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Medicines Resources Update

Medicines Resources Update. Dave Abbott Pharmacist, Leeds Medicines Advice. What we are going to cover. What is out there – a refresher For you For patients How to think about the qualities and limitations of resources. Where to go when you’ve forgotten this presentation.

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Medicines Resources Update

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  1. Medicines Resources Update Dave Abbott Pharmacist, Leeds Medicines Advice

  2. What we are going to cover • What is out there – a refresher • For you • For patients • How to think about the qualities and limitations of resources

  3. Where to go when you’ve forgotten this presentation • www.leedsformulary.nhs.uk

  4. Where can I find a list of reputable resources? • Leeds Formulary • UKMi produce a listquarterly • Available on the Specialist Pharmacy Services (SPS) website – www.sps.nhs.uk

  5. Core Resources

  6. The BNF • Multiple versions • Medicinescomplete • Evidence.nhs.uk • App • Paper copies

  7. Summary of Product Characteristics (SPCs)

  8. Specialist Pharmacy Servicewww.sps.nhs.uk • Lactation database • Medicines Q&As • Lots of stuff, but difficult to navigate • They’re trying to fix it, but in the meantime try googling with “site: sps.nhs.uk” at the end

  9. Where did UpToDate go? • Replaced with BMJ Best Practice • Register for an account whilst on-site, and you can then access it anywhere • Organised by condition

  10. Specialist Topics

  11. Interactions • Don’t forget BNF and SPCs • Medscape Drug Interaction Checker • Very cautious • First Databank through eMEDs “resource viewer” • Slightly less cautious • Think about drug-disease interactions too

  12. Pregnancy and Lactation • UK Teratology Information Service – for HCPs • Monographs available summarising pregnancy data • Phone number available in / on BNF • BUMPS - for patients • UKTIS monographs translated for patients • Lactation database • Via SPS website • Lactmed

  13. Information for Patients • www.nhs.uk • Medicines for Children

  14. Complementary Medicines • Medicines Q&As • Via SPS website • Memorial Sloan-Kettering Cancer Centre

  15. Swallowing difficulties • http://swallowingdifficulties.com/ • By Rosemont so careful about sales • Useful information for healthcare professionals about crushing tablets etc. • Click on ‘Additional information for Healthcare Professionals’

  16. Trip Database • Turning Research Into Practice – access to evidence • Funded by Health Education England for 1 year

  17. Thinking about resources

  18. What order should I use resources in? • Do we have local guidance? • Leeds Health Pathways / Leeds Formulary • It’s what we do in Leeds, so everyone’s doing the same thing • Things will have been reviewed already and streamlined / simplified • Is there NHS guidance? • NICE / CKS • It’s the right thing to do, but may give multiple options • Is there non-NHS guidance? • Royal Colleges / BMJ Best Practice • Many more options • Do I have to “make it up” myself?

  19. What makes a good resource? • Accurate • Right level of information • Reputable • Available

  20. How do I assess if a resource is reputable? • Use the UKMiResource Assessment Tool as guidance • Has someone else you trust done an assessment already? If not… • Is it an appropriate person/organisation providing the information? Relevant qualifications / experience etc. • Is the information referenced to sensible resources? Is there a publication date and review date? Is the editorial policy clear? • Is the information relevant to your patient group? Does the cohort the resource covers match your patient? If a non-UK product, does their practice match ours, and are the products available in the UK?

  21. What’s wrong with Google? • Google helps you find things. Some of these are really good - some of them less so. • It isn’t Google’s job to help you tell the difference • Google is very good at finding things. • Just because someone somewhere has done it before you doesn’t mean you should do it as well. • Google works by algorithms, but you don’t know what these are. • Pragmatic review of published evidence and research – not necessarily comprehensive • Pragmatic review of published evidence and research – not necessarily comprehensive

  22. How to Google safely • Be aware of what it does • Use a structured search • Search wider than [drug – condition] – search for general guidance too • Search for uk or nhs guidance (site: nhs.uk) • Google Scholar? • If you’re trying to find everything, combine it with a search of a structured database (Embase)

  23. Who can help you? • Your ward/ specialist pharmacist • The Leeds Formulary • Leeds Medicines Advisory Service • 65377 • Medicines.information@nhs.net • Patient helpline

  24. Questions

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