BMJ Best Practice clinical decision tool

BMJ Best Practice is now available to all NHS organisation in England.

It provides access to the latest evidence-based information for healthcare professionals, structured around the patient consultation, with advice on symptom evaluation, test ordering, treatment approach and follow up. It also offers clinical calculators, patient information leaflets and some procedural videos.

 

Onsite at Shrewsbury and Telford Hospitals (SaTH) simply visit the BMJ Best Practice website for password-free access. You’ll have the option to create a personal account to record usage for CME/CPD points.

For off-site access, you can use an NHS OpenAthens account. Visit the BMJ Best Practice website and login with your NHS OpenAthens account. You can also use a personal account created whilst on-site at SaTH.

Mobile apps are available for Android and iOS devices. These require a personal account to authenticate which can either be created whilst on-site on a SaTH PC, or off-site by logging in with NHS OpenAthens and then registering for a personal account.

You’ll also find BMJ Best Practice as an option in OmniSearch where it can be searched along with many other resources.

For more details or advice, pop into one of our libraries.

Searching for systematic reviews using Epistemonikos

If you’re searching for systematic reviews of evidence, you may find Epistemonikos a useful resource. Unlike the Cochrane Library, this contains systematic reviews from many sources (it does also contain some primary research articles that have been included in the reviews, but the main focus is systematic reviews).

Systematic reviews are an excellent source of high-quality evidence, and should use a clearly formulated question and systematic and explicit methods to identify, select, and critically appraise relevant research, and collect and analyse data from the studies that are included in the review.

While most of the systematic reviews included will be included in other sources such as Medline and EMBASE, they are not always easy to locate (though we have added some search filters to the Knowledge Navigator page to make this easier).

We’ve added Epistemonikos to the Systematic Review section of our Knowledge Navigator, where you’ll find useful guidance and sources for locating many different types of evidence. Alternatively, why not simply ask us to conduct an evidence search for you?.

UpToDate clinical decision support tool

To help towards Shrewsbury and Telford Hospital NHS Trust’s goal of providing the safest, kindest care in the NHS, the Library, with the support of the Postgraduate and Undergraduate Education teams has started a subscription to the UpToDate clinical decision support resource.

UpToDate is written by clinicians for clinicians and offers easy access to high-quality information to inform diagnosis and treatment decisions. It has a proven positive impact on outcomes, and is associated with reduced cost of care, shorter length of stay, reduced complication rates and increased patient safety.

In an international subscriber survey carried out in 2014, 94% of respondents said UpToDate improved the quality of care they provide.

A recent survey of senior clinicians in SaTH gave examples of where using UpToDate has changed practice and was especially useful in rare or unusual conditions. It is also an excellent teaching resource, offers a drug interaction checker, can record usage for CPD points, and also offers hundreds of patient information leaflets.

UpToDate can be accessed on any PC in SaTH by visiting the UpToDate website. For off-site use, you can either create a username and password (useful if you want to record usage for CPD) or use your OpenAthens account. There is also a mobile app you can download for access anywhere.

For more information on accessing UpToDate off-site or by mobile app, visit the UpToDate page on our website.