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essentialevidenceplus

Essential Evidence Plus. www.essentialevidenceplus.com. 如何掌握資訊. www.essentialevidenceplus.com. Information Overload. 全世界每年有超過 2,000,000 篇論文發表於 20,000 種生物醫學專業期刊 文章累積高度相當於一棟台北 101 大樓 (500 公尺 ) 每天至少需閱讀 19 篇文獻才能跟上最新發展 多數的醫療人員並無接受 較正式且專業的訓練 在於 評估各期刊中何為 有用的臨床資訊. 著眼於病患 節省醫師時間

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essentialevidenceplus

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  1. Essential Evidence Plus www.essentialevidenceplus.com

  2. 如何掌握資訊 www.essentialevidenceplus.com Information Overload • 全世界每年有超過2,000,000篇論文發表於 20,000種生物醫學專業期刊 • 文章累積高度相當於一棟台北 101 大樓 (500 公尺) • 每天至少需閱讀 19 篇文獻才能跟上最新發展 • 多數的醫療人員並無接受較正式且專業的訓練在於 評估各期刊中何為有用的臨床資訊 • 著眼於病患 • 節省醫師時間 • 增加臨床效率

  3. www.essentialevidenceplus.com Information Mastery * Usefulness of Medical Information = (Relevance) (Validity) (Work) * Slawson DC, Shaughnessy AF, Bennett JH. Becoming a medical information master: feeling good about not knowing everything. J Fam Pract 1994 May;38(5):505-13 • 相關度 (Relevance) -僅著重於臨床醫師關切的資訊。 • 正確性 (Validity) -以取得的資訊中代表“真實性”的部份為定義。 • 花費心力 (Work )- 即在評量資訊有效性時所必須考慮到的負面特質。

  4. Foraging tool (主動提示工具)- Daily POEMs ~讓臨床醫師能與相關醫學新知發展保持並行~ • Hunting tool (搜尋工具) - EEP ~讓臨床醫師在需要決策支援時能快又有效地在 幾秒內找尋到證據最強的所需資訊以解決臨床問題~ Information Mastery Daily POEMs EEP www.essentialevidenceplus.com Making Evidence-Based Practice a Reality 為落實Information Mastery，每一位醫生都需要兩樣工具：

  5. www.essentialevidenceplus.com Example of a Daily POEM 臨床問題 結論 證據等級 參考文獻 研究對象 研究設計 精要

  6. Essential Evidence Plus www.essentialevidenceplus.com EEP是什麼? • 具有七種不同醫學資源之實證資料庫 • 搜尋工具可提供經專家篩選過且分級的綜結 證據以供臨床照護時參考應用 7 Different Databases • EBM Guidelines • Decision Support Calculators • Cochrane Database of Systematic Reviews • Diagnostic Test Calculators • History and Physical Test Calculators • Daily POEMs • Practice Guidelines 還包括了 Patient Education Handouts, Derm Expert, E/M Coding, ICD-9 Codes…等

  7. EEP Computerized Decision Support Evidence based textbooks Daily POEMs Evidence based journal abstract Systematic reviews Usefulness Original journal articles “ 5S” evolution of Information Resources The "5S" levels of organisation of evidence from healthcare research 系統 Systems 綜結 Summaries 精要 Synopses 統整 Syntheses 研究 Studies Brian Haynes, R Evid Based Med 2006;11:162-164 Brian Haynes, R Evid Based Med 2006;11:162-164

  8. www.essentialevidenceplus.com Benefits • 精選並統整相關實證醫學資訊，且發行前至少經過25位的醫學專家進行審驗-->Daily POEMs • 及時擷取醫學領域的最新醫療演進，可幫助醫療人員在幾秒鐘之內查找出證據最強的所需資訊 • 提供最理想的資訊解答診療作業中的疑慮 • 改善病患醫療品質，減低醫療資源耗費，符合專業照護所需 ，提昇臨床實踐效力 • 推動實證醫學的確實執行

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