Information Resources in Primary Care - PowerPoint Presentation

1. Information Resources in Primary CareFiona WoodsWMICNovember 2017

2. Why will you use information resources?Own practiceQuestions from patientsQuestions from professional colleaguesFor each of these you may need general and/or specific resources

3. Resources - principlesThose that are freeIf cost then need Pharmacy, MI or personal purchase or subscriptionThose that are easily accessible in primary careMI for those that are not

4. Own PracticeEnsure registered with NICE Evidence News – daily or weeklyEnsure registered with NICE news – appraisals Let WMIC know you wish to receive NICE Bites or available on SPS websiteEnsure registered with MHRA Athens password

5. Medicines Awareness Servicewww.nice.org.uk/news/nice-newsletters-and-alerts

6. Medicines Awareness Servicewww.nice.org.uk/news/nice-newsletters-and-alerts

7. NICE BITES

8. MHRAhttps://www.gov.uk/government/organisations/medicines-and-healthcare-products-regulatory-agency/email-signup

9. Athens LoginWill give you access to many resources on HOWIS via intranet (in hospital) or internet (at home, GP surgery)Micromedex – Martindale, Drugdex, Drugreax, AltMedexMedline and EmbaseTravaxJournals

10. Athens login - intranethttp://howis.wales.nhs.uk/sitesplus/878/home

11. Internet http://www.wales.nhs.uk/

12. Internet http://www.wales.nhs.uk/

13. Athens login

14. General ResourcesBNF/BNF-CeMCNICE EvidenceSPS websiteMartindale on MicromedexDrugdex on Micromedex

15. General resources – BNF/BNF-C http://www.wales.nhs.uk/sitesplus/878/page/71660 BNF/BNF-C - use electronically via HOWIS (Medicines Complete) – don’t need Athens loginUse App

16. BNF/BNF-C http://www.wales.nhs.uk/sitesplus/878/page/71660

17. BNF https://bnf.nice.org.uk/

18. BNF for Children https://bnfc.nice.org.uk/

19. General Resources - eMC https://www.medicines.org.uk/emc/ eMC – provides SPCs and PILsHistorically only ABPI members but is improving to include genericsAlso risk minimisation materialsWhich one to consult – exact product if possible, if not latest or brandFacility to view changes MHRA if not on eMC - https://www.gov.uk/pil-spc

20. eMC

21. eMC

22. eMC

23. General Resources – NICE Evidencehttps://www.evidence.nhs.uk/

24. NICE EvidenceSearch will give you many resultsSort by date or relevanceUse origins e.g. Specialist Pharmacy ServiceNote accredited logo

25. General Resources - SPShttps://www.sps.nhs.ukNHS England but UK materialUKMi clinical content from UKMi and NICE Evidence is now on SPSMostly open access but register for access to new product/patent informationDM+d coding not BNFMost information under drug headingsIncludes information previously in databases i.e. MCA stability, lactation, new medicines/patents

26. General Resources - SPS

27. General Resources - SPS

28. General Resources - SPS

29. General Resources - SPS

30. General Resources - Micromedex on HOWIS (Athens) http://www.wales.nhs.uk/sitesplus/878/page/42366 MartindaleDrugdexAltMedexDrugreax

31. Micromedex

32. Questions from patientsNHS Choices – Behind the headlinesPatient.co.ukPILs – on eMCPatient helplineC&V 02920 744181 – Monday – Friday 9am -5:30pm and Saturday 9am – 12:45pmABMU – East – 01656 752382ABMU – West – currently dispensary (01792 703366)Aneurin Bevan – 01633 234245 (9am-5pm)Hywel Dda – 01437 773418 (Monday – Friday 9am-4:30pmSecondary care pharmacy colleagues

33. Behind the Headlineshttp://www.nhs.uk/news/Pages/NewsIndex.aspx

34. Patienthttp://patient.info/ Primarily aimed at patients but there’s also information for professionalsCan search drug or conditionLots of adverts – be aware if printing out for patients – or can subscribe to advert-free resource

35. Questions from professionals - selectedSwallowing difficultiesMCA StabilityFridge StabilityNew productsTreatment of a conditionAdverse drug reactionsInteractionsComplementary medicinesBreast feedingDrug shortagesTravel

36. Questions from professionals – Swallowing difficultiesUKMI Q&A – SPS website and other materialsMI – past enquiries, NEWT, Pharmaceutical Press book

37. Questions from professionals – Swallowing difficulties

38. Questions from professionals – MCA StabilityUKMi MCA information (by drug name on SPS website)Traffic light systemMI – past enquiries/industry

39. Questions from professionals – Fridge StabilityUKMi Fridge information (by drug name on SPS website)Stability data, expiry date alteration, can product be returned to fridge?MI – past enquiries, industry

40. Questions from professionals – New ProductsNDO databaseNeed to register with SPS website to see full monographAbbreviated monographs available on the SPS website – search drug namePatents information (by drug name on SPS website) – need to registerPrescribing Outlook suite of 3 publications available on SPS websiteNew MedicinesNational DevelopmentsCost calculator

