-shortfalls-in-care

11


LITERATURE SEARCH SERVICE BACK TO TOP Looking for the latest evidence-based research but haven’t got time to trawl the databases? Do you need a literature search carried out? Do you need to find evidence to support an improvement? Do you want to know how something has been done elsewhere and whether it worked?

Library staff provide a literature search service for busy clinicians who are pressed for time.

To request a search please complete and return the attached form ,providing as much information as possible. Alternatively if you would like an assisted search training session, where we will sit down with you and go through the steps of a literature search, then please contact the library.

TRAINING AND ATHENS BACK TO TOP Most electronic resources are available via an Athens password. You can register for this via the Library intranet page, or from home at www.swice.nhs.uk and following the link for Athens selfregistration. Please note that registering from home will take longer as it will need to be verified that you are NHS staff/student on placement. The library offers training on how to access and use Athens resources, as well as an introductory course on critical appraisal. You can book a course through the Learning and Development intranet page, or by contacting the library directly.

12


Turn static files into dynamic content formats.

Create a flipbook
Issuu converts static files into: digital portfolios, online yearbooks, online catalogs, digital photo albums and more. Sign up and create your flipbook.