Mount Sinai Hospital, Toronto
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Mount Sinai Hospital, Toronto
• Mount Sinai Hospital is a fully accredited health care and teaching facility, affiliated with the University of Toronto.
• Located in downtown Toronto, Canada, our hospital has approximately 465 beds, servicing a diverse multicultural community.
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Centres of Excellence
• The primary centres of excellence include, maternal, fetal and newborn health, surgical oncology, musculoskeletal disease, gastrointestinal disease and molecular sub-specialty medicine.
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Sidney Liswood Library
• Sidney Liswood Library serves 6300 staff and students at Mount Sinai Hospital.
• Our goal is to better meet the information needs of our students, researchers and clinicians, which in turn leads to improvements in education, research and quality of patient care.
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Assessment
• The Sidney Liswood Library selected the best clinical decision-making tools for Mount Sinai Hospital’s centres of excellence. Based on these choices, an Intranet-accessible flowchart was designed.
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Identified Need
• The EBM Resources Toolkit is a practical complement to our teaching of Evidence-Based Medicine at Mount Sinai Hospital.
• The resources provided are hyperlinked on the Sidney Liswood Library Intranet. These electronic resources assist in answering clinical questions.
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Implementation
• The evidence-based section of the Sidney Liswood Library Intranet integrates additional Evidence-Based Medicine teaching resources. “An answerable clinical question” opens to a PICO format template.
• The Sidney Liswood Library is in the formative stages of bringing Evidence-Based Medicine to the point of care.
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UpToDate
• Subscription-based clinical information resource
• Comprehensive - designed to provide concise, practical answers
• Topic reviews written by physicians
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Search terms may be a disease, a particular symptom, or a drug name
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It recognizes most medical terms, common abbreviations and word roots
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Can change this setting
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When to introduce When to introduce disease modifying antirheumatic drugs
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Results
• The EBM Resources Toolkit is a pathway that assists in seeking and searching for best evidence. The toolkit offers a practical guide to resources for clinical questions of therapy, etiology/harm, diagnosis and prognosis.
• The EBM resources provide an outline of Sidney Liswood Library’s best external evidence for clinicians and allied health professionals.
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Benefits
• Effective and efficient use of the researcher’s time.
• Useful aid for introducing the teaching of Evidence-Based Medicine and Evidence-Based Practice.
• Considerable added value to having access to resources electronically.
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Limitations
• The Sidney Liswood Library does not subscribe to all Evidence-Based Medicine resources.
• Current site licenses restricts direct access to additional EBM resources at the University of Toronto Libraries.
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Next Steps
• Introduction of this flowchart with hyperlinked resources for PDA (Personal Digital Assistant) use.
• Pursue feedback from our clinicians, allied health professionals and librarians.
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Please forward all suggestions or comments about this flowchart to:
Sandra Kendall, B.A., M.L.S., Director, Library Services
Mount Sinai Hospital
600 University Ave. 18th Floor
Toronto, ON M5G 1X5
(T)416.586.4614 (F)416.586.4998
http://www.mtsinai.on.ca
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Acknowledgement:
Mrs. Jeannine Banack, Vice President Medical Administration and Special Services for her guidance and continuing support of this initiative.
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Comments?Comments?Questions?Questions?Feedback?Feedback?