Using Technology at the Bedside - Augusta University...use high-quality research evidence Essential...
Transcript of Using Technology at the Bedside - Augusta University...use high-quality research evidence Essential...
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Using Technology
at the Bedside
Julie K. Gaines, MLIS, AHIP
Ed Sperr, MLIS, AHIP
Flint Buchanan, MFA, MEd
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Financial Disclosure
Ms. Gaines, Mr. Sperr and
Mr. Buchanan have no financial
relationships to disclose.
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1. Discuss methods for accessing
resources from the AU libraries in the
clinical setting
2. Introduce participants to information
resources for common clinical
information needs
3. Explore how to evaluate which
information resource to reach for first in a
given scenario
Objectives
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Mobile Technology Uses
• Note taking
• 3D images for anatomy
• Electronic medical record (EMR) access
• Patient education
• Access to medical knowledge resources for clinical decision support
• Evidence-based databases at the point-of-care
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Mobile Technology
in Medical Education
• Medical schools moving away from the standard ‘paper’ curriculum
• 2500 page textbooks now available on a mobile device
• Medical schools now requiring students to use mobile technology
• Residency programs purchasing mobile technology
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What makes a good Mobile
Resource for the bedside?
• Portability
– Apps and Mobile-friendly websites
• Meets a common clinical need
– What would you want to see?
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What types of resources are
available?
• Drug references
• Calculators
• Practice guidelines
• Clinical decision support resources
• Note most of the resources shown will
combine more than one of these
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Library Resources
AccessMedicineResource that features McGraw-Hill’s ebooks, Diagnosaurus, and
other medical content
Cochrane LibraryCollection of evidence-based resources that inform healthcare
decision-making (Systematic Reviews, RCTs, protocols)
Trip DatabaseClinical Search Engine designed to allow users to quickly find and
use high-quality research evidence
Essential Evidence PlusEvidence-based, point-of-care clinical decision support system
UpToDateAccess UpToDate’s synthesized clinical information including
evidence-based recommendations [subscription required]
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For Library Resources, you’ll
need…
• Augusta University login and password
– Not Sure you have an account? Check with your
clerkship office
– Forgot your password?
AU IT Help Desk:
(706)721-4000 or (709)721-7500
• Duo mobile installed on a phone or device
– Details at: https://www.augusta.edu/its/duo/
– More help available at the Tech Support session at
11:45
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UpToDate
• Start by setting up
your login!
• Besides articles,
can choose from:
• Calculators
• Drug
interactions
• Can also manage
your CME credits
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UpToDate:
“article” search
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UpToDate:
“article” search
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UpToDate: Drug
interactions
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UpToDate: Drug
interactions
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UpToDate:
Calculators
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UpToDate:
Calculators
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AccessMedicine
• Several
AccessMedicine
texts are available
on a portable app
• You will need an
individual
“MyAccess Profile”
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AccessMedicine• Gateway to some of the
resources on
AccessMedicine,
particularly diagnosis
• Includes:• Quick Medical Diagnosis and
Treatment
• Diagnosaurus
• Fitzpatrick’s Clinical
Dermatology Atlas
• Guide to Diagnostic Tests
• Search all texts at once• Index or full-text of articles
• Many articles have
“cross-links” to other
AccessMedicine
resources
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AccessMedicine:
QMDT
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AccessMedicine:
Fitzpatricks
• Text and many,
many images
• Organized by
topics, organ
system and ICD-
10 code
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AccessMedicine:
Fitzpatricks
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Online
databases
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Online
databases
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Online
databases
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Essential
Evidence +
• Built to be a clinical
decision support
system
• Organized around
diagnoses, conditions
and procedures
• Includes “over 13,000
topics, guidelines,
abstracts, tools,
images, and
summaries”
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Essential
Evidence +
General Search
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Essential
Evidence +
Decision support
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Essential
Evidence +
Decision support
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Trip PRO
• Stockpile of
evidence-based
content
• Classified into
resource category
(but that gets hinky
sometimes because
it’s based on publisher)
• Comes in free and
“Pro” versions
Second one available
through AU
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Trip PRO:
Evidence
Categories
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Trip PRO:
Guidelines
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Trip PRO:
Systematic
reviews
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Trip PRO:
PICO Builder
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Trip PRO:
PICO Builder
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Trip PRO:
“Clinical Area”
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Cochrane
Library
Contains several
databases:
• Cochrane Database
of Systematic
Reviews
• Cochrane Central
Register of Controlled
Trials
• Cochrane Clinical
Answers
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Cochrane
Library
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Cochrane Library:
Cochrane Reviews
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Cochrane Library:
Clinical Answers
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Point of Care/Patient Care Apps
Micromedex Drug Information
Micromedex Drug Interaction
Calculate by QxMDFree medical calculator app. Calculators grouped by discipline or
select from alphabetical, recent or favorite lists
GoodRxCompares prices for all FDA approved drugs at pharmacies across
the US. Coupons available for up to 80% off regular pricing
Read by QxMDRead favorite medical journals in magazine format. Provides
easy, one click viewing of PDF articles and will store them
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MicroMedex
Drug Reference
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MicroMedex
Drug Reference
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MicroMedex
Drug Interactions
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Calculate
by QxMD
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GoodRx
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GoodRx
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Read
by QxMD
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Read
by QxMD
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Questions?
Julie K. Gaines, MLIS, AHIP – [email protected]
Ed Sperr, MLIS, AHIP – [email protected]
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