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Wirral University Hospital NHS Foundation Trust

Resources to support Audit activities

Below we have compiled a selection of key resources for staff, students, managers and researchers engaged in Audit activities. If you would like to suggest additions to this selection, please contact us.

Healthcare Databases

Dependent on the nature of the audit

Healthcare database

Area

Access

AMED

Allied Health related topics

Via NICE Evidence, NHS Athens account required

British Nursing Index and CINAHL

Healthcare and drugs topics

Via NICE Evidence, NHS Athens account required

HMIC and Health Business Elite

Management, Service Development, Governance and compliance related topics

Via NICE Evidence, NHS Athens account required

MEDLINE

Medical, Clinical topics

Via NICE Evidence, NHS Athens account required

PsycINFO

Psychological and Leadership aspects

Via NICE Evidence, NHS Athens account required

 

ProQuest Hospital Collection

Pubmed

UK DUETs - A database of treatment uncertainties from patients, carers, clinicians and from research recommendations. Covers a wide variety of health problems.

Clinical Decision Making and Evidence Summary Tools

UpToDate  (available to WUTH & CCC staff) provides evidence based summaries of clinical topics covering more than 20 specialties, as well as nearly 1,500 patient information topics, and more than 27,000 graphics, tables and videos available to download into presentations.  Use UpToDate as a starting point to gain a comprehensive overview of your topic.

Please note that Up to Date is an American resource. This is particularly important when using information on licensed indications, doses and treatment pathways. For UK advice please refer to the Medicines Formulary, the BNF or contact Medicines Information. OpenAthens details are required to access the BNF.

Please contact library staff for details if you need any help in creating or using your OpenAthens account.

Use UpToDate as a starting point to gain a comprehensive overview of your topic.

UpToDate user guide

Dynamed Plus  (available to WUTH staff)

DynaMed Plus™ is a clinical reference tool created by physicians for physicians and other health care professionals for use at the point-of-care. With clinically-organized summaries for more than 3,400 topics, DynaMed Plus provides the latest content and resources with validity, relevance and convenience, making DynaMed Plus an indispensable resource for answering most clinical questions.

DynaMed Plus editors monitor the content of over 500 medical journals on a daily basis. Each article is evaluated for clinical relevance and scientific validity. The new evidence is then integrated with existing content, and overall conclusions are changed as appropriate, representing a synthesis of the best available evidence. Through this process of Systematic Literature Surveillance, the best available evidence determines the content of DynaMed Plus.

Dynamed Plus provides direct links to British National Formulary, NICE Guidlines, SIGN Guidelines, Patient UK etc.

ProQuest Hospital Collection 
Offers an extensive range of health and social care publications and evidence-based resources.

PsycARTICLES 
Search full-text articles from leading psychology journals.

If you need any further help please contact the library

Systematic reviews

The Cochrane Library: Highest quality evidence including ‘gold standard’ systematic reviews

Turning Research into Practice (TRIP): Clinical search engine

Guidelines

NICE guidelines

NICE Evidence Search

Statistical information

Health & Social Care Information Centre (HSCIC)

Evidence Alerts

Dependent on the nature of the audit

Please see the full list of specialist Horizon Scanning and Current Awareness Bulletins available

Training

Further details about Finding the Evidence and Introduction to Critical Appraisal training.

Services

Literature searching service

Document and book supply

Our Specialist Services

Journal Club support service

Useful Websites

NICE Evidence Search: latest published research including guidelines, reports and care pathways

CASP critical appraisal checklists: checklists to enable you to appraise research studies in a systematic and straightforward way.

National Audit Office 

NHS England  

Healthcare Quality Improvement Partnership (HQIP) 

Commisioning for Quality and Innovation (CQUINS)

Patient UK 

Wirral Medicines Information Centre

Health & Social Care Information Centre

Remember to check the websites of the professional bodies relevant to the subject of your audit

Examples of library impact

LKS has provided literature search support for audit(s) on the following topics:

  • Robotic hysterectomy versus total laparoscopic hysterectomy - benefits / risks
  • Metformin related B12 deficiency and proposal for guidelines to treat.
  • 1. In patients needing Specialist Palliative Care*(P), do Bisphosphonates (I) improve cancer related bone pain (O) compared with usual treatment* (C)? 2. In patients needing Specialist Palliative Care* (P), does Denosumab (I) improve cancer related bone pain (O) compared with usual treatment* (C)? Population: patients with advanced cancer, requiring support from specialist palliative care. Usual treatment: Non-pharmacological and pharmacological pain management e.g. opiates, NSAIDS
  • National standards for colorectal surgery outcomes - 30 & 90 day mortality, readmission and return to theatre
  • the use/effectiveness of MEWS score in critically ill patient
  • Capillary Refill Time as an assessment of circulatory status in the critically ill
  • Working with people with dementia and their carers
  • Health care professional’s attitudes towards cancer patients who smoke
  • Patient satisfaction of a nurse led telephone follow up service for prostate patients
  • Awareness of CASP tools for critical appraisal skills programme tools among foundation doctors
  • The role of MRI in assessing response to neoadjuvant chemotherapy in breast cancer. As compared with the actual pathological response (ie if MRI shows a good response of the tumour to chemotherapy, does this correlate with the actual response seen when the tumour is resected and analysed by the pathologists?)
  • current and new practices/developments regarding radiotherapy induced skin reactions
  • Does follow up of isolated undisplaced or minimally displaced radial head or neck fracture affect long term outcomes in skeletally mature patients presenting to the emergency department

Please contact us to find out more.