Major Websites for MI

NMITC September 2013 Alison Alvey

Senior Medicines Information PharmacistSWMIT

Aim

Provide an introduction to websites and databases commonly used when working

as a Medicines Information pharmacist

Learning Outcomes

By the end of this session, you should have: Developed your knowledge of Medicines

Information databases/websites included in UKMi Essential Resources list

Developed a knowledge of strengths and weaknesses of these databases/websites

Developed ability to effectively search these databases/websites

Websites

UKMieBNF & eBNFCeMCNHS EvidenceDoHGoogleMHRANHS Choices

eMIMsCKSToxbaseCochraneTICTACMedicines completeNatural medicinesMicromedexMI Databank

UKMI

www.ukmi.nhs.ukSupports the UKMi networkMI NewsFridge DatabaseOther specialist MI resourcesMedicines Q and A

Useful documents on UKMi Enquiry Answering Page

Under the Clinical Governance headingwww.ukmi.nhs.uk

• Resources for Purchase – Includes both paper and web based resources with hyperlinks

• Resources with free access July 2013• Effective Use of the Internet for Enquiry

Answering - PDF document provides guidance on safe and efficient use of the Internet

• Risk Issues with common sources used by UKMi

eBNF & eBNFc

www.bnf.org or via medicines completeSearch or browseUpdated monthlye-newsletter – alert service for new developments/updates Calculations/conversions

eMC

http://www.medicines.org.uk/emc/ SPCs PILsX-PIL serviceMedicine GuidesUpdated dailyAdvanced search function

NHS Evidencehttps://www.evidence.nhs.uk/Primary portal to evidence based medicine Information from range of bodies…. BNF, NICE, Cochrane, eMC, SIGN, SMC,UKMI, CKSFree accessEmbase/Medline (gated through Athens)Register for daily news email previously provided by NeLM

How to search the NHS Evidence

Simple Google-style search, but suggests search terms as you type – accept suggestionsCan then filter results to find what you’re looking for

NHS Evidence – Journals and Databases

Department of Health

www.dh.gov.ukDifficult to navigate

Lots of archived documents – your 1st hits may not be the most up to datePut in the year – sometimes helpsUse Google add “www.dh.gov.uk” to your search Hosts Immunisation against Infectious Disease (‘The Green Book ‘)

Google & Google Scholar

www.google.co.ukPowerful search engineThousands of hitsMany ways of limiting searchesScholar - limits to academic sites

BUT use it wisely

MHRA – Drug Analysis Prints

Medicines and Healthcare products Regulatory Agency

www.mhra.gov.ukAnother website that isn’t easy to navigateSave the URL into MiDatabank or favourites

folder or follow link from home page DAPshttp://www.mhra.gov.uk/Safetyinformation/Howwemonitorthesafetyofproducts/Medicines/TheYellowCardScheme/YellowCarddata/Druganalysisprints/index.htm

NHS Choices

www.nhs.ukGeneral resourcePatient informationBehind the headlinesMedicines guides – accessed via conditionMap of Medicine Guidance on disease management in

pathway format

Map of medicine

eMIMs

www.mims.co.ukUsername and log in from your regional centreUseful for pricesSome good tables e.g comparing drugs in the same therapeutic class (e.g Insulins, HRT)Summaries of guidelinesSelf-help directory

Clinical Knowledge Summaries (Previously Prodigy )

http://cks.nice.org.uk/Practical, evidence-based guidelines and information for GPsFree accessUseful for enquiries relating to conditions mainly managed in primary careGives simple guidelines, but also the rationale & evidence behind them (click on “basis for recommendation”)

Toxbase

National Poisons Information Service

Poisons, antidotes etc

Medicines in Pregnancy - UKTIS

http://www.toxbase.org/

Cochrane Library

Cochrane LibraryFree access via NHS Evidence Collection of 6 databases including…Cochrane database of gold standard systematic reviews on specific subjects

Include plain language summaryDatabase of Abstracts of Reviews & Effects (DARE)Should be covered by NHS Evidence search

Cochrane Library

Cochrane Database of Systematic reviews

- ‘gold standard’- Each review addresses a clearly

formulated question- Each review supervised and peer

reviewed by a Cochrane review group

Cochrane Library

Database of Abstracts of reviews and effects (DARE)

- Abstracts of systematic reviews which have been quality assessed by Centre for Reviews and Dissemination, University of York

- Includes summary of review together with critical commentary on quality

Cochrane Library: Searching

Basic (quick search): enter search term in search boxSearch defaults to title, abstract and keyword but have option to further filter thisSearch results displayed for each of the individual databasesFor systematic reviews: ‘Review’ indicates completed review; ‘Protocol’ indicates proposed/ongoing reviews

Cochrane Library: Searching

Advanced search: click on link below search boxAllow combined search terms using AND, OR and NOTCan refine search by selecting individual databases to search (search limits)Online guides & tutorials Access from home page under Learn heading

Workshop – Demos

Split into 3 groups - stationsTICTAC - AliMedicines Complete - AliNatural Medicines Database – HelenNHS Evidence – HelenMicromedex – LibeMI Databank – LibeWorkshop questions