national electronic library of infection (neli)
DESCRIPTION
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 - PowerPoint PPT PresentationTRANSCRIPT
National electronic Library of Infection (NeLI)
Patty Kostkova , Jane Mani-Saada,
Gemma Madle, Julius Weinberg
City ehealth Research Centre
IHS, City University, London, UK
19/1/ 2004 East of England Clinical Virology Forum
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The Current Approach
Guidelines in general practice: the new Tower of Babel?
BMJ 1998;317:862-863
Overloaded GPs...•22 Practices in Cambridge•855 different guidelines•a pile 68 cm high weighing 28 kg
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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?
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The Problem …
1. Health professionals need the information in the moment where 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
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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
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NeLI: Infectious Disease Prevention, Control, Investigation and Treatment
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
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The Involvement of ProfessionalsNeLI is developed for professionals and by
professionals Evidence-based Quality 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
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Quality Tagging: The Reviewers Assessment
1) Short summary/abstract Medline/NeLCD to provide2) What question is the document addressing? Short 1 or 2 sentences3) What type of study is it? (review, meta analysis etc.)4) Are the methods valid, appropriate? YES/NO5) Are the results/recommendations reliable? Short 1 or 2 sentences6) Are there any major problems and biases? Short 1 or 2 sentences7) Are there any other important/ relevant studies which confirm/ contradict Please provide theseSigned ………Which Society or Advisory Committee do you belong to ………
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Quality Tagging: The Check List
I. METHODOLOGICAL ISSUESFor 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?• …
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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
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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 Alerts on requested issues Professional commentary on information hitting the
news Instant dissemination of outbreak control
procedures Sharing teaching materials through NeLI
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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
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Contacts
www.neli.org.uk Jane Mani-Saada
([email protected]) – the information officer and coordinator of the online community
Patty Kostkova ([email protected])
*** THANK YOU for your contributions to NeLI! ***