Transcript 新介面使用培训 - 医学信息研究所

MICROMEDEX 2.0
Fabien Wecker
Sr. Global Clinical Client Relations Manager
January 24, 2012
Why Micromedex?
• Trusted Content
值得信赖的内容
• User-friendly platform
友善的使用平台
• Intuitive User Interface
直觉性的使用者介面
• Greater search capability
©2011 Thomson Reuters
强大的搜索功能
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International Information
International information includes:
国际的信息包括：
– Martindale: The Complete Drug Reference
马丁代尔药典：完整的药物参考资料
– Index Nominum
全球药物目录
– Herbal Medicines: A Guide for the Health-Care
Professional
©2011 Thomson Reuters
草药: 健康照护专业的指引
– Patient education in as many as 17 foreign languages
多达17种语言的病患教育信息
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MICROMEDEX 2.0
CONCEPTS AND THEORY
概念与理论
Knowledge Development Organization
知识建置组织
• Large in-house team of clinicians, medical writers,
librarians, and clinical analysts
拥有大量的临床工作者、医学作者、图书馆员与林床分析员所组成的内部
团队。
• In-house expert in research methodology provides ongoing training on literature evaluation for all writers and
reviewers
内部研究方法专家提供作者/审阅者做文献评估培训。
• Content is developed based on documented editorial
policies and procedures to facilitate the practice of
evidence-based medicine
©2011 Thomson Reuters
数据库内容依据文献编辑政策与流程建置，促进循证医学的实务运用。
• Editorial staff is responsible for a process leading to the
creation of accurate, unbiased, comprehensive
MICROMEDEX® products content
编辑团队负责MICROMEDEX产品内容建置过程的资料准备性、中立性以
及完整性！
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Literature Surveillance
文献把关
A full time library staff, along with our senior clinicians,
monitor the worlds medical literature every day
全职的图书馆员搭配我们资深的临床工作者每天监视全球医疗文献
• Estimated over 12,000 medical articles
published per week
估计每周超过12,000篇医疗文献出版
– On-going literature surveillance
持续文献把关
©2011 Thomson Reuters
FDA 美国食品药物管理局
Guideline organizations 医疗组织的导引
Dialog alerts 争议警讯
Electronic newsletters 医疗电子报
Listservs 论坛
Electronic table of contents 电子目录
– Targeted Searches
目标搜寻
Specific topics 特定的主题
Clinical specialty 临床专业
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Literature Evaluation 文献评估
We include the best of the available medical literature in our content
我们将合适、最好的医疗文献信息收录在我们的内容中
©2011 Thomson Reuters
• Rigorous Literature Evaluation Policy 严谨的文献评估政策
• Ongoing Training in Literature Evaluation 持续的文献评估培训
• Conflict of Interest Policy 利益冲突政策
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Critical Evaluation and Statistical Analysis
严谨的评估与数据分析
• Our staff is equipped to critically evaluate clinical research by
assessing the appropriateness of the statistical analyses and
methodological rigor of a study.
我们专业的团队有能力从实验数值与整体过程的正确性中审核临床实验
• During the Literature Evaluation process, editors assess the
appropriateness of several crucial components:
在整个文献评估的过程中,编辑会从以下几个关键的要素去评断此临床实验的可靠性
– Study design
实验整体设计
– Study participants
实验参与对象
– Statistical methodology数据运算方式
– Conclusions based on predefined objectives and outcomes
©2011 Thomson Reuters
建立在事先定义的实验目的与预测结果得到的实验结论
Through this process, we are able to select the highest quality literature
to include and to reject poor quality literature that should not be used to
make treatment recommendations.
