1 / 13

Answering Clinical Questions at the Point of Care

Answering Clinical Questions at the Point of Care. Outline. About UpToDate Evidence Grading How to Search Q&A. UpToDate. UpToDate is a Clinical decision support system that helps clinicians throughout the world provide the best patient care

Download Presentation

Answering Clinical Questions at the Point of Care

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Answering Clinical Questions at the Point of Care

  2. Outline • About UpToDate • Evidence Grading • How to Search • Q&A

  3. UpToDate • UpToDate is a Clinical decision support system that helps clinicians throughout the world provide the best patient care • We use the best available current evidence to answer clinical questions, quickly and easily at the point of care • This saves clinicians time, improves patient outcomes and lowers health care costs 3

  4. Evidence is derived from a number of sources………………including but not limited • Journals: 460+ peer reviewed journals • Databases: • MEDLINE, The Cochrane Database, Clinical Evidence and ACP Journal Club • Guidelines • Clinical trials • FDA, CDC, NIH • Proceedings • Clinical experiences and observations 4

  5. Quick Facts about UpToDate Written by Physicians for Physicians • Topic reviews • Patient Information • Drug Information • systemic, topical, inhalation, nasal, ophthalmic 5

  6. Quick Facts about UpToDate • 4,800+ world-renowned physician authors (international) • 9,000+ clinical topic in 19 specialties • 5,000+ unique drug entries in adult, pediatrics, international and natural drugs (Lexi-Comp) • 23,000+ graphics • 328,000+ references (Medline) • Updated every 4 months (March, July, November) 6

  7. Specialties • Adult and Pediatric Emergency Medicine {November 2009} • Adult Primary Care & Internal Medicine • Allergy and Immunology {March 2010} • Cardiovascular Medicine • Endocrinology & Diabetes • Family Medicine • Gastroenterology & Hepatology • Geriatric Specialty {July 2011} • Hematology • Hospital Medicine {November 2010} • Infectious Diseases • Nephrology & Hypertension • Neurology {March 2009} • Obstetrics, Gynecology & Women’s Health • Oncology • Pediatrics • Pulmonary, Critical Care & Sleep Medicine • Rheumatology • Surgery {November 2011} 7

  8. Specialties in Development • Dermatology • Psychiatry 8

  9. Evidence Grading • In 2001, we began a collaboration with Gordon Guyatt, a world leader in EBM, and his colleagues in the international GRADE collaborative to implement a grading system for recommendations • UpToDate grades specific treatment and screening recommendations 9

  10. Evidence Grading 10

  11. How to Search • New Search • Search  display results  topic review  output • Others • Evidence grading • RECOMMENDATIONS • 125 Calculators • Drug Interactions • ECG test • Movies  no need install software • Graphics  new search function 11

  12. How to use UpToDate based on a Clinical scenario • A 50 year old woman is obese (BMI=32) and has hypertension. She has not achieved weight loss despite counseling for diet and lifestyle changes. What is the best medication for pharmacologic management of her obesity. • Keyword: • Obesity drug 12

  13. Q&A 13

More Related