Getting knowledge into action in frontline care and ... 3 0t h J a n 2 0 1 3 Knowledge Brokers 1. Having

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  • GGeettttiinngg kknnoowwlleeddggee iinnttoo aaccttiioonn iinn

    ffrroonnttlliinnee ccaarree aanndd iimmpprroovveemmeenntt

    Knowledge broker event Jan 30th 2013

    The Lighthouse, 11 Mitchell Lane, Glasgow G1 3NU

  • PBSGL (Practice based small group learning) is a popular form of CPD involving over 30%

    of GPs in Scotland and increasingly other primary care professionals. PBSGL uses real

    clinical problems to stimulate reflection, discussion and learning among groups of peers.

    In 2012 knowledge brokers provided support to clinicians in developing a PBSGL module

    on cervical screening. Following identification of key questions by the clinical team,

    knowledge brokers identified the relevant literature and provided a summary answer and

    reference list for each question to form the information section of the module.

    Knowledge brokers and PBSGL in Scotland

    Further information

    Key messages (for/from)Achievements

    • Fifteen clinical questions answered in support of one module

    • Knowledge brokers developed skills in summarising clinical

    evidence

    • Highly positive feedback from clinical team

    • Module information section robust and evidence based

    • High quality PBSGL module drafted and piloted in 2012

    Name: Jenny Harbour

    Title: Health Information Scientist

    Board: Healthcare Improvement Scotland

    Contact Details: jenny.harbour@nhs.net

    Lessons Learned

    3. Relational use of

    knowledge

    2. Actionable

    Knowledge

    4. Building

    organisational

    capacity and culture

    5. Knowledge

    broker network

    6. Physical library

    resource

    1. Evidence Search

    & Synthesis

    Getti ng

    Know ledge

    into Actio

    n

    30t h Jan

    2013

    Knowledge Brokers

    1. Provide expert resource

    knowledge and searching

    2. Knowledge brokers can

    summarise clinical evidence

    3. Knowledge brokers support

    quality clinical CPD

    Clinicians

    1. Working together we can deliver

    high-quality, Scotland focused

    modules

    2. Clinicians and knowledge brokers

    can work effectively together

    3. There is support out there

    • Always agree the deliverables in advance

    • Direct answers are desirable….. lots of statistics are not

    • Quality assurance of summaries is important

  • Notes / Spreading the word Notes, ideas from poster Key action or could you use this locally, and how? Contacts, networking opportunities

  • The Sepsis Collaborative aims to contribute to overall aim of the Scottish Patient Safety Programme of reducing HSMR by 20% by December 2015 by facilitation of clinical teams to improve reliability of delivery of evidence-based interventions to optimise patient care and reduce avoidable harm.

    Sepsis and VTE Collaborative

    Further information

    Key messages (for/from)Achievements

    Name: Alison Hunter

    Title: Improvement Advisor

    Board: Healthcare Improvement Scotland

    Contact Details: Alisonhunter4@nhs.net

    -Insert

    Photo-

    Challenges / Lessons Learned

    3. Relational use of

    knowledge

    2. Actionable

    Knowledge

    4. Building

    organisational

    capacity and culture

    5. Knowledge

    broker network

    6. Physical library

    resource

    1. Evidence Search

    & Synthesis

    Getti ng

    Know ledge

    into Actio

    n

    30 th Jan 2

    013

    Knowledge Brokers

    1. High level search and synthesis

    2. Collaborative working and shared methodologies

    3. Support for developing community website

    4. Developing an app for monitoring sepsis using mobile technology

    Clinicians

    1. Clinical drive for innovation in knowledge services

    2. Provide question and review results of literature searches

    3. Contribute to website

    4. Define requirements for the app

    • Clinical leadership key to driving forward innovation • Collaborative working is essential. • Shared working practices may have improved output • Timescales were a major challenge

  • Notes / Spreading the word Notes, ideas from poster Key action or could you use this locally, and how? Contacts, networking opportunities

