Errors in the most recent BNF and BNFc

bnfappNationally it has been recognised that there are a small number of clinically significant errors in the most recent BNF (BNF 70) and BNF for Children.

Be aware that the BNF has not been circulated to Trust staff due to the errors contained within.

The online and app versions of both, accessed via an OpenAthens account, have already been corrected. Please contact the Library and Knowledge service for advice on downloading and accessing the app.

The BNFc is available to Trust staff with these errors – please contact your ward pharmacist if you require further information; the Library and Knowledge Service has printed a list of the errors.

Athens opens door to a wealth of information

If you haven’t yet registered for an Athens account, then you don’t know what you’re missing!  It’s quick, free and easy to register, just CLICK HERE  where you will be given a username and invited to set up a password.  Once you have these, simply by visiting NICE Evidence at https://www.evidence.nhs.uk/ you will have access to all these online resources.  Brilliant!

123Doc: ebooks and online courses_ 123Doc provides ebooks in all fields of medicine as well as online courses for the postgraduate exams such as MRCP, MRCPCH, MRCS, GPST…. ebooks are from major medical publishers such as OUP, Blackwell, Radcliffe, Manson Publishing…

Best Practice Best Practice provides the latest research evidence, guidelines and expert opinion – presented in a step-by-step approach, covering diagnosis, prognosis, treatment and prevention. It provides a second opinion in an instant, without the need for checking
BMJ Journals Collection
  BMJ Journals Collection comprises of 22 leading medical titles on specialist clinical areas, public health and evidence-based medicine. Available in print and online.
BMJ Learning
  BMJ Learning is an interactive website designed for all healthcare professionals to support their personal development, learning and CME (Continuing Medical Education) needs.
BNF and BNF for children – from Medicines Complete
 Guidance on the actions and uses of drugs prescribed in the UK
British National Formulary 
The official website of the British National Formulary, providing UK Healthcare professionals with authoritative and practical information on the selection and clinical use of medicines in a clear, concise and accessible manner.
EBSCOhost databases 
EBSCO offers the largest scholarly full text collections in the world covering virtually every area of academic study, as well as linking technology integrating library resources, essentially creating a one-stop research environment for researchers.
Informa Healthcare 
Publisher of over 170 pharmaceutical, life science and medical journals, Informa Healthcare provides a wealth of high impact research and review journals
internurse.com 
  Online archive of 9000+ peer-reviewed nursing and midwifery articles from MA Healthcare Ltd publications
JAMA Network Journals 
  JAMA Network Journals publish original high quality, high impact clinical and research articles on a diverse range of medical topics.
Map of Medicine 
 The Map of Medicine is an online knowledge resource that visually organises the latest medical research evidence and best patient practice guidelines.
Micromedex (Health Care Series, Martindale) Funded by the NW Health Care Libraries Unit Unbiased, authoritative drug, acute care, toxicology, patient, education and alternative medicine databases providing trusted clinical decision support.
MyiLibrary
 MyiLibrary provides a faster and easier way to access collections of books, reports, journals, bulletins and other documents published by inter-governmental organisations such as the World Bank, United Nations and International Labour Organisation.
NHS Evidence Journals and Databases 
The NHS Evidence Journals and Databases service brings together all NHS library and information services, and working with other service providers, this aims to deliver the best health library service to all NHS staff, students, patients and carers.
NICE BNF and BNFC Mobile Applications
 Mobile Application access to the British National Formulary (BNF) and British National Formulary for children (BNFC)
Ovid Online
  Access to databases and full text for the HealthCare and Academic communities. Such as AMED, British Nursing Index, Cinahl, Embase, IBSS, Inspec, Medline, PsycInfo & Journals@Ovid.
Oxfordonline.com: Funded by the NW Health Care Libraries Unit and some NW NHS Trusts Products hosted on the oxfordonline.com domain including Oxford Medical Handbooks Online
Oxford Textbook of Medicine: Funded by the NW Health Care Libraries Unit The foremost international textbook of medicine. Unrivalled in its coverage of the scientific aspects and clinical practice of internal medicine and its subspecialties, it is a fixture in the offices and wards of physicians around the world.
ProQuest New Platform 
ProQuest Online Databases.
Royal Marsden Manual Online: Funded by the NW Health Care Libraries Unit The Royal Marsden Hospital Manual of Clinical Nursing Procedures Online Edition. Complete clinical procedure management online!
SAGE Journals Journal content
 JUST ADDED (PDFs, html abstracts) delivery platform.
ScienceDirect 
 Access over 1500 scientific, technical & medical peer-reviewed journals from Elsevier Science and other publishers. Search over 40 million abstracts from scientific articles. Link out to articles from over 80 other publishers.
UCL Hospitals Injectable Medicine Guide 
The UCL Hospitals Injectable Medicines Administration Guide Online provides online access to key information and advice needed for the safe and effective administration of many injectable medicines.
Wiley Online Library
  Access an extensive range of quality journals, reference works and Current Protocols online, covering a range of scientific, medical, technical and professional disciplines. 
Your RSM Press Journals
  Journal of the Royal Society of Medicine

