Searching with point of care tools sept 2010

Searching with Point of Care Tools Clerkship - Meds 2012 Sept 21, 2010 Robin Featherstone, MLIS Clinical Medicine Librarian [email_address] Presentation available at: http://www.slideshare.net/featherr

Objectives ,[object Object],[object Object]

Agenda ,[object Object],[object Object]

Lots of questions... ,[object Object],[object Object],[object Object],[object Object],References: Green ML, Ciampi MA and Ellis PJ (2000). Residents’ medical information needs in clinical: are they being met? American Journal of Medicine 109:218-233.

Lots of barriers... ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Reference: Green ML, and Ruff TR (2005). Why do residents fail to answer their clinical questions? A qualitative study of barriers to practicing evidence-based medicine. Academic Medicine, 80(2): 176-182.

Evidence to answer clinical questions 1,2 1 Heneghan, Carl, and Douglas Badenoch. Evidence-Based Medicine Toolkit. 2nd ed. Malden, Mass.: BMJ Books/Blackwell Pub., 2006. 2 Glover, Jan, and Lei Wang. Find it Fast: The Clinical Question : www.med.yale.edu/library/education/guides/screencasts/finditfast/finditfast_2/ Type of Question Type of Evidence Aetiology ,[object Object],[object Object],[object Object],Diagnosis ,[object Object],[object Object],Prognosis ,[object Object],[object Object],[object Object],Therapy ,[object Object],[object Object],Prevention ,[object Object],[object Object],[object Object],Cost-effectiveness ,[object Object],Quality of life ,[object Object]

Level of Evidence Pyramid Qualitative Studies Trip searches both

Systems, Synopses & Summaries Systems Synopses Summaries Few exist Number in the thousands Fewer than 50,000 Textbook-like; integrate clinical evidence with other types of info; directed at clinical practice decisions Summaries of studies and systematic reviews; includes guides or advice from expert clinicians Systematic reviews of articles and guidelines; you assess and make decisions Very easy to use Easy to use May require searching

Criteria for Selecting a Resource ,[object Object],[object Object],[object Object],[object Object]

Studies ,[object Object],[object Object],[object Object],Qualitative Studies

Available from Western Libraries (or for free) Find at: www.lib.uwo.ca/programs/undergraduatemedicaleducation/ Systems Synopses Syntheses Studies ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Accessing Point-of-Care Tools (AKA Systems): www.lib.uwo.ca/programs/undergraduatemedicaleducation

SEARCHING EXERCISES DIAGNOSIS QUESTION PROGNOSIS QUESTION TREATMENT QUESTION SCREENING QUESTION DRUG INFORMATION – DOSING DRUG INFORMATION – INTERACTION

Diagnosis Question ,[object Object],[object Object],[object Object],[object Object]

Diagnosis Question - Results Source Contains ACP Pier ,[object Object],[object Object],[object Object],[object Object],[object Object],UpToDate ,[object Object],[object Object],[object Object],DynaMed ,[object Object],[object Object],[object Object],[object Object]

Prognosis Question ,[object Object],[object Object],[object Object],[object Object]

Prognosis Question - Results Source Contains ACP Pier ,[object Object],[object Object],[object Object],UpToDate ,[object Object],[object Object],[object Object],[object Object],DynaMed ,[object Object],[object Object],[object Object],[object Object]

Treatment Question ,[object Object],[object Object],[object Object],[object Object],[object Object]

Treatment Question - Results Source Contains ACP Pier ,[object Object],[object Object],[object Object],[object Object],UpToDate ,[object Object],[object Object],[object Object],[object Object],DynaMed ,[object Object],[object Object],[object Object],[object Object],Natural Standard ,[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],Screening Question

Screening Question - Results Source Contains ACP Pier ,[object Object],[object Object],[object Object],UpToDate ,[object Object],[object Object],[object Object],DynaMed ,[object Object],[object Object],[object Object],TRIP Database ,[object Object],[object Object],[object Object]

SEARCHING EXERCISE – DRUG INFORMATION

Drug Information - Dosing ,[object Object],[object Object],[object Object],[object Object],[object Object]

Drug Dosing - Results Source Results UpToDate (Lexi-Comp) ,[object Object],[object Object],DynaMed ,[object Object],MICROMEDEX ,[object Object],[object Object],E-CPS ,[object Object],[object Object]

Drug Information - Interactions ,[object Object],[object Object],[object Object],[object Object]

Drug Interactions - Results Source Results Lexi-Interact ,[object Object],[object Object],[object Object],MICROMEDEX ,[object Object],[object Object],[object Object],[object Object],E-CPS ,[object Object],[object Object]

Summary ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

QUESTIONS Robin Featherstone, MLIS Clinical Medicine Librarian [email_address] Presentation available at: http://www.slideshare.net/featherr

Searching with point of care tools sept 2010

Empfohlen

Empfohlen

Weitere ähnliche Inhalte

Was ist angesagt?

Was ist angesagt? (20)

Ähnlich wie Searching with point of care tools sept 2010

Ähnlich wie Searching with point of care tools sept 2010 (20)

Mehr von Robin Featherstone

Mehr von Robin Featherstone (20)

Searching with point of care tools sept 2010