41. Questions from professionals – New ProductsAdvanced information on drugs with market launches planned in the next 12-18 months with abbreviated information on drugs with planned launches up to 3 years in advance. This is produced for those with budget setting, prescribing planning and medicines management responsibilities. All entries hyperlinked to NDO entry.NICE/AWMSGFormulary – find link to your HB’s and any other prescribing guidance MI – NDO database, past enquiries

42. Questions from professionals – treatment of a conditionCKS - http://cks.nice.org.uk – only for conditions treated in primary careHB Pathways etcMI – Past enquiries, Medline/Embase

43. Questions from professionals – adverse drug reactionsMHRA DAPs data - Complete listings of suspected ADRs reported to the MHRA through the Yellow Card Scheme by healthcare professionals and patients. https://yellowcard.mhra.gov.uk/idap When providing DAP data it is important to explain how to interpret this. Note number of reports and number of reactions and time periodDrug Safety Update - https://www.gov.uk/government/publications/drug-safety-update-monthly-newsletter Meylers via Clinical KeyMI – past enquiries, AHFS, Meylers, Medline/Embase

44. Questions from professionals – interactionsDrugreax – via Micromedex on HOWISMI – past enquiries, Stockley’s

45. AltMedex via Micromedex on HOWISMemorial Sloan Kettering website - https://www.mskcc.org/cancer-care/treatments/symptom-management/integrative-medicine/herbsChinese Medicines Advisory Service (ChiMAS )(Debbie Shaw) Tel: 020 7188 0199Calls answered on a 24-hour basis and details forwarded to Debbie Shaw if the team of Information Specialists are unable to assist. E-mail is the best route for information requests (either debbie.shaw@gstt.nhs.uk or herbal@gstt.nhs.uk ChiMAS will try to help with any obscure or complicated herbal/traditional medicine enquiries. Questions from professionals – complementary medicine

46. UKMi Q&A on Homoeopathic medicines via SPS websiteMI – past enquiries, Herbal Medicines, Stockley’s Herbal Medicine Interactions, Natural Medicines Database.Questions from professionals – complementary medicine

47. Questions from professionals – breast feedingDrugs in lactation - maintained by the UKMi Drugs in Lactation Advisory Service. Useful quick reference source, provides information on suitable alternatives where appropriate, and evidence links via SPS website.Lactmed - This database is part of TOXNET, the US equivalent of Toxbase and is freely available. To search for a drug monograph type the drug or brand name in the box and click on ‘search’; then select the monograph you want from the list of hits.Monographs are referenced. The date of last revision is at the bottom. http://toxnet.nlm.nih.gov/newtoxnet/lactmed.htm MI – past enquiries, Hale, Schaefer (available in Clinical Key), Briggs, Specialist Advisory Service

48. Questions from professionals –Drug ShortagesTemplates for local adaptation prepared by UKMi – available on SPS websiteMI – past enquiries, knowledge of local and All-Wales practice

49. Questions from professionals – travelTravax – HOWISFit for Travel – (Public) http://www.fitfortravel.nhs.uk/home.aspxTravel Health Pro – (Professional) http://travelhealthpro.org.uk/

50. Other resourcesRenal Drug Handbook and/or DatabaseMaudsley - Prescribing Guidelines in PsychiatryResources to support answering medicines-related questions in primary care: https://www.sps.nhs.uk/wp-content/uploads/2016/12/Resources-to-support-answering-medicines-related-questions-Dec_2016.pdf

51. Website addresses - Generalwww.nice.org.uk/news/nice-newsletters-and-alerts - NICE news and alertshttps://www.gov.uk/government/organisations/medicines-and-healthcare-products-regulatory-agency/email-signup - MHRA alertshttp://howis.wales.nhs.uk/sitesplus/878/home - e-library on HOWIShttp://www.wales.nhs.uk/ - e-library on HOWIShttp://www.wales.nhs.uk/sitesplus/878/page/71660 - BNF/BNF-Chttps://bnf.nice.org.uk/ - BNFhttps://bnfc.nice.org.uk/ - BNF for Childrenhttps://www.medicines.org.uk/emc/ - eMChttps://www.gov.uk/pil-spc - MHRA for SPCs and PILshttps://www.evidence.nhs.uk/ - NICE Evidencehttps://www.sps.nhs.uk - SPShttp://www.wales.nhs.uk/sitesplus/878/page/42366 - Micromedex

52. Website addresses - Patienthttp://www.nhs.uk/news/Pages/NewsIndex.aspx - NHS Choices - Behind the Headlineshttp://patient.info/ - patient information

53. Website addresses - specifichttp://cks.nice.org.uk – CKS (Clinical Knowledge Summaries)https://yellowcard.mhra.gov.uk/idap - iDAPshttps://www.gov.uk/government/publications/drug-safety-update-monthly-newsletter - Drug Safety Updatehttps://www.mskcc.org/cancer-care/treatments/symptom-management/integrative-medicine/herbs - complementary medicines

54. http://toxnet.nlm.nih.gov/newtoxnet/lactmed.htm - Lactmedhttp://www.fitfortravel.nhs.uk/home.aspx - fit for travel – (public)http://travelhealthpro.org.uk/ - travel health pro (was NaTHNaC) – (professional)Website addresses - specific