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UpToDate Converting care to currency Jane Surtees Clinical Librarian MLA’13 Boston, MA
UpToDateConverting care to currency
Jane SurteesClinical Librarian
MLA’13 Boston, MA
Time saved;
Referrals to another department;
Tests avoided;
Length of stay.
The impact of UpToDate on:
UTD trial from February to end May 2011 Extremely positive response n=117 Whole library team involved in promotion Bid for funding Received two years subscription from
charitable funds Required to show sustainability
Background
SmartSurvey >August 2011 Responses as of March 2013 n=113 Staff groups represented were mainly Consultants, with nursing staff, and scientists, tech and pharmacy being the next largest groups
Evaluation Study
Aug-1
1Sep
-11Oct-
11Nov
-11Dec-
11Jan
-12Feb
-12Mar-
12Ap
r-12
May-12
Jun-12 Jul-
12Au
g-12
Sep-12
Oct-12
Nov-12
Dec-12
Jan-13
Feb-13
Mar-13
0
200
400
600
800
1000
1200
1400
1600
Total Number of Topic Hits Per Calendar Month
Month
Num
ber
of h
its
• Imaging tests avoided• CT scans• Blood, Repeat CXR, CT scans• Repeat G6PD screen and assays• CT and MR
• Average estimated length of stay reduction of 3.1 days
• Some respondents pointed out that the question wasn’t relevant due to patient being an outpatient or that the patients’ admission was avoided.
• Average time saved 3.9 hours• Most cited around 2-3 hours being saved
Identified referrals avoided to:• Hepatology• Rheumatology• Haematology• Neurology/Regional neurology centre• Chemotherapy
‘Other’ decisions influenced:• Education• Prevention• Guidelines• CPD• Prognosis
Comments
Undeniable cost saving to be made – especially in time; LOS reduced
Strong argument for potential avoidance of costly litigation
Evidence from clinicians that referrals and tests ARE being avoided
Used by unexpected areas – Pharmacy High popularity for use in teaching and CPD and
therefore reinforce EBM Shows greatest asset in high pressure areas such as
A&E and filters to rest of hospital – MAU & SAU Popular for use on ward rounds
Conclusions
Thank you for listening!
Any questions......? Contact information:[email protected] or [email protected]
