health:mk
Quality: MK
Putting evidence into practice
An approach to improving primary health care
health:mk
Quality: MK
Quality:MK 2
E-B Discussion
Groups
E-B Practice Bright ideas
Evidence-based service redesign
Clinical pathways
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Quality: MK
Quality:MK 3
Questions
Clinicians
PCT/ health:mkPatients
Review action plans
Specific answerable question
Track down best EvidenceCritically appraised articles NICE guidelinesMap of Medicine pathwaysExpert opinion
Apply the evidence to current practice
Action plan
Implement & audit
Journal Club
Journal Club
Critically appraise the evidence
Evidence based clinical discussion cycle
health:mk
Quality: MKEvidence base
• Journal articles (primary literature)– Evidence synopses eg EBM Journal
• Cochrane review• NICE guidance• Map of Medicine • Expert opinion
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health:mk
Quality: MKSuccesses so far…
• Study of delayed prescribing reduced number of antibiotic scripts cashed
• Examination of NICE guidance on lipid modification Protocol by pharmacy to support prescribing practices
• Discussion of the management of Carpel Tunnel Syndrome Patient pathway redesign and L.E.S.
health:mk
Quality: MK
Clinical Pathway Reviews• Review the evidence base • Identify what practice already exists and does
not exist • Identify what prevents this happening • Describe what needs to happen locally in
order to deliver the optimal pathway• Create a service specification which can be
used to commission new service
health:mk
Quality: MKEvidence based service redesign:
Diabetes• Changing the way that Diabetes services
should be provided across Milton Keynes community – Commission new services– New patient pathways
• Evidence support:– Regular updates - Ad hoc reports– Presentation of evidence
health:mk
Quality: MKToolkit
• EBDG Leaflet• Core resources for Evidence based medicine • Critically appraised topic templates
– RCTs -- Reviews – Guidelines– Expert opinion
• Search request template / Search result template
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health:mk
Quality: MKQuestions?
• For further information contact– Anne Gray, Outreach Librarian, MKPCT
• [email protected]– Ann Skinner, Information Specialist, Quality:MK
• [email protected]– Sue Lacey-Bryant, Project Manager, Quality:MK
• Quality: MK websitehttp://www.miltonkeynes.nhs.uk/default.asp?ContentID=1359
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