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UpToDate Converting care to currency

UpToDate Converting care to currency. Jane Surtees Clinical Librarian. MLA’13 Boston, MA. The impact of UpToDate on:. Time saved; Referrals to another department; Tests avoided; Length of stay. Background. UTD trial from February to end May 2011 Extremely positive response n=117

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UpToDate Converting care to currency

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  1. UpToDateConverting care to currency Jane Surtees Clinical Librarian MLA’13 Boston, MA

  2. The impact of UpToDate on: • Time saved; • Referrals to another department; • Tests avoided; • Length of stay.

  3. Background • UTD trial from February to end May 2011 • Extremely positive response n=117 • Whole library team involved in promotion • Bid for funding • Received two years subscription from charitable funds • Required to show sustainability

  4. Evaluation Study • SmartSurvey >August 2011 • Responses as of March 2013 n=113 • Staff groups represented were mainly Consultants, with nursing staff, and scientists, tech and pharmacy being the next largest groups

  5. Imaging tests avoided • CT scans • Blood, Repeat CXR, CT scans • Repeat G6PD screen and assays • CT and MR

  6. Average estimated length of stay reduction of 3.1 days • Some respondents pointed out that the question wasn’t relevant due to patient being an outpatient or that the patients’ admission was avoided.

  7. Average time saved 3.9 hours • Most cited around 2-3 hours being saved

  8. Identified referrals avoided to: • Hepatology • Rheumatology • Haematology • Neurology/Regional neurology centre • Chemotherapy

  9. ‘Other’ decisions influenced: • Education • Prevention • Guidelines • CPD • Prognosis

  10. Comments

  11. Conclusions • Undeniable cost saving to be made – especially in time; LOS reduced • Strong argument for potential avoidance of costly litigation • Evidence from clinicians that referrals and tests ARE being avoided • Used by unexpected areas – Pharmacy • High popularity for use in teaching and CPD and therefore reinforce EBM • Shows greatest asset in high pressure areas such as A&E and filters to rest of hospital – MAU & SAU • Popular for use on ward rounds

  12. Thank you for listening! • Any questions......? • Contact information: janesurtees@gmail.com or jane.surtees@kellogg.ox.ac.uk

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