Ponencia 07 medicine_informationintheuk_erskine_d
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Transcript of Ponencia 07 medicine_informationintheuk_erskine_d
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Medicines Information provision in the UK
David ErskineDirector
London & South East Regional Medicines Information Service
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The case for a medicine information service
• As defined by Donald Rumsfield – the former US Secretary of State
• There are things we know we know• There are things we know we don’t know• There are things we don’t know we don’t know
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in the War against Error…
Medicine Information is the weapon of mass instruction
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The aim of medicine information
• To achieve this we need– Staff with the right knowledge and skills
– Access to the right resources– Efficient methods of sharing work and
knowledge across networks (national and international)
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What happens in the UK
• About 220 medicine information (MI) centres based in pharmacy departments of most hospitals.
• Training in MI skills is a core part of the development of every hospital pharmacist
• 13 Regional MI centres – provide leadership in quality assurance, education and support, and support commissioning pharmacists working in primary care, led by National Executive
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Promoting the things we know we know
• Single national website of information about medicines–the National electronic library for
medicines (www.nelm.nhs.uk -free access)
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Support with the things we know we do not know
• Across the UK – about 0.25 million enquiries are answered every year by MI services
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Support with the things we know we do not know
• Across the UK – about 0.25 million enquiries are answered every year by MI services
• Nationally implemented quality assurance programme for enquiry answering
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Support with the things we know we do not know
• Across the UK – about 0.25 million enquiries are answered every year by MI services
• Nationally implemented quality assurance programme for enquiry answering
• Most centres use same enquiry answering database – MI Databank
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Support with the things we know we do not know
• Across the UK – about 0.25 million enquiries are answered every year by MI services
• Nationally implemented quality assurance programme for enquiry answering
• Most centres use same enquiry answering database – MI Databank
• Mailbase – to support pharmacists with enquiries they cannot answer
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Reducing the risk of not knowing what we do not know
• National training material for MI pharmacists – workbook and computer-assisted learning package (MiCAL) covering:– Relevant information sources and their
limitations– Literature searching skills
– Dealing with specific types of enquiries– Critical appraisal skills
– Ethics
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Reducing the risk of not knowing what we do not know
• National training material for MI pharmacists –workbook and computer-assisted learning package (MiCAL) covering:– Relevant information sources and their limitations– Literature searching skills– Dealing with specific types of enquiries– Critical appraisal skills– Ethics
• MI pharmacists then educate other pharmacists in these skills
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Reducing the risk of not knowing what we do not know
• National training material for MI pharmacists –workbook and computer-assisted learning package (MiCAL) covering:– Relevant information sources and their limitations– Literature searching skills– Dealing with specific types of enquiries– Critical appraisal skills– Ethics
• MI pharmacists then educate other hospital pharmacists in these skills
• Use of IT to deliver tailored knowledge through email push and RSS feeds
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Lessons we have learned
• Need to promote our service on basis of our combination of knowledge, skills and access to clinical expertise
• Need to be prepared to support health economic work –prescribers need to be take both evidence and cost effectiveness into account
• Need to adjust to reflect changing national resources (NICE, NHS CHOICES, NHS EVIDENCE– so now we focus more on horizon scanning,
Medicines Q&As and individual patient reviews than on individual drug reviews
• Published work is very closely scrutinised– need stringent QA programme in place
• Need robust financial case for IT developments – costs escalate!
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Any questions?