Download Clinical Evidence Based Information Service

Clinical Evidence Based
Information Service (CEBIS)
We Care. We Achieve. We Innovate.
Innovation Case Study
Background:
The development of CEBIS was a direct response to barriers to implementing evidence
based practice such as a lack of time, access to information and critical appraisal skills.
Evaluations of the CEBIS service have shown benefits for individual patients, patient
management in regards to guideline development and impact on cost efficiency.
Linked to the electronic patient record CEBIS enables the clinician to share information
with the patient and enables workflows to be prioritised according to patient need,
regardless of whereWe
in the
Trust
patient We
is seen.
Care.
Wethe
Achieve.
Innovate.
‘CEBIS enables the clinician to share information with the
patient and enables workflows to be prioritised according to
patient need’
CEBIS has changed how we work and who we work with. As we move from pilot stage
to full access within the Trust, clinicians are becoming more familiar with its processes
and more confident in referring and sharing patient-related questions.
CEBIS is an initiative that has evolved from building relationships, negotiating barriers
and transforming a concept into an ICT system.
Project Details:
An ICT System to deliver a Clinical Evidence Based Information Service (CEBIS) directly
to the electronic patient record.
CEBIS provides staff with a mechanism to refer questions for a
comprehensive review of current research evidence. An Evidence Summary
is provided and in circumstances where there is little or conflicting information,
Clinical Evidence Based Information
Service (CEBIS)
an Evidence in Practice Group facilitates information sharing and open discussion for
decisions on quality patient care.
The CEBIS System provides a searchable interface for the increasing bank of
information produced and knowledge acquired. It incorporates a discussion forum to
facilitate communication across specialties, professions and work shifts.
Impact:
Implications for the Trust are threefold; an infrastructure for CEBIS, a tool for clinicians to
apply evidence based practice and evidence of our commitment to driving quality
through patient-focused care.
Financial commitments included the recruitment of three CEBIS Specialists (Band 6),
three laptops and development funding for the System. The business case was
reviewed after one year. At this stage the system was still in development, however
CEBIS demonstrated a continued benefit for individual patients, patient management
and education.
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Research Development & Innovation
CEBIS is a quality initiative within the Trust as such, any resulting cost-savings are a
bonus:
Does the use of local anaesthesia in vitreoretinal surgery compromise the patient?
• No evidence of compromise to surgical outcome or patient safety
• Change from 80% general to 80% local anaesthesia procedures
Is it necessary for patients to withdraw aspirin use prior to oculoplastic surgical
procedures?
• No evidence for patients to continue aspirin
• Reduction in surgical waiting times, facilitated use of short-notice surgical
cancellations, shortened length of pre-operative assessments
In neonates, how effective are medications at treating gastro-oesophageal reflux?
• First line treatment changed
• Reduced drugs costs, nursing time to prepare and administer treatment
In neonates with tongue tie, is there any evidence that frenotomy is an effective
treatment?
• EPG collaboration with Infant Feeding Co-ordinator from Coventry Health
Improvement Programme (CHIP)
• Pathway developed to refer patients to treatment hospitals
Contact Details:
Jacqui LeMay, Head of Knowledge Services, [email protected]
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