Transcript Week_9-1_Lecture_HealthResources_Notex

Healthcare databases and
resources
LIS 4785 Introduction to Health Informatics
Fall 2015, Week 9-1
Instructor: Dr. Sanghee Oh
Show & Tell
• Lauren Potter
• Jan van Konijnenburg
Health Information Resources
• “The complexity of modern American medicine is exceeding the
capacity of the unaided human mind”
• “It is likely that clinicians are so busy that they have no idea what
new educational resources are available to them. They would like
to move from the “information jungle” to the “information
highway” but who will show them the way?
Challenges Faced by Clinicians
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Education
Diffusion of information
Translational
Evolutionary
Retention
Accessibility
Point-of-Care Tools
• A synthesized resource that can easily provide evidence-based
answers to questions during the patient visit
• UpToDate (hosted by Ebsco)
• eMedicine (Integrated to Medscape)
(http://www.medscape.com/)
• DynaMed (hosted by Ebsco)
• ACP Smart Medicine (used to be ACP-PIER): Accessible through
FSU Library (http://smartmedicine.acponline.org/index.aspx)
• FirstConsult (http://www.firstconsult.com/php/4653442277/home.html)
ACP Smart Medicine
• Class Activity
• http://smartmedicine.acponline.org/index.aspx
Ideal Medical Resources
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Evidence based with references and level of evidence
Updated frequently
Simple to access with a single sign-on
Available at the point of care
Capable of being embedded into an electronic health record
Likely to produce an answer with only a few click
Useful for primary care physicians and specialists
Written and organized with the end user in mind
UpToDate
• UpToDate® is the premier evidence-based clinical
decision support resource, trusted worldwide by
healthcare practitioners to help them make the
right decisions at the point of care.
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Contains the equivalent of over 77,000 pages of
original, peer-reviewed text.
It combines broad coverage of adult primary care,
subspecialty internal medicine, ob/gyn, general surgery
and pediatrics.
It is written, reviewed and continuously updated by
over 5,100 physicians to ensure that the content
remains current.
– This expert faculty synthesizes all relevant
information, including the latest evidence, and
provides specific, practical recommendations for
diagnosis and treatment.
UpToDate Demos
• http://www.uptodate.com/home/help-demo
ACP Smart Medicine
• Developed by American College of Physicians (ACP)
• A Web-based decision support tool designed to provide clinicians
with rapid point-of-care evidence-based guidance.
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Contains 500 modules that provide guidance and information on a broad
range of diseases and conditions.
Concise, bulleted evidence-based recommendations organized into readily
accessible point-of-care categories: prevention, screening, diagnosis.
Differential diagnosis tables assist in securing the correct diagnosis
Triggered updates whenever there is new, relevant information or
guidelines.
MEDLINE
• An online version of journal citations and abstracts for biomedical
literature
• The U.S. National Library of Medicine® (NLM) premier
bibliographic database
• Contains over 21 million references to journal articles in life
sciences with a concentration on biomedicine.
• The records are indexed with NLM Medical Subject
Headings (MeSH®)
• PubMed provides free access to MEDLINE and links to full text
articles when possible.
MeSH
• Class activity
Medical Subject Headings (MeSH)
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http://www.nlm.nih.gov/mesh/meshhome.html
The National Library of Medicine's controlled vocabulary thesaurus. It
consists of sets of terms naming descriptors in a hierarchical structure
that permits searching at various levels of specificity.
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MeSH descriptors are arranged in both an alphabetic and a
hierarchical structure.
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The MeSH thesaurus is used by NLM for indexing articles from 5,400
of the world's leading biomedical journals for the
MEDLINE®/PubMED® database.
It is also used for the NLM-produced database that includes
cataloging of books, documents, and audiovisuals acquired by the
Library. Each bibliographic reference is associated with a set of MeSH
terms that describe the content of the item.
Similarly, search queries use MeSH vocabulary to find items on a
desired topic.
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MeSH Practice
MeSH Example
Sponsored Medical Websites
• E-meducation (http://www.e-meducation.org/)
– Free medical portal (medical search engine) sponsored by Alfa
Institute of Biomedical Studies
– Links to open access resources
– Filtered to ensure high standards
– Covers 10+ specialists
Sponsored Medical Websites
• Medscape (http://www.medscape.com/)
– A free all-purpose medical website sponsored by WebMD
– Covers 30+ medical specialists as well as sections for nurses,
medical students, dental professionals & pharmacists
– Provides updates, continuing medical education (CME),
conference schedules, Medline, drug searches and multiple
specialty articles.
– Daily medical news and weekly newsletters and updates
(MedPulses)
– Drug and Device Digest providing the latest in alerts and
approvals
– Clinical practice guidelines
Sponsored Medical Websites
• Mayo Clinic http://www.mayoclinic.org/
– Free multi-faceted web portal, sponsored by Mayo Clinic
– Covers information about medical developments (called
Clinical Updates)
– Mayo Clinic publications
– Video presentations on health issues (Grand Rounds)
Government Medical Websites
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National Library of Medicine http://www.nlm.nih.gov/
– PubMed
• Provides free access to MEDLINE, NLM’s databse of
citations and abstracts in the fields of medicine,
nursing, dentistry, veterinary medicine, health care
systems, and preclinical sciences
• Links to many sites providing full text articles and
related resources
– NLM Gateway
• Provide one-stop shopping for many NML information
resources
• Offer citations, full text, video, audio, and images
– Toxnet
• Cluster of database covering toxicology, hazardous
chemicals, environmental health and related areas.
– Unified Medical Language System
• A set of files and software that brings together many
health and biomedical vocabularies and standards to
enable interoperability between computer systems.
MedlinePlus
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Premier online patient education site
Service of NLM and NIH
Covers over 750 health topics
Drugs, supplements and herbal information
Medical dictionary, encyclopedia, and news
165 interactive video tutorials and surgical procedure videos
Links to major patient education and advocacy sites such as Mayo
Clinic, NIH, American Heart Association, etc.
MedlinePlus Connect
• This service allows health
organizations and health IT
providers to link patient
portals and electronic health
record (EHR) systems to
MedlinePlus, an authoritative
up-to-date health information
resource for patients,
families, and health care
providers.
• MedlinePlus Connect accepts
requests for information on
diagnoses (problem codes),
medications, and lab tests,
and returns related
MedlinePlus information.
• Problem code standards
• ICD-9-CM
• ICD-10-CM
• SNOMED CT
• Medication code standards
• RXCUI (RxNorm Concept
Unique Identifier)
• NDC (National Drug Code)
• Lab test requests
• LOINC
• Context-Aware Knowledge
Retrieval Standard
• HL7