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National electronic Library of Infection (NeLI)

National electronic Library of Infection (NeLI). Patty Kostkova , Jane Mani-Saada, Gemma Madle, Julius Weinberg City ehealth Research Centre IHS, City University, London, UK. The Current Approach . Overloaded GPs... 22 Practices in Cambridge 855 different guidelines

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National electronic Library of Infection (NeLI)

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  1. National electronic Library of Infection (NeLI) Patty Kostkova , Jane Mani-Saada, Gemma Madle, Julius Weinberg City ehealth Research Centre IHS, City University, London, UK

  2. The Current Approach  • Overloaded GPs... • 22 Practices in Cambridge • 855 different guidelines • a pile 68 cm high weighing 28 kg Guidelines in general practice: the new Tower of Babel? BMJ 1998;317:862-863 East of England Clinical Virology Forum

  3. The Internet Approach • Internet provides overwhelming amount of medical information • Medical portals: PubMed, Medline • professional societies servers, Cochrane Library • WHO reports, CDC reports, HPA data … • major journals (BMJ, Bandolier, …) • … • So, what is the problem? East of England Clinical Virology Forum

  4. The Problem … • 1. Health professionals need the information in the momentwhere and when they need it better search, metadata, content awareness, user customization, pre-processing … • 2. Information quality and reliability VARY provide quality assured resources the best evidence-based information East of England Clinical Virology Forum

  5. The Solution: NeLH  • single-entry Digital Library providing • the best available evidence and • quality tagging and level of evidence for each document • National electronic Library of Infection: one of the Specialist Libraries East of England Clinical Virology Forum

  6. Clinical Infection Microbiology Epidemiology Public Health Immunology Vaccination Travel Medicine Emerging Infection Bio-terrorism Public Safety Respiratory Disease Infection Control Environmental Health Food Safety Gastroenterology Dermatology Paediatrics Hand Washing Globalisation NeLI: Infectious Disease Prevention, Control, Investigation and Treatment East of England Clinical Virology Forum

  7. East of England Clinical Virology Forum

  8. East of England Clinical Virology Forum

  9. The Involvement of Professionals NeLI is developed for professionals and by professionals • Evidence-basedQuality Tagging = the key value-adding feature of NeLI • Quality Tag: • Time Stamp • Publication Date • Posting Date • Review Date • Reviewers Assessment based on Check List • Level of Evidence • Online Forum = comments to Quality Tag + Discussion East of England Clinical Virology Forum

  10. Quality Tagging: The Reviewers Assessment 1) Short summary/abstract Medline/NeLCD to provide 2) What question is the document addressing? Short 1 or 2 sentences 3) What type of study is it? (review, meta analysis etc.) 4) Are the methods valid, appropriate? YES/NO 5) Are the results/recommendations reliable? Short 1 or 2 sentences 6) Are there any major problems and biases? Short 1 or 2 sentences 7) Are there any other important/ relevant studies which confirm/ contradict Please provide these Signed ……… Which Society or Advisory Committee do you belong to ……… East of England Clinical Virology Forum

  11. Quality Tagging: The Check List I. METHODOLOGICAL ISSUES For RESEARCH STUDIES • Did the article address a focused issue? • Was the aim/research question clearly described? • Is the choice of the study design appropriate to perusal of this issue? • … For GUIDELINES/REVIEWS • Was the literature searched thoroughly? • Were all important options and outcomes clearly satisfied? • … II. WHAT ARE THE RESULTS • What are the main findings? • Do they address the research/clinical question? • … III. APLICABILITY OF THE FINDINGS • Will the results help you in your clinical judgment/patient management? • Are the benefits worth the harm and cost? • … East of England Clinical Virology Forum

  12. Authoring and Online Forum • Authoring – the reviewers and their affiliations to societies, academic institutes and the NHS are made available through the NeLI Publicity for reviewers/societies • Earn CPD points by providing NeLI reviews! • Online Forum– discuss controversial QT Create online community around CD East of England Clinical Virology Forum

  13. Work In Progress • New user-friendly technical solution • Online Forum for each document = allow professionals to discuss the QT online • Creating online community around DC • Chat rooms for professionals and public • Alertson requested issues • Professional commentary on information hitting the news • Instant dissemination of outbreak control procedures • Sharing teaching materials through NeLI East of England Clinical Virology Forum

  14. Summary • NeLH – single-entry to the best available medical evidence • NeLI – a Specialist Library of NeLH dedicated to infectious diseases • Prototype: www.neli.co.uk • The searchable database • NeLI quarterly-published Newsletter (includes references to published papers) • The reviewers assessment and full check list • www.nelh.nhs.uk East of England Clinical Virology Forum

  15. Contacts • www.neli.org.uk • Jane Mani-Saada (J.Mani-Saada@city.ac.uk) – the information officer and coordinator of the online community • Patty Kostkova (patty@soi.city.ac.uk) *** THANK YOU for your contributions to NeLI! *** East of England Clinical Virology Forum

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