上述的过程中 ，让我们能够精准的对文献做一个去芜存菁的动作，选择高质量的文献并且
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适当的排除低质量且不适合拿来做诊疗参考的文献。
Content Creation and Review
内容建立与评论
Literature Surveillance
Literature Evaluation
©2011 Thomson Reuters
Write Content
• Collaboration across
disciplines 跨学科的合作
• Application of clinical
understanding 临床认知运用
Review Content
• Iterative process 反覆的流程
External Review
• Adherence to style guides
and editorial standards
Final Review and
Publish
编辑准则与风格指南的坚持
• Consistent editorial approach
across all content areas
• 所有的内容都是一致的编辑方式
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Micromedex 2.0
PRACTICAL APPROACH
实务方法
Part 1
第一部份
THE MAIN SEARCH FIELD
©2010 Thomson Reuters
主要搜寻领域
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Layout
版面
This is the general layout you see when you
access the MDX homepage.
©2011 Thomson Reuters
当您登入MDX首页所看到的大致版面画面
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©2011 Thomson Reuters
Many elements appear throughout the application.
平台上各种使用元素
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Localized Languages
平台语言当地化
• Micromedex allows foreign users to view elements
of the solution in the following languages:
Micromedex提供多种语言版本平台，包括：
– Italian
义大利文
– Chinese (simplified)
简体中文
– Chinese (traditional)
繁体中文
– German
– Korean
德文
韩文
– Japanese
日文
©2011 Thomson Reuters
– Portuguese (Brazilian) 葡萄牙文
– Spanish
西班牙文
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©2011 Thomson Reuters
Example of localized language (Korean)
©2011 Thomson Reuters
当地语言版本平台画面范例 （韩文）
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Starting a New Search
进行新的搜索
Any time you wish to search for something else, enter the new
search term(s) or phrase in the search box, located at the top
of every page.
©2011 Thomson Reuters
无论您在数据厍的任何一个画面，当您想进行新的信息搜寻时，只要在画面上方
的搜索栏位中输入您的关键字或词即可。
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Search Examples
搜寻范例
To view a list of search examples, click the Example Searches
link located near the top of every page
©2011 Thomson Reuters
您可以点击在数据库每一页上方的「范例搜寻」 的连结（Example Searches)浏
览搜寻的范例
The smarter search functionality allows searches to be conducted by
single and multiple terms
更智慧的搜寻功能允许使用者进行单一或多个关键字查询。
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Drug Search
药物搜寻
One drug search offers many options
©2011 Thomson Reuters
一个藥物搜寻，提供多个查询选项
Drugs are reviewed and revised every week as needed
每周进行药物检视，若有必要也会进行内容修订
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Dashboards 仪表板
• Dashboards are high-level summaries that highlight
content 仪表板提供重点内容的摘要
– Pertains to drugs AND disease information databases
疾病与药物信息相关的数据库
• For drugs, the dashboard may be presented in different
sections 以药品为例，仪表板可能呈现不同的区块
– When a drug has several forms, a search for the base form
will also yield tabs for the other forms (see next slide #1)
当药物有多种剂型时，搜寻的结果会显示您查询的剂型，同时以不同的标签列出
其他型态（见下一页投影片内容#1）
– A section that integrates sections common to any meditation
(see next slide #2)
©2011 Thomson Reuters
各种的用药信息会整合在同一区块中。 （见下页投影片内容#2)
– A last section that highlights aspects that are specific to the
drug you are viewing (see next slide #3)
最後一个区块标明您正在查询药物的特定信息（见下页投影片内容#3)
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Drug Dashboard
药物仪表板
1. All drug
forms
所有药物的剂型
2. Generic
data
©2011 Thomson Reuters
非专利药物信
息
3. Specific
data
特定信息
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Intermediate Results
搜寻结果的列表信息
10 results per page listed in of
order clinical relevance
©2011 Thomson Reuters
每页显示10笔结果，且按临床相关度顺序
排列
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Intermediate Results
搜寻结果的列表信息
Most relevant document comes first
最相关的文件列於第一笔结果
DrugPoints come next because
to the experts, they are not as
relevant as the detailed
documents
DrugPoints信息列在其後，因为对於专家而言这些
信息不如详细的文件内容来的高度相关
©2011 Thomson Reuters
Refers to the type of documents
标记文件的类型
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Drug Summary Information
药物信息汇整
Drug Summary
药物信息汇整
Informationshows the
various categories that
can easily be identified
by their titles.
