Transcript PDA Resources for Evidence-Based Medicine

PDA Resources for
Evidence-Based Medicine
The Welch Medical Library
May 6, 2004
Cindy Sheffield, MBA, MLS
Claire Twose, MLIS
Brian Pinto, PharmD
Mark Dodd
Today’s Lecture
Intro to Evidence-Based Medicine
Intro to Personal Digital Assistants
Resources
Government Guidelines Clearinghouse
PubMed
FIRSTConsult
mobileMICROMEDEX
Lexi-COMP (fee)
PICO Maker
EBM Calc
Other Learning Opportunities
Other Resources
Questions and Answers
EBM Definition
Evidence-Based Medicine is the
conscientious, explicit and judicious
use of current best evidence in making
decisions about the care of individual
patients.
Glossary, Centre for Evidence Based Medicine,
Oxford accessed April 28, 2004 http://www.cebm.net/glossary.asp
3 Evidence is
Critically Appraised
by Reputable Source
1 Refine Question
2 Select Sources for
Pre-processed literature
2 Formulate Query
2
Perform Search
No
2
Yes 4
Evaluate results:
Satisfactory?
Finding EBM Flow Chart
Incorporate into
Patient Care
5
Evaluate
Process
Managing the Literature
Usefulness of
Medical
Information
=
Relevance x Validity
Work
Shaughnessy AF, Slawson DC, Bennett JH. Becoming an information master: a
guidebook to the medical information jungle. J Fam Pract 1994 Nov; 39(5):489-99
Levels of Evidence:
study design
Stronger
Weaker
Medical Center Library, Duke University
Welch’s EBM Page:
Quicklinks, EBM
Intro to PDAs: Palm vs. Pocket PC
Operating Systems
Palm
Pocket PC
Intro to PDAs: Palm vs. Pocket PC
Introduction to PDAs – more info
• Jim’s Palm Pages
– http://www.jimthompson.net/palmpda/
• Dalhouise
– http://handheld.medicine.dal.ca/introduction/index
.htm
• pdaMD.com Learning Center
– http://www.pdamd.com/vertical/features/wireless
_2.xml
• Etopicbrain
– http://pbrain.hypermart.net/basics.html
Government Guidelines
Clearinghouse
• Public resource for evidence-based
clinical practice guidelines
• NGC is an initiative of the Agency for
Healthcare Research and Quality
(AHRQ)
• Can use a Reader with Palm; wireless
direct access available on Pocket PC
http://www.guideline.gov/
Government Guidelines
Clearinghouse
PubMed
• Search in Medline for citations and abstracts
• Will provide interactive access in a wireless
environment
http://certif.nlm.nih.gov:8080/nlm/
• Can use same address as Avantgo Channel
• Project called PubMed on Tap
http://archive.nlm.nih.gov/proj/pmot/pmot.php
PubMed
Search directly
with a wireless
connection or
use Avantgo
and create a
custom
channel.
FIRSTConsult
•
•
•
•
330 Differential Diagnoses
450 Medical Conditions
3 Different download sizes
Updated quarterly
http://www.welch.jhu.edu/internet/ebr.
html#PDAs
FIRSTConsult
mobileMICROMEDEX
•
•
•
•
•
Drug information and interactions
Alternative medicine information
Acute care
Toxicology information
Formulary advisories
http://jhmcis.jhmi.edu/mdxcgi/mdxhtml
.exe?&tmpl=mobile.tm1&SCRNAME=mo
bile&CTL=E:\mdx\mdxcgi\megat.sys
mobileMICROMEDEX
Lexi-COMP
• Provides drug interaction information
• JHH Formularies
www.lexi.com
Lexi-COMP
PICO Maker
• Store queries in PICO format for later
• Assist students and clinicians with
evidence based practice.
• Palm based
http://www.library.ualberta.ca/pdazone/pico/
PICO Maker
EBM Calc
• Statistics for Diagnostic, Prospective, Case
Control & Randomized studies
• Can graph pre- and post test probability with
likelihood ratio for Diagnostic Studies.
• Can save results and view at another time
EBM Calculator – Centre for EBM – University
Health Network
http://www.cebm.utoronto.ca/palm/ebmcalc
EBM Calc
Other Learning Opportunities
Library Classes
(Resources for Research and
Information Management & Presentations):
• Evidence-Based Health Care – 6/24/04 pm
• Pharmacology Resources – 8/12/04 am
• Evidence-Based Critical Appraisal for Patient
Care - 7/27/04 am
• Registration @
http://www.welch.jhu.edu/classes
October 12th
All Day Event
See
http://mobileathopkins.jhu.edu/
For details
Other PDA Resources of Interest
• Avantgo – host server
https://my.avantgo.com/home/
• Hopkins Antibiotic Guide
http://hopkins-abxguide.org
• ePocrates
www.epocrates.com
• MedCalc
http://www.collectivemed.com/jump/medca.shtml
Where to find PDA Resources
http://www.welch.jhu.edu/classes/elearning/pdaresources.html
• Dalhousie University Handheld Recommendations - Organized
set of hardware descriptions and software specifically for
medicine with informative recommendations
• ectopicbrain - List of medical applications with descriptions for
each
• handheldmed - Delivers point of care content and applications
for healthcare professionals
• pdaMD.com - Premier website providing tutorials, forums,
news, and software for health care professionals who use
PDAs
• Skyscape - Extensive list of medical reference titles
Where to find PDA Resources
• CollectiveMed - Owned and operated by healthcare
professionals
• MedicalPocketPC - Software, news, and reviews for PocketPC
and WinCE medical users
• HealthyPalmPilot - Over 700 downloadable healthcare
resources from pdaMD.com
• Memoware Medical Downloads - Over 300 downloads for
medical specialties
• Johns Hopkins Office of Academic Computing – Several medical
applications for the Palm OS.
• WelchWeb’s Personal Digital Assistants – A guide to resources for
healthcare.
How to Evaluate PDA Resources
Knowing What’s What and What’s Not
http://www.mediaawareness.ca/english/resources/educational/handout
s/internet/5ws_cyberspace.cfm
Ten C’s for Evaluating Internet Sources
http://www.uwec.edu/Library/Guides/tencs.html