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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. 2 2 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] 3 3