信息分类成各种主题类别，因
此用户能够快速找到所需主题
信息。
Clicking directly on those titles will lead the user
to the summary document.
©2011 Thomson Reuters
直接点击主题信息，数据库将立即导引至摘要文件
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Drug Summary Information
药物信息汇整
©2011 Thomson Reuters
Click here to directly access the
detailed document
点击此直接进入详细的文件。
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Summary Document (DrugPoint)
摘要文件（DrugPoint)
Access detailed document from here
由此取得详细的文件
Print option available in all documents
所有文件都有提供打印功能
Information presented in bullet points
©2011 Thomson Reuters
条列式讯息
Outline
大纲
Blue section points this content
阅读的主题区以蓝色卷标显示
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Detailed Document (DrugDex)
摘要文件（DrugDex)
Reflects side effects of the diverse systems
反映出人体各系统副作用
Highlights cardiac side effects for different forms of the drug
强调不同型态药物对心血管系统副作用
Lists different cardiovascular side effects for the baseform
依据查询的药物型态列出不同的心血管副作用
©2011 Thomson Reuters
Same content
Detailed
information
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Highlights: Storage & Stability Section
强调：药物储存与稳定状况信息
©2011 Thomson Reuters
Provides information on how to store drugs
All references hyperlinked with access to full text via PubMed
所有参考文献可透过PubMed连结全文
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Highlights: Pharmacokinetics Section
强调：药物机转
ADME: Absorption, Distribution, Metabolism, Excretion
ADME:吸收、散布、代谢、排出
Includes: Half life & extracorporeal elimination (dialysiscare)
©2011 Thomson Reuters
包含：半衰期与体外循环移除（透析照护）
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Highlights: Focus on OB/GYN Population
强调：孕妇族群的用药信息
Drug consults that include more details
药物咨询包含更多详细信息
Includes
International Information
包括国际信息
Literature reports
©2011 Thomson Reuters
文献报告
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Highlights: Therapeutic Uses
强调：治疗使用
Lists all therapies by
diagnoses in
alphabetic order
©2011 Thomson Reuters
Click here to
view use of
erythromycin for
acne
依据字母顺序列出所有诊断
症状的治疗
点选此阅读使用红霉素
治疗粉刺
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Highlights: Therapeutic Uses (Acne)
强调：治疗使用（粉刺）
References are always included
包含文献参考信息
Differentiates
monotherapy
©2011 Thomson Reuters
& combination
Therapy
区别单独疗法与联合治疗
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Highlights: Comparative Efficacy
强调：效力比较
Lets you identify how Erythromycin compares to other drugs for given conditions
对于同一症状，红霉素与其他药物的效果比较
Lists all the drugs that can be
Compare Erythromycin
to Azithromycin
used as substitutes for Erythromycin
列出所有可以替代红霉素的药品
©2011 Thomson Reuters
比较红霉素与阿齐霉素
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Highlights: Comparative Efficacy
Erythromycin vs. Azithromycin
强调：效力比較
红霉素與 阿齐霉素
Both drugs can be used in the treatment of these conditions
Duration of therapy
comparisons
治疗持续时间之比较
Effectiveness
comparison
©2011 Thomson Reuters
效力比较
Research/ statistics
研究/数据
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Comparative Efficacy: Alternate Access
效力比较： 取得本信息的另一个路径
Comparative Efficacy may also be accessed directly from the dashboard
效力比较信息也可以从药物信息仪表板登入取得
©2011 Thomson Reuters
Click here to see all the drugs
点选此阅读所有药物
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Other Dashboard Shortcuts
其他仪表板上的快捷方式
Access to Drug Consults (evidence-based detailed documents)
©2011 Thomson Reuters
进入药物咨询Drug Consults （循证基础的详细文件）
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Drug Consults Example
药物咨询范例
These references can be
©2011 Thomson Reuters
