Strategies For Answering Clinical Queries

Strategies for Answering Clinical Queries Introduction to Health Informatics April 6, 2010 Robin Featherstone, BA, MLIS Clinical Medicine Librarian Allyn & Betty Taylor Library [email_address] Presentation available at: http://www.slideshare.net/featherr

Objectives ,[object Object],[object Object]

Agenda ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

SOURCES OF MEDICAL EVIDENCE & PICO

Level of Evidence Pyramid Qualitative Studies Trip searches both

Refine Questions using PICO ,[object Object],[object Object],[object Object],[object Object]

Use PICO to develop your query ,[object Object],[object Object],[object Object],[object Object],[object Object]

Determine your Question Type 1,2 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],1 Heneghan, Carl, and Douglas Badenoch. Evidence-Based Medicine Toolkit. 2nd ed. Malden, Mass.: BMJ Books/Blackwell Pub., 2006. 2 Glover, Jan, and Lei Wang. Find it Fast: The Clinical Question : www.med.yale.edu/library/education/guides/screencasts/finditfast/finditfast_2/

Studies to Answer Each Type 1,2 1 Heneghan, Carl, and Douglas Badenoch. Evidence-Based Medicine Toolkit. 2nd ed. Malden, Mass.: BMJ Books/Blackwell Pub., 2006. 2 Glover, Jan, and Lei Wang. Find it Fast: The Clinical Question : www.med.yale.edu/library/education/guides/screencasts/finditfast/finditfast_2/ Type of Question Type of Evidence Aetiology ,[object Object],[object Object],[object Object],Diagnosis ,[object Object],[object Object],Prognosis ,[object Object],[object Object],[object Object],Therapy ,[object Object],[object Object],Prevention ,[object Object],[object Object],[object Object],Cost-effectiveness ,[object Object],Quality of life ,[object Object]

SEARCHING EXERCISE – MEDICAL LITERATURE

Searching the Medical Literature ,[object Object],[object Object],[object Object],[object Object],[object Object]

Treatment Question - Results Source Results Cochrane Library 2 Cochrane Reviews 3 Other Reviews 47 Clinical Trials PubMed 199 Citations total 88 Review articles 48 citations if searching Clinical Queries – looks for randomized controlled trials TRIP Database 81 Citations Natural Standard 1 disease summary 1 drug summary

SEARCHING EXERCISE – POINT OF CARE TOOLS

Searching Point-of-Care Tools ,[object Object],[object Object],[object Object],[object Object],[object Object]

2 nd Line Treatment Question - Results Source Contains ACP Pier ,[object Object],[object Object],[object Object],[object Object],UpToDate ,[object Object],[object Object],[object Object],[object Object],DynaMed ,[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],Searching Point-of-Care Tools: 2. Screening question

Screening Question - Results Source Contains ACP Pier ,[object Object],[object Object],[object Object],UpToDate ,[object Object],[object Object],[object Object],DynaMed ,[object Object],[object Object],[object Object]

SEARCHING EXERCISE – DRUG INFORMATION

Searching for Drug Information ,[object Object],[object Object],[object Object],[object Object]

Drug Interactions - Results Source Results Lexi-Interact ,[object Object],[object Object],[object Object],MICROMEDEX ,[object Object],[object Object],[object Object],[object Object],E-CPS ,[object Object],[object Object]

Summary ,[object Object],[object Object],[object Object]

Strategies For Answering Clinical Queries

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