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UpToDate Converting care to currency

This study evaluates the significant impact of using UpToDate in clinical settings, focusing on saved time, referrals avoided, tests reduced, and length of stay (LOS) improvements. Conducted between February and May 2011, with continued evaluation through March 2013, the findings highlight a reduction in average LOS by 3.1 days and time savings averaging 3.9 hours per case. Notable areas of impact include avoided referrals to Hepatology and Neurology, and testing reductions in CT scans and other diagnostics. The results underscore the value of UpToDate in enhancing clinical decision-making and efficiency.

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UpToDate Converting care to currency

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  1. UpToDateConverting care to currency Jane Surtees Clinical Librarian MLA’13 Boston, MA

  2. The impact of UpToDate on: • Time saved; • Referrals to another department; • Tests avoided; • Length of stay.

  3. Background • UTD trial from February to end May 2011 • Extremely positive response n=117 • Whole library team involved in promotion • Bid for funding • Received two years subscription from charitable funds • Required to show sustainability

  4. Evaluation Study • SmartSurvey >August 2011 • Responses as of March 2013 n=113 • Staff groups represented were mainly Consultants, with nursing staff, and scientists, tech and pharmacy being the next largest groups

  5. Imaging tests avoided • CT scans • Blood, Repeat CXR, CT scans • Repeat G6PD screen and assays • CT and MR

  6. Average estimated length of stay reduction of 3.1 days • Some respondents pointed out that the question wasn’t relevant due to patient being an outpatient or that the patients’ admission was avoided.

  7. Average time saved 3.9 hours • Most cited around 2-3 hours being saved

  8. Identified referrals avoided to: • Hepatology • Rheumatology • Haematology • Neurology/Regional neurology centre • Chemotherapy

  9. ‘Other’ decisions influenced: • Education • Prevention • Guidelines • CPD • Prognosis

  10. Comments

  11. Conclusions • Undeniable cost saving to be made – especially in time; LOS reduced • Strong argument for potential avoidance of costly litigation • Evidence from clinicians that referrals and tests ARE being avoided • Used by unexpected areas – Pharmacy • High popularity for use in teaching and CPD and therefore reinforce EBM • Shows greatest asset in high pressure areas such as A&E and filters to rest of hospital – MAU & SAU • Popular for use on ward rounds

  12. Thank you for listening! • Any questions......? • Contact information: janesurtees@gmail.com or jane.surtees@kellogg.ox.ac.uk

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