Download pdf - Getting knowledge into action in frontline care and ...€¦ · 3 0t h J a n 2 0 1 3 Knowledge Brokers 1. Having IT support from the outset 2. Getting staff to value CDSS 3. Identification

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: [email protected]

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

Getting

Knowledge

into Action

30th 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


Name: Alison Hunter

Title: Improvement Advisor

Board: Healthcare Improvement Scotland


-Insert

Photo-

Challenges / Lessons Learned


knowledge

2. Actionable

Knowledge

4. Building

organisational


5. Knowledge

broker network

6. Physical library

resource

1. Evidence Search

& Synthesis

Getting

Knowledge

into Action

30th Jan 2013

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


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


• 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


-Insert

Photo-



knowledge

2. Actionable

Knowledge

4. Building

organisational


5. Knowledge

broker network

6. Physical library

resource

1. Evidence Search

& Synthesis

Getting

Knowledge

into Action

30th Jan 2013

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


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


• 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


[email protected]



knowledge

2. Actionable

Knowledge

4. Building

organisational


5. Knowledge

broker network

6. Physical library

resource

1. Evidence Search

& Synthesis

Getting

Knowledge

into Action

30th Jan 2013

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


Health Scotland’s Equalities team aims to be the hub for equalities knowledge inScotland, 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

links with partners to influence and support policy & practice.

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. The team is aligning its activities with KIA principles, to achieve

strong awareness of the knowledge base, synthesising, translating & using knowledge

& by building links with partners to influence and support policy & practice.

Health Scotland, Equalities Team: Knowledge into Action

Further information


• Development of the Equalities Knowledge into Action

Framework and Improvement Plan emphasising the importance

of knowledge, partnership working, brokering and evaluation.

• Stronger links with Knowledge Services culminating in a

monthly alert and training to help the team maintain an

awareness of the knowledge base.

• Text

Name: Debbie Sigerson / Julie Arnot

Title: Equalities Team / Knowledge Services

Board: NHS Health Scotland

Contact Details: [email protected] [email protected]



knowledge

Getting

Knowledge

into Action

30th Jan 2013

Knowledge Brokers

-Identifying relevant evidence,

translating into accessible

language

-Critically appraised briefings,

relevant to Scotland

-Intersections between

characteristics considered.

Clinicians

-Evidence for impact assessments

-Effective interventions – what should

we do differently?

-Defining the problem – more data on

performance required.

• Translating evidence to inform practice is a specific skill – need

time to build skills to do this effectively.

• Building team capacity and culture for KIA requires a significant

investment of time and leadership to become embedded.

1. Evidence Search

& Synthesis

2. Actionable

Knowledge

4. Building

organisational


5. Knowledge

broker network

6. Physical library

resource


Thank you for attending today’s event and participating in the knowledge market. We hope you enjoyed it and found much to take away from the presentations and networking. For more information about Knowledge into Action and knowledge and information services within health and social care, please contact:

NHS Education for Scotland Knowledge Services Group Clifton House, Clifton Place Glasgow G3 7LD Email: [email protected] http://www.nes.scot.nhs.uk

Healthcare Improvement Scotland Gyle Square 1 South Gyle Crescent Edinburgh EH12 9EB Email: [email protected] http://www.healthcareimprovementscotland.org