  • NES worked with NHS Tayside to develop a pathways publication toolkit which would:

    •Design visual flow pathway diagrams

    •Link pathways and bits of pathways to related information, e.g. guidelines, patient

    info, evidence from The Knowledge Network

    •Embed metadata and taxonomy so that the pathways can be consistently described

    and thus more easily retrieved

    Clinical Knowledge Publisher

    Further information

    Key messages (for/from)Achievements

    • Delivery of the Clinical Knowledge Publisher toolkit

    • Effective example of partnership working between NES and NHS

    Tayside

    Name: Sandra Davies

    Title: Senior Information Manager

    Board: NHS Education for Scotland

    Contact Details: sandra.davies@nes.scot.nhs.uk

    -Insert

    Photo-

    Challenges / Lessons Learned

    3. Relational use of

    knowledge

    2. Actionable

    Knowledge

    4. Building

    organisational

    capacity and culture

    5. Knowledge

    broker network

    6. Physical library

    resource

    1. Evidence Search

    & Synthesis

    Getti ng

    Know ledge

    into Actio

    n

    30 th Jan 2

    013

    Knowledge Brokers

    1. Apply skills to source and

    link to evidence

    2. Apply cataloguing and

    classification skills for

    effective description of

    clinical knowledge

    Clinicians

    1. Aim is to make it easier to

    create clinical pathways

    using a single tool for NHS

    Scotland

    2. NES are seeking further

    partners to pilot the toolkit

    • Need to establish a common presentation format for clinical

    pathways

    • Need to align with local editorial policies

    • Need to establish ways of working and workflows

  • Notes / Spreading the word Notes, ideas from poster Key action or could you use this locally, and how? Contacts, networking opportunities

  • Using the clinical decision support search (CDSS) to enable clinical

    staff to readily access relevant local and national evidence-based

    practice guidelines.

    Clinical Decision Support Search for Lung Cancer (Fife)

    Further information

    Key messages (for/from)Achievements

    • Installation of CDSS on all appropriate computers

    • Resource identification and cataloguing

    • Securing champions in clinical area

    • Delivering education to the multi-professional team

    • Staff are using the knowledge retrieved to support clinical

    decision making

    Name: Dorothy Woolley / Marianne Murdoch

    Title: Librarian / Practice Education Facilitator

    Board: NHS Fife

    Contact Details: dorothy.woolley@nhs.net

    marianne.murdoch@nes.scot.nhs.uk

    Challenges / Lessons Learned

    3. Relational use of

    knowledge

    2. Actionable

    Knowledge

    4. Building

    organisational

    capacity and culture

    5. Knowledge

    broker network

    6. Physical library

    resource

    1. Evidence Search

    & Synthesis

    Getti ng

    Know ledge

    into Actio

    n

    30 th Jan 2

    013

    Knowledge Brokers

    1. Having IT support from the

    outset

    2. Getting staff to value CDSS

    3. Identification of champions

    4. Having the right project team

    5. Importance of planning

    including identification of

    roles/responsibilities

    Clinicians

    1. "It's an extra tool that's

    available when you need it"

    2. "Everybody positive about it

    including medics”

    3. “Type in what you are looking

    for and it comes up straight

    away …. Most up to date

    information relevant to area"

    • Timing of project coincided with hospital move

    • Having CDSS toolbar activated on all computers

    • Access to staff to deliver education sessions

    • Identification of appropriate resources for inclusion

  • Notes / Spreading the word Notes, ideas from poster Key action or could you use this locally, and how? Contacts, networking opportunities

  • Health Scotland’s Equalities team aims to be the hub for equalities knowledge in Scotland, supporting evidence-informed decision-making to improve equality & reduce health inequalities, a key priority of A Fairer Healthier Scotland. The team is aligning its

    activities with KIA principles, to achieve strong awareness of the knowledge base & as Knowledge Brokers, synthesising, translating & using knowledge & by building