Cindy Sheffield, MBA, MLSClaire Twose, MLIS

Brian Pinto, PharmDMark Dodd

PDA Resources for Evidence-Based Medicine

The Welch Medical Library May 6, 2004

Today’s LectureIntro to Evidence-Based MedicineIntro to Personal Digital AssistantsResources

Government Guidelines ClearinghousePubMedFIRSTConsultmobileMICROMEDEXLexi-COMP (fee)PICO MakerEBM Calc

Other Learning OpportunitiesOther ResourcesQuestions and Answers

EBM Definition

Evidence-Based Medicine is the conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients.

Glossary, Centre for Evidence Based Medicine, Oxford accessed April 28, 2004 http://www.cebm.net/glossary.asp

No

Yes

1 Refine Question

2 Formulate Query

2 Perform Search2

Evaluate results:Satisfactory?

5Evaluate Process

4 Incorporate into Patient Care

2 Select Sources for Pre-processedPre-processed literature

3 Evidence is Critically Appraised

by Reputable Source

Finding EBM Flow Chart

Managing the Literature

Usefulness ofUsefulness ofMedical Medical InformationInformation

=RelevanceRelevance x Validity

Work

Shaughnessy AF, Slawson DC, Bennett JH. Becoming an information master: a guidebook to the medical information jungle. J Fam Pract 1994 Nov; 39(5):489-99

Levels of Evidence: study design

Medical Center Library, Duke University

Stronger

Weaker

Welch’s EBM Page: Quicklinks, EBM

Intro to PDAs: Palm vs. Pocket PC

Operating SystemsPalm Pocket

PC

Intro to PDAs: Palm vs. Pocket PC

Introduction to PDAs – more info• Jim’s Palm Pages

– http://www.jimthompson.net/palmpda/

• Dalhouise– http://handheld.medicine.dal.ca/introduction

/index.htm

• pdaMD.com Learning Center– http://www.pdamd.com/vertical/features/wir

eless_2.xml

• Etopicbrain– http://pbrain.hypermart.net/basics.html

Government Guidelines Clearinghouse

• Public resource for evidence-based clinical practice guidelines

• NGC is an initiative of the Agency for Healthcare Research and Quality (AHRQ)

• Can use a Reader with Palm; wireless direct access available on Pocket PChttp://www.guideline.gov/

Government Guidelines Clearinghouse

PubMed• Search in Medline for citations and

abstracts• Will provide interactive access in a

wireless environmenthttp://certif.nlm.nih.gov:8080/nlm/

• Can use same address as Avantgo Channel

• Project called PubMed on Taphttp://archive.nlm.nih.gov/proj/pmot/pmot.php

PubMed

Search directly with a wireless connection or use Avantgo and create a custom channel.

FIRSTConsult

• 330 Differential Diagnoses• 450 Medical Conditions• 3 Different download sizes• Updated quarterly

http://www.welch.jhu.edu/internet/ebr.html#PDAs

FIRSTConsult

mobileMICROMEDEX • Drug information and interactions• Alternative medicine information• Acute care• Toxicology information• Formulary advisories

http://jhmcis.jhmi.edu/mdxcgi/mdxhtml.exe?&tmpl=mobile.tm1&SCRNAME=mobile&CTL=E:\mdx\mdxcgi\megat.sys

mobileMICROMEDEX

Lexi-COMP

• Provides drug interaction information

• JHH Formularieswww.lexi.com

Lexi-COMP

PICO Maker

• Store queries in PICO format for later

• Assist students and clinicians with evidence based practice.

• Palm basedhttp://www.library.ualberta.ca/pdazone/

pico/

PICO Maker

EBM Calc

• Statistics for Diagnostic, Prospective, Case Control & Randomized studies

• Can graph pre- and post test probability with likelihood ratio for Diagnostic Studies.

• Can save results and view at another time EBM Calculator – Centre for EBM – University Health Network

http://www.cebm.utoronto.ca/palm/ebmcalc

EBM Calc

Other Learning Opportunities

Library Classes (Resources for Research and Information Management & Presentations):

• Evidence-Based Health Care – 6/24/04 pm• Pharmacology Resources – 8/12/04 am• Evidence-Based Critical Appraisal for

Patient Care - 7/27/04 am• Registration @

http://www.welch.jhu.edu/classes

October 12th

All Day EventSee

http://mobileathopkins.jhu.edu/For details

Other PDA Resources of Interest

• Avantgo – host server https://my.avantgo.com/home/

• Hopkins Antibiotic Guidehttp://hopkins-abxguide.org

• ePocrateswww.epocrates.com

• MedCalc

http://www.collectivemed.com/jump/medca.shtml

Where to find PDA Resourceshttp://www.welch.jhu.edu/classes/elearning/pdaresources.

html

• Dalhousie University Handheld Recommendations - Organized set of hardware descriptions and software specifically for medicine with informative recommendations

• ectopicbrain - List of medical applications with descriptions for each

• handheldmed - Delivers point of care content and applications for healthcare professionals

• pdaMD.com - Premier website providing tutorials, forums, news, and software for health care professionals who use PDAs

• Skyscape - Extensive list of medical reference titles

Where to find PDA Resources• CollectiveMed - Owned and operated by healthcare

professionals • MedicalPocketPC - Software, news, and reviews for PocketPC

and WinCE medical users • HealthyPalmPilot - Over 700 downloadable healthcare

resources from pdaMD.com • Memoware Medical Downloads - Over 300 downloads for

medical specialties • Johns Hopkins Office of Academic Computing – Several

medical applications for the Palm OS.• WelchWeb’s Personal Digital Assistants – A guide to resources

for healthcare.

How to Evaluate PDA Resources

Knowing What’s What and What’s Nothttp://www.media-awareness.ca/english/resources/educational/handouts/internet/5ws_cyberspace.cfm

Ten C’s for Evaluating Internet Sourceshttp://www.uwec.edu/Library/Guides/tencs.html