This month in Eyes on Evidence

Data from the National Joint Registry for England and Wales indicates high failure rates for metal-on-metal hip replacements.
A Cochrane review shows cognitive stimulation therapies have beneficial effects on memory and thinking in people with dementia, as well as positive effects for wellbeing.
Developing more integrated support for people with mental and physical health problems could improve outcomes, by recognising the role of emotional and mental health problems in reducing people’s ability and motivation to manage their physical health.

Do renin-angiotensin system drugs reduce mortality in hypertension?

This systematic review provides good quality clinical evidence that  angiotensin-converting enzyme inhibitors reduce the risk of death in patients with hypertension. The benefits of angiotensin receptor blockers in reducing mortality are uncertain.
Angiotensin receptor blockers (ARBs) are no better than placebo or angiotensin-converting enzyme  inhibitors in reducing the risk of death, disability, or hospital admission for any reason. However, more patients stopped treatment early with ARBs than with placebo due to side effects.
An example from the Quality, Innovation, Productivity and Prevention collection on how the University Hospitals of Leicester NHS Trust has reduced delays, complications and costs around central venous access for patients.
Potential disinvestment opportunities highlighted this month are:
  • Biofeedback training for the management of faecal incontinence in children.
  • Non-pharmacological interventions for breathlessness.

Evidence Updates

This month NICE has published online via NHS Evidence an Evidence Update on constipation in children and young people.
How to get access, via NHS Athens on Apple and Android devices, to authoritative and practical information on the selection and clinical use of medicines from the British National Formulary.

Health Information Week

Health Information Week
On Tuesday 3 July, as part of Health Information Week, Jan and Steve staked out a spot in the Staff Restaurant, Treetops just as the lunchtime rush began. With the aid of the latest technology, an iPAD, their aim was to raise awareness of the many quality eresources available to Trust and Community staff and students.

The iPAD was used to demonstrate the number of useful clinical and healthcare apps freely available for download to smartphone and iPAD users.  One such example was the BNF app. This provides users who have an Athens username and password (a must for every healthcare professional), that there is nothing to stop them from having the latest pharmacology advice and updates at their fingertips. No more scrabbling around the department looking for that one dog-eared copy!  If you have a clinical or healthcare  ‘app’ you would like to recommend, please let us know.

There were even some free books to give away. As part of the Staff Library’s stock downsizing prior to their move later this summer, a number of free hardback medical journals were passed on to new owners. Don’t worry if you didn’t manage to acquire one, it’s not too late to call in the Staff Library and see what else is available.

There was plenty of opportunity to discuss various topics such as how to register for Athens and what it enables registered users to access; how to book for training; who it was best to talk to regarding literature searching and there was also plenty of interest in Horizon Scanning – the library’s latest service.

Horizon Scanning (HS) aims to bring the latest news and information direct to an individual’s inbox. It is very easy to sign up to and if you are not completely satisfied you can unsubscribe at any time. Best of all the service is free and if your particular interest isn’t included on the list of subjects offered, then one of the Staff Library team, will be happy to customise something which is more suited to your exact needs.