accessed from these inserted links
参考文献可透过插入的连结取得
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Dashboard & Martindale Access
从仪表板区進入马丁代尔药典
There are three ways to access Martindale
©2011 Thomson Reuters
进入马丁代尔药典的三个路径
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Martindale Information
马丁代尔药典信息
Search by the name of the drug or by class of drugs
依据药品名称或药物类别搜寻
Table of
Contents
©2011 Thomson Reuters
目次
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Dashboard & Index Nominum
仪表板與 Index Nominum
Features information on 5,300 international drugs and 42,000 international trademarks
©2011 Thomson Reuters
收录超过5,300国际药物，42,000国际商标。
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Index Nominum
Molecular structure and molecular weight
分子架构与分子量
©2011 Thomson Reuters
Other names of drug in other countries
在其他国家的药物名称
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Dashboard and Drug-Specific Section
仪表板之药品规格信息
This section refers to specific aspects of Erythromycin
Content differs between drugs as applicable
©2011 Thomson Reuters
此段落具體呈現紅黴素的各種面向與不同藥品間的應用
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Drug-Specific Section Overview
药品规格信息综览
Options below may differ based on your the subscription
下面的项目会依据 贵单位所订购的内容而有不同
Toxicology information
毒物学信息
Disease information on therapy and etiologies
疾病治疗与病理学的信息
Comparative efficacy with alternative medicine
©2011 Thomson Reuters
替代药物的效力比较
Three reproductive risk databases
三个生育危险因子数据库
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©2011 Thomson Reuters
Disease Information
疾病信息
• While diseases can be looked up
from the dashboard, you may also
start a search directly from the main
search field, as shown here
疾病信息可透过仪表板取得外，您也可以从主
要的搜索字段中查询时取得
• When the link is used, the disease
information will open the treatment
section first
当选择了要查询的词条进行搜寻，疾病信息会
显示再治疗区的开头
©2011 Thomson Reuters
• 2 available options to look up disease
information (based on subscription)
根据单位订购模块，提供2种查阅疾病信息的
选择
– Disease Emergency
• Summary version of Diseasedex 摘要版本
– Diseasedex
• Detailed version 详细版本
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Both options are fully referenced
两种模块都有完整的参考信息来源。
Disease General Medicine Summary
疾病之一般医疗信息摘要
Click here to access detailed document
点选此进入详细的文件内容
Table of Contents
Treatment presented by
specific drugs with basic
information about
©2011 Thomson Reuters
信息目次
根据特定药物呈现治疗信息，并包含
简要内容
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Diseasedex
Reference
参考文献连结
©2011 Thomson Reuters
Table of contents 目次
Follows the sequence a patient goes through from admission to discharge
依据病患从治疗到复原后的流程排列
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Other Micromedex Options
其他选项
Display sections again
再次显示段落章节
Display entire document for
more reading space.
©2011 Thomson Reuters
点击显示完整文件
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Table of contents 目次
Reference Section
参考文献
Links to PubMed
abstracts & articles
©2011 Thomson Reuters
连结至PubMed摘要与
文献
Last information
update
信息最近一次更新日期
Diseases are reviewed and revised every month as needed
疾病信息经由评论流程且每月检视看是否有需要增修之内容
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©2011 Thomson Reuters
Part 2
THE TOOLS
工具
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Tools
工具
• The common tools are: 一般工具包含
©2011 Thomson Reuters
– Drug Interactions 药品交互作用
– IV Compatibility 静脉注射剂兼容性
– Drug Identification (exclusively includes drugs from US & Canada only)
药品外观辨识 （独家包含来自美国与加拿大的药物）
– Tox & Drug Product Lookup 毒物与药品查找
– Drug Comparison 药品比较
