BNF publications are available as eBooks from a variety of vendors. BNF eBook – Available as an ePDF. Tel: +44 (0) 20 Download mobile apps by visiting your appropriate app store. When dispensing liquid preparations, a BNF 76 xvii sugar-free preparation should always be. Compiled with the advice of clinical experts and continually updated to reflect the latest evidence from credible sources worldwide, the new.
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Compiled with the advice of clinical experts and continually updated to reflect the latest evidence from credible sources worldwide, the new edition of the British. Click link bellow and free register to download ebook: BNF 72 (BRITISH NATIONAL FORMULARY SEPTEMBER MARCH ) FROM. Download mobile apps by visiting your appropriate app store. Available for iOS, Android and BNF eBook – Available as an ePDF via a range of suppliers. sugar-free preparation should always be used in preference to one containing.
In a greatly revised and improved softback version was published and it has been revised and published twice a year since. It has acquired a reputation for being reliable, relevant and up to date. The current challenge is to provide the BNF data electronically, as three examples show. Secondly, FormularyComplete is a system that enables hospitals, regions, or even countries to create their own formularies, by adding information on costs, local policies and drug availability to an intranet version of the BNF, a data source that cannot be modified. Thirdly, the BNF is working with others to provide the BNF data as computer-readable content, to support electronic prescribing and medicines management.
Whereas 60 years ago the role of the formulary was to provide much-needed information on medicines where previously there was none, now the need is for a way of sifting through libraries of information and gigabytes of data produced daily by clinical researchers, regulators, pharmaceutical companies, providers of guidelines and professional bodies worldwide.
Health care professionals require a digest based on evidence and best practice on which to frame their decisions at the point of care. The role of the modern formulary has become collecting, filtering, filleting and publishing guidance in an appropriate format. In addition, a well-constructed formulary can communicate purpose and intent through a chain of professionals, from the prescriber to the pharmacy, and from the dispenser to the team charged with administering medicines and monitoring their effects.
The British National Formulary often commissions market research to monitor the extent to which it meets these requirements. In order to limit bias and to compare different sources of medicines information, the agency involved carries out the work initially without revealing that the BNF is the sponsor. In , the last time such an exercise was conducted, the agency was Kantar Health and the survey covered doctors, nurses and pharmacists in primary care and acute care.
More than four out of five respondents said the BNF was their preferred source. This is a small increase on the proportion that preferred the BNF in The BNF is consulted in book form over 3 million times a week. In a separate study, funded by the Royal Pharmaceutical Society and led by a team at the West Midlands Centre for Adverse Drug Reactions  , the BNF was found to conform most closely to an ideal prescribing guide when compared with other commonly available prescribing resources.
In a research study commissioned by the BNF and conducted by Kantar Health, doctors, pharmacists and nurses were asked about their use of the BNF in various formats, including digital devices and computers. The contexts in which the print and digital formats are used are also different. Most people use the book to aid decisions, typically about doses, at the point of care. In contrast the BNF in digital form is most often used for review, education and continuing professional development CPD.
This may be explained by the relative scarcity of IT resources at the point of care in the NHS, or convenience and ease of use for those who are accustomed to using the BNF in its book form. These results also apply to other sources of medicines information. Medicines information is available from a number of different providers in a number of formats, some of which are shown in Table 1. Sources from all over the world compete for attention on the internet, including US resources such as Epocrates on handheld devices, and industry resources such as the electronic medicines compendium from Datapharm.
Like other sources, the BNF and BNFC are available online through the internet and also for download on to computers or mobile devices. This allows users to search for potential adverse reactions to a steroid enema from anywhere in the world, including a hospital basement or a patient's home. The key benefit of digital formats over print is ease of searching.
Users typically search by drug name and find the information they need immediately. In June the top search terms on bnf. On bnfc. Over 20 professionals visit bnf. New technology makes demands on a publisher, but also offers tools to meet these demands. All sources of medicines information now have the ability to update information far more often than has previously been the case.
By the BNF will be providing monthly updates of information. This will be achieved by a continuous editorial process. In order to do this, and also to offer greater flexibility for users in the way information can be accessed, greater granularity will be required in the content itself, so that individual elements of information can be updated or used in isolation from the whole.
This offers great potential for richer use. The development and increasing use of e-prescribing and dispensing systems offer opportunities for users to link to drug information directly from the system.
In a number of systems, drug information is used to drive alerts that inform prescribers of potential problems by interrogating patient records at the point of prescribing. For example, First DataBank's Multilex drug file can present a user of the JAC system with an alert message when a prescribed drug may interact with another that a patient is already taking.
The potential for improving prescribing, for instance by identifying prescribers more likely to make serious errors, is not yet clear . However, incremental steps towards making use of drug information to drive prescribing behaviour and advance patient safety are being made, and some research shows the benefit of a phased approach to implementation of decision support . At the moment most clinical decision support is rudimentary, although richer sources, such as the BNF, have the potential to offer greater value to prescribers as the system becomes more sophisticated.
The BNF is working with Cerner to produce decision support alerts for allergies, duplicate therapy, interactions, dose range checking and drug—food interactions, as well as reference links to the BNF and order sentences a predefined set of frequently prescribed medication regimen options. The editorial approach at the BNF, which involves significant filtering to provide important messages only, aims to reduce over-alerting in the Cerner Millennium system.
The use of medicines information to provide alerting in e-prescribing systems means that knowledge has to be represented as logical data sets.
For example, an interactions checker on a hand-held device might use the same data that drives interactions alerting in a clinical system. The BNF is exploring the possibility that such discrete software modules might be valuable for prescribers. A knowledge base as well known as the BNF can be used as a foundation for local formulary management. Formulary Complete allows a medicines information team, for example in a hospital pharmacy, to annotate drugs and conditions, add documents and links and mark drugs as on-formulary, off-formulary or restricted according to local requirements.
The resulting local formulary, with an underlay of the BNF and BNFC, constantly updated, can then be re-published on local servers, allowing a health-care community to use the information in a format they can recognize, through their hospital network rather than online, thus improving compliance with local policies.
The potential for users of the BNF to annotate, rearrange and link to other sources, such as local information, licence documents such as summaries of Product Characteristics SmPCs , patient information leaflets and third party content such as specialist information sets for example, Injectable Drugs Guide , BMJ Best Practice, NICE and Royal College guidelines, makes Formulary Complete a powerful tool for improved selection and use of medicines.
Sources of medicines information abound, particularly in digital formats. The challenges for the future of the BNF include maintaining this position and managing the increasing amount of data so that it is presented usefully at the point of care. New digital formats, delivered through desktop and hand-held computers, pose opportunities and challenges.
The challenge is being met by the BNF. Many sources of medicines information are available offline and online, and increasingly through clinical, e-prescribing and dispensing systems. In some cases these sources also drive automated alerts based on patient information. As systems become more sophisticated, the value of richer sources, such as the BNF, will be able to be realized. Local guidelines, policies and information can be framed and published by using well-known medicines information sources as a foundation.
This offers improved compliance within a health-care organization. Future developments will involve linked and shared content from many sources Figure 1. National Center for Biotechnology Information , U.
Br J Clin Pharmacol. Published online Feb Martin Kendall and Duncan Enright. Author information Copyright and License information Disclaimer. This article has been cited by other articles in PMC. Introduction Formularies were originally recipe books written in Latin to help pharmacists prepare remedies  , most of which were ineffective.
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