Tag Archives: clinical_databases

ClinicalKey Added to Dana’s List of Databases

Clinical_Key

Dana Medical Library now provides access to ClinicalKey. Replacing MDConsult and Procedures Consult, this new Clinical Insight Engine is designed to provide clinicians with fast, clinically-relevant answers from Elsevier’s library of proprietary medical and surgical content. ClinicalKey offers access to:

  • over 1,000 Elsevier medical and surgical reference books*
  • over 500 Elsevier medical and surgical journals
  • all medical and surgical clinics of North America
  • Procedures Consult procedural videos
  • First Consult point-of-care clinical monographs
  • patient education handouts
  • additional videos and images, practice guidelines, patient handouts, and drug information.

It also supports researchers and instructors with the included presentation builder for use with ClinicalKey’s multimedia collection-export to PowerPoint. User guides are available at http://www.elsevier-data.de/ClinicalKey/ClinicalKey_user_guide.pdf.

*HTML version of chapters provided. To view PDF files you must create a FREE “User Profile” and login.

 

Point-of-Care Information Sources Scrutinized

Attention UpToDate and DynaMed users!

The use of online information resources for answering patient-related questions is playing an increasingly important role in the daily practice of clinicians. In fact, the names of these e-resources have become part of most health care providers’ vernacular. Who hasn’t heard of UpToDate, FirstConsult, DynaMed, eMedicine or Clin eguide to name a few?

The overall aim of these resources is to synthesize all available evidence for major clinical topics. Some basic features shared by these clinical point-of-care tools include:

  • Synthesis of current evidence for diagnosis, interventions, and therapy;
  • Designed for rapid consultation at point of patient care;
  • Evidence-based and frequently updated with links to relevant literature;
  • Drug information, ICD coding, patient information, PDA application, and provision for links to electronic health records.

A recent article from BMJ (1) published the results of its findings on the evaluation of five point-of-care information summaries. The study group looked specifically at the speed of updating evidence relevant to medical practice. The article’s conclusion cited DynaMed as the clear leader in updating speed among the field of five information summary tools.

This journal article raised questions among publishers, guideline developers, researchers, and especially clinicians about the quality and timeliness of point-of-care tools: What is the “need for speed”? How quick is too quick? What are the best approaches (priority, time, other?) for inclusion of topics? Is there now a need for an expert panel to set standards for the development of these clinical decision support tools?

This growing list of questions addressing the quality of decision support tools will be the focus at the Evidence 2012 conference, co-hosted by the BMJ Evidence Centre and the Centre for Evidence Based Medicine (CEBM) at the University of Oxford.

Time has certainly come to address and assess the relevance and validity of these point-of-care information resources, particularly in terms of quality of content and comprehensiveness. Along with patron input, Dana Medical Library pays close attention to these studies when assessing point of care resources. We will continue to feature such studies in our newsletters and on our home page.

________________

1. Banzi, R., Cinquini, M., Liberati, A., Moschetti, I., Pecoraro, V., Tagliabue, L., & Moja, L. (2011). Speed of updating online evidence based point of care summaries: prospective cohort analysis. BMJ, 343, d5856.

Nancy Bianchi, MLS

MedU Case Studies

Dana is pleased to announce the addition of MedU Case Studies, online educational tools that provide virtual patients for students in medical clerkships. Dana has obtained WISE-MD (Web Initiative for Surgical Education), a set of eleven surgery modules, and CLIPP (Computer Assisted Learning in Pediatrics Program), a set of 31 patient cases.

WISE-MD surgery modules consists of video presentations concerning medical fundamentals of the condition followed by patient-doctor interactions involving patient history, physical exam, laboratory studies, imaging studies, decision making, surgery, and post operative care.

CLIPP pediatric case studies present patient scenarios and ask questions to test student’s knowledge, related to diagnosis and treatment of conditions, in a step by step manner. After users submit answers to the questions results and comments are provided with references.