Latest from BMJ Learning

Case Study:
An 84 year old woman is having trouble sleeping at night. This has been a recurring problem for some months. You know she has had a fall earlier this year. She wants some medication to help her sleep as she feels that this is affecting her ability to do things during the day. What would you advise? What if she didn’t want to follow your advice? If you would like to learn more about this topic, then click on the link to complete this module today.

Falls in older people: prevention and management

And here are our most popular modules in urology for you to complete.

Idiopathic constipation and nocturnal enuresis in childhood: a guide to management – in association with NICE

Lower urinary tract symptoms in men: a guide to management – in association with NICE

Erectile dysfunction: diagnosis and treatment

Managing patients at risk of prostate cancer: in association with the NHS prostate cancer management programme

Urinary tract infection in children: diagnosis, treatment, and long term management – in association with NICE

Changes to TIN’s Current Awareness Service

tin_logoThe Keeping up to Date element of The Improvement Network TIN) will be migrating to a new website. The existing TIN website will only continue until September 2013, as the Strategic Health Authority which hosted it no longer exists. TIN will not be maintained however.

The Current Awareness Service for Health is therefore creating a new site for health related alerting services, which will be based on the Keeping up to Date section of TIN. A copy of the site will be taken on 29 April after which no new content will be added until the new site is up and running. We will announce that as widely as possible, once the migration is completed, and redirects will be in place.

Grand Round: 1 May 2013

The next Grand Round will take place on Wednesday, 1st May, 2013 and will be a presentation given by Dr. M Silverdale, entitled ‘Headache’.

The lecture takes place at 1:00pm in the new lecture theatre, 1st Floor Macclesfield District General Hospital. It is preceded by a buffet from 12:15pm.

The next Grand Round will take place on Wednesday, 8th May, 2013 with a presentation by Dr. Marchetti, entitled ‘Post-Operative Cognitive Dysfunction and Delirium’.

Support for Stat&Mand elearning

keyboard handStatutory and Mandatory training via elearning is now being offered to staff across the Trust.  Whilst this is a flexible and often useful method of delivery, it is often difficult to work undisturbed in the workplace and concentrate on an elearning package.

The Staff Library has the perfect solution! We have 11 computers in a very pleasant space on the 2nd floor of New Alderley House, where people can work in peace and receive support from library staff, who can assist with getting started.  There is no need to book, so please just come along with your username and temporary password details (available from 01606544935).

 

 

Eyes on Evidence update: Issue 48 – April 2013

Changes at NICE

Since you last received Eyes on Evidence our name has changed to the National Institute for Health and Care Excellence, to reflect our new role and responsibilities. NICE’s role is to improve outcomes for people using the NHS and other public health and social care services.

Infectious diseases among homeless populations

The prevalence of infectious diseases, such as tuberculosis, HIV and hepatitis C, in homeless populations is significantly higher than in the general population. However, figures show much local variation raising questions about the need for a more locally-based response.

Risk of abuse in disabled children A systematic review of studies from across the world suggests that more than a quarter of children with disabilities will experience abuse within their lifetimes and that children with disabilities are 3 to 4 times more likely to be victims of abuse than their peers without disabilities.

Rheumatoid factor and risk of future rheumatoid arthritis A cohort study reports that raised levels of rheumatoid factor are associated with an increased risk of developing rheumatoid arthritis. Although treating pre-rheumatoid is currently of unproven value, this study suggests it might be possible in the future.

Heart failure: effects of aldosterone antagonists and renin-angiotensin antagonists on mortality An observational study in people admitted to hospital with heart failure (HF) with reduced ejection fraction finds that aldosterone antagonists reduce readmissions for HF but have no effect on mortality and increase the risk of admission with hyperkalaemia. Another observational study in people with HF with preserved ejection fraction finds that angiotensin converting enzyme inhibitors or angiotensin receptor blockers reduced all-cause mortality.

Grapefruit–drug interactions A review article details the evidence for a pharmacokinetic interaction between grapefruit and certain drugs, and the potential clinical consequences of this.

Case studies from the Quality Improvement Productivity and Prevention (QIPP) Collection

The QIPP Collection highlights examples of local best practice, demonstrating how NHS organisations have implemented new practices that have both cut costs and improved quality. We highlight 2 new examples:

Evidence Updates
NICE has recently published Evidence Updates on:

  • Diabetic foot problems
  • Hip fracture
  • Caesarean section
  • Anaphylaxis

 

Doctor know: a knowledge commons in health

National Endowment for Science, Technology and the Arts (Nesta)

Doctor know: a knowledge commons in health
This paper argues that society’s growing ability to mobilise knowledge from different fields and sources is beginning to show the potential of a ‘knowledge commons’ in healthcare: an open system of knowledge with researchers, practicing clinicians, patients, their families and communities all involved in capturing, refining and utilising a common body of knowledge in real time. It sets out what this might mean in practice, and steps that can be taken to get there.