• Access to the tools depends on subscription
根据订购模块进入工具
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Drug Interactions
药品交互作用
Allows to check for interactions between drugs
允许进行药与药之间的交互作用信息查找
With tools, always use this search field
利用工具查找信息，请利用工具中的搜寻字段
Search term triggers options with the first three letters
©2011 Thomson Reuters
输入查询关键词前三个字母，系统会提示相关词条
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Drug Interactions
药品交互作用
Allows to check for interactions between drugs
允许进行药与药之间的交互作用信息查找
With tools, always use this search field
利用工具查找信息，请利用工具中的搜寻字段
How to select a drug?如何选择药物
1.Search your drug 搜寻药物
©2011 Thomson Reuters
Three letters to
2.Highlight option wanted
trigger word wheel
颜色显示需要的选项
输入三个字母系统自动提示
3.Use arrows or press Enter
利用箭头或点击「Enter」键输入
单词轮盘
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Adding Allergies
©2011 Thomson Reuters
加入过敏信息
Search drug
Click here to add allergies
搜寻药品
点击此增加過敏信息
Select drug
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选择药品
Update
更新
Drug Interactions
药品交互作用
Drugs listed in alphabetical order
药品根据字母排序
©2011 Thomson Reuters
Allergies are capitalized and
with an asterisk
过敏词条大写显示并加注星号
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Drug Interactions
药品交互作用
Results are identified by categories, severity & evidence
查询结果显示其类别、严重度、证据等级
Results summary
©2011 Thomson Reuters
查询結果摘要
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Drug Interactions & Detailed Information
©2011 Thomson Reuters
药品交互作用 &详细信息
Click here for more details
点击此閱讀更詳細信息
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Trissel’s IV Compatibility
静脉注射剂兼容性
• The process to follow is the same as for the Drug Interactions
tool
搜寻的流程与药品交互作用工具查询流程一致
• The search engine only allows you to enter actual drugs, no
maintenance fluids
搜索引擎只允许输入实际药品，无法使用维持液体查询
• However, the user can view information on maintenance
solutions, TPN and TNA solutions by filtering by individual
drugs
不过，使用者可以透过筛选独立的药物阅览维持液体方案、全静脉营养疗法与正全
营养混合液信息。
©2011 Thomson Reuters
• IV compatibility can be done by finding data on
静脉注射兼容性可依据不同方案查找：
– Y-site Y点
– Syringe compatibility 皮下注射劑相容
– Admixtures 混合液
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Trissel’s IV Compatibility
静脉注射相容度搜寻
1. Search drug
搜寻药品
©2011 Thomson Reuters
2. Select drug
选择药品
3. Submit information
送出搜寻
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Trissel’s IV Compatibility Results Page
静脉注射兼容搜寻结果页面
Drugs
药品
Compatibility
shows in pairs
相容度成对列出
May filter drugs
©2011 Thomson Reuters
for single IV
compatibility results
Results with caption
以图示现示结果
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Trissel’s IV Compatibility Details
静脉注射相容度详细信息
Details box include information on
compatibility, storage and test
parameters
©2011 Thomson Reuters
Want more details? Click here
需要更詳細信息？請點擊此
详细信息盒包含兼容度、储存方式与测试参数
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Trissel’s IV Compatibility
静脉注射相容度搜寻
When searching compatibility with
multiple drugs, you can see results at
for Y-sites, syringes and admixtures
搜寻多种药物兼容性时，您可以看到Y-sites,
syringes以及admixtures的结果
When searching compatibility for
single drugs, you can also see results
©2011 Thomson Reuters
for TPN/TNA and fluid maintenance
搜寻特定药物的兼容度时，您同时也能查看维持液体
方案、全静脉营养疗法与正全营养混合液信息。
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Shortcut Access from Dashboard
©2011 Thomson Reuters
从仪表板快速進入
• Dashboards also includes shortcuts for single drug interactions and IV
compatibility. This means it only allows you to look up information for the
drug you are looking up.
