Florida National University Nursing Leadership Discussion.pdf
ClinicalKey - The worlds first clinical insight engine
1. Introducing the world’s first
Clinical Insight Engine
Mathew Williams – Elsevier Health, Asia Pacific
2. An innovative solution
“The coolest thing…is that your
entire music library…fits in your
pocket.”
“We put an entire medical library of
information at your fingertips.
Fast.”
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4. The physicians dilemma
Comprehensive Trusted
Regardless of Despite widespread
where they start preference and use of
their online electronic resources,
search, 40-53% of 75% still find formally
medical published resources
professionals use more trustworthy
more than one
source
100% of medical professionals
Speed to Answer need fast & accurate answers to
their questions
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5. Workflow alignment
The product needed to deliver more relevant results than
conventional clinical search engines and significantly reduce the
time users spend searching. It had to be Updated daily with pre-
press articles, book updates and other breaking content. 5
6. Students to surgeons, specialists
and beyond!
Ms. S Liu. Medical student
• Needs learning resources in multiple formats (books, videos etc.)
• Has a broad subject requirement; not deep into single areas
• Likes to choose between synoptic and full content
Dr. R. Nathan. Senior Resident – Surgery
• “Mechanics” driven by visual, procedural content
• Requires pre- and post- procedural care resources
• Well-defined, fairly narrow information requirements
Dr. J. Taylor. Cardiology fellow
• Broader information needs: diagnostic, treatment, general medicine
• Influenced by “experts”
• Drug information needs
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7. Comprehensive & Trusted
Plus:
• Selected third-party journals and content sources
• Guideline information (2,000)
• Elsevier and third-party published patient
education materials (15,000)
• Fully indexed MEDLINE (20,000,000)
• Fully indexed clinical trials (120,828 trials with
locations in 178 countries)
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9. Comprehensive & Trusted
From... ...To
Multiple products, each delivering
relevant content, but not integrated A single product that combines all
Elsevier’s HS medical and surgical
content in a single intuitive interface
Journals Procedures
MD Consult
Consult Consult
First Expert
Clinics
Consult Consult
Content
Clinical
E-Clips Imaging
Pharma-
Consult Consult
cology
Local HS
Med/Surg
Content
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11. Superior search technology
EMMeT – Elsevier‟s Merged Medical Taxonomy
1. Partnered with „Healthline‟ to obtain a proven taxonomy
(>10 years of development)
2. Based on globally recognised Unified Medical Language
System (UMLS) – from US national library of medicine
3. Includes MeSH, Snomed-CT, RxNorm & ICD-9
By indexing all of our content with EMMeT; searches are
faster and more accurate than ever before!
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13. EMMeT – A medical example
Parent Terms
Symptoms Breast Lump, Nipple Retraction, …..
• Breast Disorders
• Cancer of the Thorax
• Mammary Neoplasms
Diagnostic
• More…. Mammography, Breast Biopsy, …..
Procedures
Treatment
Chemotherapy, Mastectomy, ….
Medical Name Procedures
Malignant Neoplasm of the Breast
Semantic Relationships
Consumer Friendly Name
Medications Tamoxifen, Doxorubicin, …..
Breast Cancer
Synonyms
Malignant Tumor of Breast
Physician
Malignant Breast Neoplasm Surgical Oncologist, Radiologist, ….
Specialties
Breast Ca
Codes
ICD9 – 174.9 Risk Factors Family History, Genetics, Predisposition, ….
MeSH – D001943
SNOMED – 190121004
Semantic Type/Group
Neoplastic Process/Disease Prevention Screening, Preemptive Mastectomy, ….
Complications Metastatic Cancer, ….
Children Terms
• Breast Sarcoma Nutritional
Vitamins, Flaxseed, ….
• Familial Breast Cancer Supplements
• Malignant lymphoma of the Breast
• Malignant Neoplasm of the breast outer Alternative
quadrant Meditation, Yoga, ….
Procedures 13
• More…
14. Smart content
• Smart Content adds layer of meaning – telling
computers and humans how information and content
relates to one another.
• So unlike keyword searches, you will use the power of the
synonyms, core concepts, ontological relationships etc. to
enrich your search experience – versus the specific
phrase you searched under.
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15. The word on the street
• It's already thinking for the clinician, essentially asking if he wants more information on
specific aspects of patient care.
• UpToDate's strength is the fact that its expert authors look at all the research in the journals and
then synthesize it into focused reviews that sum up the most useful approach to diagnosis and
treatment. ClinicalKey, on the other hand, offers the more comprehensive approach by
providing a mountain of journal articles and textbook chapters that the end user can choose from.
• One advantage ClinicalKey offers that impressed me is its Smart Content, an exhaustive
collection of medical taxonomy tags that provides end users with more than the traditional predictive
search capability seen in UpToDate.
• ClinicalKey also has better filtering tools. Typing the term hyperthyroidism in UpToDate, I'm
given the option of filtering the topic results in only four ways. I can see content on adults, children,
patient--which includes patient education material--and graphics. Elsevier offers far more options.
*http://www.informationweek.com/news/healthcare/clinical-systems/232600864
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The foundational element of Smart Content is a medical taxonomy that is informed by user needs and, in this case, clinical information . Once we had determined what elements our taxonomy should include, we turned to Healthline, a company we were lucky enough to have an investment stake in, that had developed robust Smart Content capabilities to aid its consumer health business, and we endeavored to work with them, to create a Smart Content solution that was specific to a clinician’s needs.
