Sunday, 29 June 2008

Child Death Review Study

This report has been published by the Confidential Enquiry into Maternal and Child Health (CEMACH). It is the first report of a national confidential enquiry specifically focussed on child deaths. There were six key findings:
Key Finding 1: The feasibility of confidential enquiries in children: CEMACH recommended that it should prepare a strategy for the future development of the national confidential enquiry for child health in liaison with the National Patient Safety Agency, the Department of Health, the Department for Children, Schools and Families and other relevant bodies.
Key Finding 2: Good practice: The CEMACH enquiry panels found many examples of high quality care and examples where, even with outstanding care, the child died
Key Finding 3: The recognition of serious illness in children: CEMACH recommended (for paediatric care in hospitals) a standardised and rational monitoring system with imbedded early identification systems for children developing critical illness – an early warning score; and that efforts should be made to improve the detection of children with mental health problems.
Key Finding 4: Missed appointments and poor coordination of care: CEMACH recommends Health Services, including primary care and Child and Adolescent Mental Health Services (CAMHS) should proactively follow up children who do not attend their appointments.
Key Finding 5: Response to the recognition of life limiting illness: CEMACH recommends planning for future terminal care should consider where best to deliver care, at home or in a hospice.
Key Finding 6: The need for further epidemiological review of child deaths: CEMACH recommends (1) Ongoing national epidemiological analysis of child mortality; (2) Neonatal mortality surveillance: and (3) Extended scope of case review to ensure Local Safeguarding Chilrden's Boards are as successful as they could be in identifying preventable factors and should use the aggregated review findings to inform local strategic planning on how best safeguard and promote the welfare of the children in their area.
Key Finding 7: The complexity of child death: CEMACH recommends improving death certificate information.
Key Finding 8: The role of primary care: CEMACH recommends the maintenance of paediatric skills in general practice.

You can read the full report here and a version for children and young people here.

Thursday, 26 June 2008

Reference Manager software at GOSH

Reference Manager is a software package which allows you to quickly and accurately import citations from a database such as Medline or CINAHL, then generate bibliographies in different output styles. It can be used from within Microsoft Word to insert references and footnotes into a document and automatically generate a reference list in a chosen output style, e.g. for publication in a specific journal. This makes it an invaluable tool in any work that requires tracking of reference lists, such as clinical audit, guidelines writing or systematic reviewing.

The Postgraduate Medical Education department are pleased to announce that two copies of the Reference Manager software package have been purchased and installed on the computers in the Doctors’ Mess. In collaboration with the Friends of the Children of Great Ormond Street Library, training in using the software will be offered on a regular basis in Weston House from July. The package can also be used by GOSH staff in the Library.
If you want to know more about the software, or wish to book a training session, please contact Ruth Muscat, Clinical Information Support Librarian on x5175, or Grazia Manzotti, Deputy Librarian, on x2424. A list of all available information skills training offered by the Library can be found at

Tuesday, 24 June 2008

My Journals (TDNet) service extension

The My Journals (TDnet) service at has been extended until 31st December 2008. This will allow the NLH link resolver A-Z list to develop in parallel to this service. The specification for a new Table of Content service is being scoped by the Link resolver delivery team

Dialog Datastar extension

The National Library for Health has extended the Dialog Datastar contract for a further month, until 31st July. During July NLH will release 4.1 of Search 2.0 with further improvements and enhancement to ensure the Healthcare Databases Advanced Search (HDAS) is fit for purpose. This is the FINAL extension of the Dialog Datastar service.

Pain in premature babies

Premature babies undergoing medical procedures may be in pain even if there is no obvious physical hint of it, brain scans reveal. The BBC Health website reports that researchers from University College London found changes in brain oxygen levels - a response to pain - did not match other signs. The findings suggest commonly used scales to rate pain in babies may produce misleadingly low scores.

The study is published in the Public Library of Science journal.

Monday, 2 June 2008

LWW journals legacy archive now available

The LWW Journal Legacy Archive gives immediate access to the backfiles of 220 journals in major clinical and medical specialties, including nursing, infectious disease, surgery, and cardiology. Access is now available GOSH and ICH staff and students.Backfiles include the following journals:
Academic Medicine 1926-
American Journal of Nursing 1900-
Circulation 1950-
Laryngoscope 1896-
Medicine 1922-
Neurosurgery 1977-
Obstetrics and Gynecology 1953-

ICH staff and students should link to titles via the UCL Library ejournals list. NHS staff can access titles at Log in using your NHS Athens username and password. Choose Your Journals@Ovid and browse the alphabetical list of journals.