仪表板包含单一药物的交互作用与静脉注射兼容性的信息快捷连结。 这表示，您能够针对正在搜
寻的药物，查找相关的信息。
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Tox & Drug Product Lookup
毒物 & 药物产品查找
• That is where you will look for Poisindex
本信息从Poisindex数据模块中取得
• Includes search by name of one of more than 360,000
products or substances
利用超过360,000商品或物质的名称搜寻
• Allows for global search through Martindale
可整合查询马丁代尔药典
• Also allows search through active ingredients
可搜寻活性成份
• Includes street names for drugs
©2011 Thomson Reuters
包含药品市面名称
• Navigation is similar to the previous two tools
阅览方式与前述两种工具类似
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Tox & Drug Product Lookup Results
毒物 & 药物产品查找结果
Allows end user to look up information by different countries
©2011 Thomson Reuters
使用者可依据国家查阅信息
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Tox & Drug Product Lookup: Asian Results
毒物 & 药物产品查找：亚洲区结果
Results
©2011 Thomson Reuters
结果
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Poisindex Results
Poisindex搜索结果
Table of content
©2011 Thomson Reuters
内容目次
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Tox & Product Lookup Access From Dashboard
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从仪表板進入毒物&药物产品信息
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Drug Comparison
药品比较
• This is a tool that allows the user to compare drugs from
various perspectives
使用者可藉由本工具从不同角度比较药品
– The document showing is the Drug Points (drug summary)
提供的文件数据为Drug Points (药物摘要）
• The benefit of this feature is that it allows you to view
two drug documents side-by-side
本项工具的好处是让读者可以同时阅读两种药物信息文件
• Although we can only view two drugs at a time side-byside, users can select as many drugs as they want to
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您可选取多种药物,并支持同时浏览比对两种药物的功能
• The process of selecting drugs is similar to that of Drug
Interactions and IV Compatibility
选取药物的流程与药品交互作用及静脉注射兼容性相似。
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Drug Comparison
药品比较
1. Search drugs
搜索药物
2. Select
选择
3. Submit
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送出
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Drug Comparison Display Options
药品比较显示选项
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To select other drugs, use the drop down menu below
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Drug Comparison Display Options
药品比较显示选项
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Select a category 选择信息类别
Click here to modify drug selection
点击此修改药物选择
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Calculators 计算器
• Offers a full range of options that include:
提供完整的选项：
– Nomograms 计算图表
– Lab values 实验检测值
– Dosing tools 剂量工具
• May be different from internal health organization’s policy
也许与内部组织政策有些不同
– Clinical calculators
临床计算器
– Measurement calculators
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衡量评估计算器
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Calculators Page Layout
计算器画面
Option to view calculators in alphabetical order
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选择将計算機按字母排序
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Free Mobile Options
免费智能手机/数码助理服务选择
User can have access to summary report for free
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使用者可以免费使用摘要报告
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Part 3
CARENOTES
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What is CareNotes?
什么是CareNotes
• CareNotes is a patient education solution that is a good
addition to Micromedex
CareNotes是Micromedex额外增加病患教育方案的模块
– CareNotes is to the patient what Micromedex is to the clinician
CareNotes相当于简易版、专门提供病患教育信息的内容
• It provides discharge care patient education in 17
languages written at a 7th grade (US) reading level
以简易的文字提供病患离院的照护教育信息，且内容提供17国语言版本
– Currently top 100 drugs and conditions
目前提供前100大药品与症状
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• By this spring, top 400 drugs & conditions in those languages
今年春天，预计增加至400种
• Asian languages include Chinese (both traditional and
simplified), Japanese, Korean and Vietnamese
亚洲语言，包括中文（简体/繁体）、日文、韩文以及越南文
• May be customized for customers’
needs
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或许可以根据客户的需求客制化
Question: Where can I find CareNotes?
问题： 从何找到CareNotes?
Answer: Right here…
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答案：就在这里
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CareNotes
chf
Different options to search for conditions, drugs or lab titles
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症状、药物与实验室检测等不同的搜索选项
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CareNotes Results Display
CareNotes结果呈现
General information
一般信息
Inpatient care
住院病患照护
Discharge care
出院照护
All results display for the search CHF
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查询CHF的所有相关结果呈现
Emergency care
紧急照护
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Example of a CareNotes Document in Korean
范例： 韩文版CareNotes文件
Language
menu
Print Options
打印选项
语言别
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菜单
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CareNotes & Printing Menu
Care Notes & 打印菜单
Share information by email
透过电子邮件分享信息
Customizing options
客制化选项
Add patient-specific comments
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可增加特定要给予病患的建议
Print copy for hospital records
打印病患医院信息（包含病患名称、
时间、医师姓名）
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Conclusion / Q&A
结论/问與答
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Questions?
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