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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

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Pda resources for evidence based medicine the welch medical library may 6 2004 l.jpg

PDA Resources for Evidence-Based MedicineThe Welch Medical Library May 6, 2004

Cindy Sheffield, MBA, MLS

Claire Twose, MLIS

Brian Pinto, PharmD

Mark Dodd


Today s lecture l.jpg
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


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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


Slide4 l.jpg

3 Evidence is

Critically Appraised

by Reputable Source

2 Select Sources for

Pre-processed literature

1Refine Question

No

2 Formulate Query

2

Evaluate results:

Satisfactory?

Yes

4Incorporate into

Patient Care

2Perform Search

5

Evaluate

Process

Finding EBM Flow Chart


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Usefulness of

Medical

Information

Relevance x Validity

=

Work

Managing the Literature

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


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Stronger

Weaker

Levels of Evidence: study design

Medical Center Library, Duke University


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Welch’s EBM Page: Quicklinks, EBM


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Intro to PDAs: Palm vs. Pocket PCOperating Systems

Palm

Pocket PC



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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


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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/



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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


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PubMed

Search directly with a wireless connection or use Avantgo and create a custom channel.


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FIRSTConsult

  • 330 Differential Diagnoses

  • 450 Medical Conditions

  • 3 Different download sizes

  • Updated quarterly

    http://www.welch.jhu.edu/internet/ebr.html#PDAs



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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=mobile&CTL=E:\mdx\mdxcgi\megat.sys



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Lexi-COMP

  • Provides drug interaction information

  • JHH Formularies

    www.lexi.com



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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/



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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



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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


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October 12th

All Day Event

See

http://mobileathopkins.jhu.edu/

For details


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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


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Where to find PDA Resourceshttp://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


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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.


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How to Evaluate PDA Resources

Knowing What’s What and What’s Not

http://www.media-awareness.ca/english/resources/educational/handouts/internet/5ws_cyberspace.cfm

Ten C’s for Evaluating Internet Sources

http://www.uwec.edu/Library/Guides/tencs.html


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