Point-of-Care resources are highly specialized tool, developed to be used where the care is provided, at the bed side of the patient. These resources are Evidence-based synthesis, they have a complementary purpose and use to traditional databases.
Step one : What could be the disease ? What is the diagnosis ?...
Not sure about the diagnosis ?? use the Diagnosis tools
Isabel: differential diagnosis tool
Gideon : for diagnosis through two options:
Step two : Confirm the evidence
Point-of-care: Evidence synthesis
Step three : Find the right treatment
Point of care for drugs and medications
Note: both resources, e-CPS and RxVigilance are bilingual and offer documentation in French and English
Point-of-Care resources are highly specialized tool, developed to be used where the care is provided, at the bed side of the patient. These resources are Evidence-based synthesis, they have a complementary purpose and use to traditional databases.
These are Decision making tools.
Point-of-Care vs Traditional databases
|
Point of Care |
Traditional databases |
Purpose |
Find a trusted answer to medical question at the bed of a patient Decision making tools |
Collect the maximum of information published on the field |
Size |
Small databases To help health professional to deal with the huge amount of information published + Find the most appropriate cure |
Large database – Millions of references |
Analysis & selection |
Rated information on the reliability Synthesis of information – Curated by specialists
|
Selection of the journals by topic/disciplines
|
Specialties |
Evidence based Medical Synthesis Diagnosis Drugs Nursing |
All disciplines |
Organization |
Depend on the tool Medical expert, authority Diagnostic Prognostic Treatment, prevention, etc.. |
Traditional presentation of articles: authors, title, abstract, keyword Subject heading, controlled term
|
Search features |
No thesaurus But logical organization for a physician, a nurse or health professional Basic search box |
Index, thesaurus Elaborated search syntax MeSH is now a standard in the medical field
|
Presentation |
Few words; Right to the point Synthesis information Organized sections and information Summary, bullet points List of evidence based articles Link to text articles to explain |
Traditional articles: author, title, abstract, etc… Full text sometimes Citations |
Evaluation = “trust” Appraisal |
Trust of the care: level of evidence synthesis of evidence whose goal is to make physicians' decision-making easier Evidence of the efficiency Link to the “proof” |
none |
Tools |
Calculators Drugs Comparison / interaction Tree of decision Images, pictures Clinical guidelines Testing Prevention, patient information |
Clinical queries : PubMed, Medline Citations identification : Scopus, WoS |
Access |
Built for mobiles, tablet phone, etc, for access at the patient bed Deskstop version also available |
Not really PubMed – PubReader for tablets |
Credit for Medical Education |
CME for physicians CE for Nurses
|
No |
Examples |
Isabel, CPS, DynaMed, Clinical Evidence (BMJ), UpToDate… |
PubMed, Medline, CINAHL, Cochrane, Embase, PsycInfo…
|