(精选)The Birth of CEBIS Within Neonatal Care a Case Study教学课件.pptVIP

The Birth of CEBIS Within Neonatal Care: a Case Study Aislinn Conway Clinical Evidence Based Information Service Specialist 13th of June, 2011 Conception Labour Birth Development Conception Jacqui Cox, Clinical Librarian UHCW 2004 Ophthalmology, Diabetes and Endocrinology and Neonates Development and implementation of Evidence in Practice Groups Critical Appraisal training Business case, 2005 - 2009 CEBIS, 2010 Conception – triplets! CEBIS Specialists Division/Specialties Anna Brown Diagnostic Services Mandeep Heer (Aulakh) Medicine Diabetes Endocrinology Gastroenterology ED Infectious Diseases Aislinn Conway Women and Childrens Neonatology Paediatrics Obs Gynae CRM Labour: Stages of the CEBIS Model Handover or grand / ward round Scoping search/evidence summary feedback Ppt Presentation Ppt presentation and discussion Further action planned / decision to maintain or change current practice Actions completed and reviewed Birth – the Breakthrough Moment Background - SHO/Reg Case History - SHO/Reg Evidence - CEBIS Management - SHO/Reg Discussion - Consultants, ANNP’s, Medical Students, SHOs, Regs, Pathology, Dietitian etc. Example: Managment and Treatment of Neonatal Gastro-oesophageal Reflux (GOR) Uncomplicated GOR resolves in 90% of infants Complications – Gastro-oesophageal Reflux Disease Difficulties of Diagnosis of GOR SHO Investigate if a link exists between other apparent life threatening events (ALTEs) to aid diagnosis In the vast majority of infants, reflux is not related to pathologic apnea or to apparent life-threatening events, lthough a clear temporal relationship in individual infants University Hospitals Coventry and Warwickshire NHS Trust Neonatal DepartmentManagement and Treatment of Gastro-oesophageal Reflux in Neonates Development: keeping it alive and well to encourage growth NATURE: CEBIS System – currently at testing stage providing a platform on which to submit queries direct from EPR Direct link from patient reco