An immunocompromised patient with symptoms of fever was found to have an infection. The - PowerPoint Presentation

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An immunocompromised patient with symptoms of fever was found to have an infection. The librarian undertook a literature search to inform treatment resulting in the selection of an appropriate antibiotic therapy.

Librarians and Knowledge Specialists bring the evidence to inform healthcare decisions: Saving money contributing to financial effectiveness and improving the quality of care

#AMillionDecisionswww.hee.nhs.uk/lks

The patient’s therapy was changed…. reducing the length of stay by approximately four weeks. This represents an estimated saving of £16,800.

Rekha

Lopez, Specialist Registrar, working with Uma Devalapalli, Library Services Manager and Louise Wann, Assistant Librarian , Chelsea and Westminster Hospital NHS Foundation Trust

£16,800 estimated saving from reduction in length of stay due to decision based upon summarised evidence supplied by a librarian.

The librarian undertook a literature search to inform the treatment of a patient suffering a

chylous effusion which required draining 2 litres a day over 6 months. The patient was ill and weak and such cases often result in death.

A paper reporting the use of somatostatin to cure cats and dogs with chylous effusion prompted the clinician to adapt this treatment for use in humans. The treatment was successful and led to a cure within 5 days.

 Librarians and Knowledge Specialists bring the evidence to inform healthcare decisions: Underpinning research and innovation, contributing to service development

#AMillionDecisionswww.hee.nhs.uk/lks

After writing up the first patient 8 more patients occurred and responded to octreotide in 5 days

.

Dr V. Varney, Consultant PhysicianEpsom and St. Helier NHS TrustLibrarian alerts clinician to innovative treatment leading to effective cure.

The specialist librarian provided evidence around patient safety considerations leading to the

replacement of two difficult to recruit band 5 posts with new HCA roles. This reduced reliance on agency and bank staff, increased staff numbers, and resulted in cost –savings of £100,000 

Librarians and Knowledge Specialists bring the evidence to inform healthcare decisions: Saving money, contributing to financial effectiveness and reducing risk

#AMillionDecisionswww.hee.nhs.uk/lks

The evidence gave us confidence that we were approaching the changes in the right way especially the potential safety risks if the staffing levels were incorrect

Divisional Chief Nurse – Specialist Services

Buckinghamshire Healthcare NHS Trust

£100,000 savings on agency costs due to evidence supplied by

a specialist librarian

.

Librarians and Knowledge Specialists bring the evidence to inform healthcare decisions:

Saving staff time, contributing to productivity and efficiency

#AMillionDecisionswww.hee.nhs.uk/lks

303 hours of a Senior Midwife’s time is released by using the expertise of a Clinical Librarian.

A clinical librarian ensured comprehensive and efficient evidence provision for the large number of maternity guidelines. The collaborative work between maternity staff, governance staff, and the librarian resulted in 55

updates to midwifery policies and guidelines which resulted in saving 302.5 hours of the midwife’s time - a saving of £12,397.

The library service has saved me time … they are able to find evidence where I think there is none to be found.

Gaynor Armstrong,

Governance Lead Midwife, working with library staff at George Eliot Hospital NHS Trust

As a member of the Product Selection Committee the clinical librarian provides evidence to support decisions about purchasing clinical products. The evidence ensures that quality, safety and patient experience are considered as well as identifying time and cost efficiencies. These evidenced-informed decisions have led to cost savings of £1.9 million

between

2015 and 2016.

 Librarians and Knowledge Specialists bring the evidence to inform healthcare decisions:

Saving money contributing to financial effectiveness #AMillionDecisionswww.hee.nhs.uk/lks

The clinical librarian is an essential part of this. I would recommend that all change management committees consider including a member of staff from the Library and Knowledge Service in their meetings.

Deb Bolton, Clinical Procurement Manager

working with

Igor

Brbre, Clinical Librarian, Brighton and Sussex University Hospitals NHS Trust

Librarian input essential to achieve £1.9 million

of

savings

The health librarian provided evidence showing how ‘Did Not Attend’ rates had been reduced across a range of services in other organisations. This has led to a change in practice resulting in a 2% reduction in local Did Not Attend rates and a reduction in waiting times to 2 weeks.

Librarians and Knowledge Specialists bring the evidence to inform healthcare decisions:

Contributing to more informed decision making, productivity and efficency

#AMillionDecisionswww.hee.nhs.uk/lks

Librarians have the expertise to collate, summarise, and send the information to me in a usable format which makes it so much easier for me to put into practice.

Nick Lane, Head of Therapies working with

Debra Thornton, Knowledge and Library Services ManagerBlackpool Teaching Hospitals NHS Foundation Trust

Change in practice leading to 2 week reduction in waiting times from using summarised best practice from a Specialist Librarian..

The librarian undertook an evidence search which

confirmed that supplementary prescribing by physiotherapists has substantial benefits to patients. The work has led to both reduced risk and cost savings for the service as well as potential for wider practice change.

Librarians and Knowledge Specialists bring the evidence to inform healthcare decisions:Saving money, staff time and contributing to productivity and efficiency

#AMillionDecisions

tinyurl.com/nhsheelks

Massive saving of clinical time and this is of direct patient benefit. If the library service did not carry this (evidence search) out then I would be looking at least several days of work to do this myself and have to cancel patient clinics

Consultant Physiotherapist

Mid Yorkshire Hospitals NHS Trust

Cost savings and reduction in risk by changing

practice informed by evidence provided by

a

specialist librarian

The specialist librarian provided evidence which we used to understand the impact of length of stay upon the frail elderly and it gave a perspective on models of care on discharge.

Librarians and Knowledge Specialists bring the evidence to inform healthcare decisions:Contributing to informed decision making, improving the quality of care

#AMillionDecisionswww.hee.nhs.uk/lks

Evidence from research, published reviews and consideration of other people’s experiences provided by the specialist librarian gives me confidence in decision making and supports improvement

Commissioner working with

Holly Case, Outreach Librarian

,

Surrey and Sussex Healthcare NHS Trust

Transformed approach to

discharge of frail elderly patients as a result of evidence summary supplied by the l

ibrarian

The clinical librarian provided evidence about a Diabetes Nurse Specialist Outreach Service. This model involves the healthcare professional visiting offenders in prison rather than requiring them to visit the hospital and avoids issues surrounding security and distress. Implementation has reduced the number of missed appointments - a saving of around £48,500.

Librarians and Knowledge Specialists bring the evidence to inform healthcare decisions:

Saving money, improving the quality of care#

AMillionDecisionswww.hee.nhs.uk/lks

Ultimately, the service now provides improved patient care for offenders. They are less distressed at being transported, they receive thorough, tailored and appropriate care and the nurse is able to see all patients.

Consultant Nurse in Diabetes

Warrington and Halton Hospitals NHS Foundation Trust

£48,500 saving and improved patient experience by implementing a change based upon evidence supplied by the specialist librarian.

The health librarian conducted a search and brought evidence leading to a change in protocol around routine testing and supplementation with Vitamin D for patients in acute care. This led to improved care, reduced lengths of stay and subsequently improving efficiency.

Librarians and Knowledge Specialists bring the evidence to inform healthcare decisions:

Saving money, contributing to financial effectiveness

#AMillionDecisionswww.hee.nhs.uk/lks

The cost of testing and supplementation is relatively low but impact in terms of speed of recovery and reduced length of stay is significant.

Vanessa Linnet, Consultant Anaesthetist working with

Joanne Naughton

, Gateshead Health NHS Foundation Trust

Low-cost intervention leading to reduced length of stay for critically ill patients informed by evidence provided by a specialist librarian.