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Putting evidence into practice

Putting evidence into practice. An approach to improving primary health care. E-B Practice Bright ideas. Evidence-based service redesign Clinical pathways. E-B Discussion Groups. Quality:MK. 2. PCT/ health:mk. Patients. Clinicians. Questions. Specific answerable question.

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Putting evidence into practice

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  1. Quality: MK Putting evidence into practice An approach to improving primary health care

  2. Quality: MK E-B Practice Bright ideas Evidence-based service redesign Clinical pathways E-B Discussion Groups Quality:MK 2

  3. Quality: MK PCT/ health:mk Patients Clinicians Questions Specific answerable question Track down best Evidence Critically appraised articles NICE guidelines Map of Medicine pathways Expert opinion Review action plans Evidence based clinical discussion cycle Journal Club Implement & audit Critically appraise the evidence Action plan Apply the evidence to current practice Quality:MK 3

  4. Evidence base Quality: MK 4 • Journal articles (primary literature) • Evidence synopses eg EBM Journal • Cochrane review • NICE guidance • Map of Medicine • Expert opinion

  5. Successes so far… Quality: MK • 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.

  6. 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 Quality: MK

  7. Evidence 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 Quality: MK

  8. Toolkit Quality: MK Quality:MK 8 • EBDG Leaflet • Core resources for Evidence based medicine • Critically appraised topic templates • RCTs -- Reviews – Guidelines • Expert opinion • Search request template / Search result template

  9. Questions? Quality: MK 9 • For further information contact • Anne Gray, Outreach Librarian, MKPCT • Outreach.librarian@mkpct.nhs.uk • Ann Skinner, Information Specialist, Quality:MK • Ann.skinner13@btinternet.com • Sue Lacey-Bryant, Project Manager, Quality:MK • Sue.lacey-bryant@mkpct.nhs.uk • Quality: MK website http://www.miltonkeynes.nhs.uk/default.asp?ContentID=1359

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