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IMPACTE groups

Anne Gray, Commissioning Librarian, NHS Milton Keynes13 November 2009

20/5/2008 Taunton

Quality:MK

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IMPACTE groups

• What are IMPACTE groups?• How do they work in Milton Keynes?• Outcomes• Have a go

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www.qualitymk.nhs.uk Evidence based, primary care led,

patient centred

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Improving Medical Practice Through CurrenT Evidence

• Started as journal clubs• Involve clinicians in changes to their clinical

practice• Individual and team changes• Sustainable changes• Roll out changes across teams• Audit changes and followup

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IMPACTE groups– Relaxed, informal sessions – Regular – Topics of general interest with possible practical

outcome– Use good evidence – People

• Organiser• Group leader who has prepared specific paper• scribe to record discussion and actions • Librarian/ other professionals as needed

– Follow up actions and report back

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CEBM approach to critical appraisal

• PICO - is the article relevant to the team?• Was the research well done?• What can we learn from the results?• Are there any actions we could take to

improve our practice?• Action plan

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Outcomes for the group• Enable discussion of best evidence• Reduce variation in clinical practice and

strengthen team working• Highlight practical actions which can be taken

to act on best evidence • CPD/appraisal/revalidation points• Improve the quality of patient care• Allows share and spread of good practice

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Share and spread good practice -Prescribing Toolkits

• Improve implementation of Lipid management guideline (NICE guideline)– Improve understanding of guidelines

• Improve prescribing of glitazones in diabetic patients – Compilation of evidence around drug selection and

prescribing

• Reduce antibiotic prescribing through delayed prescription – New Read code, prescribing regimen

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Share and spread good practice -

• Improve management of fever in under 5s– Nice guideline -> new thermometers

• Improvement of patient pathway in Carpal Tunnel Syndrome– Audit reported a change to practice

• Medication audit of antipsychotics in patients with dementia– Improved safety and reduced costs

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Outcomes for the service

• Share and spread of good practice– Prescribing toolkits– New patient pathways

• Eliminate waste, overuse, underuse• Improve compliance of guidelines• Reduce risk from non-compliance• Improve the quality of patient care

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Who do you need to run IMPACTE groups?

• A willing group of clinicians• A leader to

– Collate topics of interest, suggest articles, delegate, organise venue

• Resources – www.qualitymk.nhs.uk • Librarian to find high quality evidence• Other professionals – pharmacist, social care,