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National electronic Library of Infection (NeLI) Patty Kostkova, Jane Mani-Saada, Gemma Madle, Julius Weinberg City ehealth Research Centre IHS, City University,

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Presentation on theme: "National electronic Library of Infection (NeLI) Patty Kostkova, Jane Mani-Saada, Gemma Madle, Julius Weinberg City ehealth Research Centre IHS, City University,"— Presentation transcript:

1 National electronic Library of Infection (NeLI) Patty Kostkova, Jane Mani-Saada, Gemma Madle, Julius Weinberg City ehealth Research Centre IHS, City University, London, UK

2 19/1/ 2004 East of England Clinical Virology Forum2 The Current Approach Guidelines in general practice: the new Tower of Babel? BMJ 1998;317:862-863 Overloaded GPs... 22 Practices in Cambridge 855 different guidelines a pile 68 cm high weighing 28 kg

3 19/1/ 2004 East of England Clinical Virology Forum3 The Internet Approach Internet provides overwhelming amount of medical information Medical portals: PubMed, Medline professional societies servers, Cochrane Library WHO reports, CDC reports, HPA data … major journals (BMJ, Bandolier, …) … So, what is the problem?

4 19/1/ 2004 East of England Clinical Virology Forum4 The Problem … 1. Health professionals need the information in the moment where and when they need it better search, metadata, content awareness, user customization, pre-processing … 2. Information quality and reliability VARY provide quality assured resources the best evidence-based information

5 19/1/ 2004 East of England Clinical Virology Forum5 The Solution: NeLH single-entry Digital Library providing the best available evidence and quality tagging and level of evidence for each document National electronic Library of Infection: one of the Specialist Libraries

6 19/1/ 2004 East of England Clinical Virology Forum6 NeLI: Infectious Disease Prevention, Control, Investigation and Treatment Clinical Infection Microbiology Epidemiology Public Health Immunology Vaccination Travel Medicine Emerging Infection Bio-terrorism Public Safety Respiratory Disease Infection Control Environmental Health Food Safety Gastroenterology Dermatology Paediatrics Hand Washing Globalisation

7 19/1/ 2004 East of England Clinical Virology Forum7

8 19/1/ 2004 East of England Clinical Virology Forum8

9 19/1/ 2004 East of England Clinical Virology Forum9 The Involvement of Professionals NeLI is developed for professionals and by professionals Evidence-based Quality Tagging = the key value- adding feature of NeLI Quality Tag: Time Stamp Publication Date Posting Date Review Date Reviewers Assessment based on Check List Level of Evidence Online Forum = comments to Quality Tag + Discussion

10 19/1/ 2004 East of England Clinical Virology Forum10 Quality Tagging: The Reviewers Assessment 1) Short summary/abstract Medline/NeLCD to provide 2) What question is the document addressing? Short 1 or 2 sentences 3) What type of study is it? (review, meta analysis etc.) 4) Are the methods valid, appropriate?YES/NO 5) Are the results/recommendations reliable?Short 1 or 2 sentences 6) Are there any major problems and biases? Short 1 or 2 sentences 7) Are there any other important/ relevant studies which confirm/ contradict Please provide these Signed ……… Which Society or Advisory Committee do you belong to ………

11 19/1/ 2004 East of England Clinical Virology Forum11 Quality Tagging: The Check List I. METHODOLOGICAL ISSUES For RESEARCH STUDIES Did the article address a focused issue? Was the aim/research question clearly described? Is the choice of the study design appropriate to perusal of this issue? … For GUIDELINES/REVIEWS Was the literature searched thoroughly? Were all important options and outcomes clearly satisfied? … II. WHAT ARE THE RESULTS What are the main findings? Do they address the research/clinical question? … III. APLICABILITY OF THE FINDINGS Will the results help you in your clinical judgment/patient management? Are the benefits worth the harm and cost? …

12 19/1/ 2004 East of England Clinical Virology Forum12 Authoring and Online Forum Authoring – the reviewers and their affiliations to societies, academic institutes and the NHS are made available through the NeLI Publicity for reviewers/societies Earn CPD points by providing NeLI reviews! Online Forum – discuss controversial QT Create online community around CD

13 19/1/ 2004 East of England Clinical Virology Forum13 Work In Progress New user-friendly technical solution Online Forum for each document = allow professionals to discuss the QT online Creating online community around DC Chat rooms for professionals and public Alerts on requested issues Professional commentary on information hitting the news Instant dissemination of outbreak control procedures Sharing teaching materials through NeLI

14 19/1/ 2004 East of England Clinical Virology Forum14 Summary NeLH – single-entry to the best available medical evidence NeLI – a Specialist Library of NeLH dedicated to infectious diseases Prototype: www.neli.co.ukwww.neli.co.uk The searchable database NeLI quarterly-published Newsletter (includes references to published papers) The reviewers assessment and full check list www.nelh.nhs.uk

15 19/1/ 2004 East of England Clinical Virology Forum15 Contacts www.neli.org.uk Jane Mani-Saada (J.Mani-Saada@city.ac.uk) – the information officer and coordinator of the online communityJ.Mani-Saada@city.ac.uk Patty Kostkova (patty@soi.city.ac.uk)patty@soi.city.ac.uk *** THANK YOU for your contributions to NeLI! ***

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