Presentation at Stanford Center for Biomedical Informatics Research, Stanford University School of Medicine, 4th of February 2010.

1. The Knowledge Egg Øystein Eiring, Geir Kristian Lund, Endre Aas. Innovation group and project management, EviCare, Norway. 1. The problem 2. Making a solution 3. The Egg

2. The problem 02/15/10

4. Evidence-based practice the heroic way

5. Evidence-based practice the heroic way 02/15/10

6. Evidence-based practice the heroic way

7. Are there short-cuts to evidence-based practice?

8. Building a solution 02/15/10

16. Shortcut # 4: evidence-based textbooks

17. Shortcut # 4: evidence-based textbooks Problem: lack local adaptation and ownership

19. Building a solution What if we combined all the short-cuts in a hierarchy? (some are better than others)

20. The 6S Model Quality-assessed single studies Systematic reviews Quality-assessed systematic reviews Single studies that need quality assessment Guidelines and evidence-based textbooks Local protocols, pathways in CDSS

21. Seek answers as close to the top as possible Quality-assessed single studies Systematic reviews Quality-assessed systematic reviews Single studies that need quality assessment Guidelines and evidence-based textbooks Local protocols, pathways in CDSS More reliable, relevant and readable

22. Building a solution: full-text access 02/15/10

24. Scientific journals Bibliographic databases Evidence-bases textbooks Clinical guidelines Systematic reviews

25. What if we merged the hierarchy with full-text local, national and international knowledge resources?

26. The Knowledge Egg

27. The Knowledge Egg Evidence-based local procedures/pathways Evidence-based textbooks Guidelines Systematic reviews Quality-assessed studies Other studies

28. One search into all resources Instruction

29. Usage: by the individual clinician at point-of-care 02/15/10 Here is the answer -in the top of the egg!

30. Usage: by those making procedures and pathways

33. Norwegian Electronic Health Library Øystein Eiring, Geir Kristian Lund, Endre Aas. Innovation group and project management, EviCare, Norway.