Hostname: page-component-cd9895bd7-jn8rn Total loading time: 0 Render date: 2024-12-26T17:49:15.315Z Has data issue: false hasContentIssue false

How do I find a point-of-care answer to my clinical question?

Published online by Cambridge University Press:  11 May 2015

Andrew Worster*
Affiliation:
Departments of Medicine and Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, ON
R. Brian Haynes*
Affiliation:
Departments of Medicine and Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, ON
*
ERm 250a McMaster Clinic, Hamilton General Hospital, 237 Barton St. East, Hamilton, ON L8L 2X2
ERm 250a McMaster Clinic, Hamilton General Hospital, 237 Barton St. East, Hamilton, ON L8L 2X2

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

Emergency physicians often need point-of-care access to current, valid information to guide patient management. Most emergency physicians do not work in a hospital with a computerized decision support system that prompts and provides them with information to answer their clinical questions. Searching for answers to clinical questions online, especially those related to diagnosis and treatment, can be challenging, in part because determining the validity and clinical applicability of the results of individual studies is beyond the time constraints of most emergency physicians. This article describes currently available point-of-care sources of evidence-based information to answer clinical questions and provides the access information for each.

Type
Education • Enseignement
Copyright
Copyright © Canadian Association of Emergency Physicians 2012

References

REFERENCES

1.Garg, AX, Adhikari, N, McDonald, H, et al. Effects of computerized clinical decision support systems on practitioner performance and patient outcomes: a systematic review. JAMA 2005;293:1323–38, doi:10.1001/jama.293.10.1223.Google Scholar
2.Sahota, N, Lloyd, R, Ramakrishna, A, et al. Computerised clinical decision support systems for acute care management: a decision-maker-researcher partnership systematic review of effects on process of care and patient outcomes. Implementation Sci 2011;6:91.Google Scholar
3.Haynes, RB. How to find current best evidence and have current best evidence find us. In: Straus, S, Richardson, SR, Glasziou, P, Haynes, RB, editors. Evidence-based medicine: how to practice and teach EBM. 4th ed. London: Elsevier; 2011. p. 2963.Google Scholar
4.Haynes, RB, Cotoi, C, Holland, J, et al. McMaster Premium Literature Service (PLUS) Project. Second-order peer review of the medical literature for clinical practitioners. JAMA 2006;295:1801–8, doi:10.1001/jama.295.15.1801.Google Scholar
5.McKibbon, A, Wyer, P, Jaeschke, R, et al. Finding the evidence. In: Guyatt, G, Rennie, D, Meade, MO, et al, editors. Users’ guide to the medical literature: a manual for evidence-based clinical practice. 2nd ed. New York: McGraw-Hill Medical; 2002. p. 2958.Google Scholar
6.McKibbon, KA, Wilczynski, NL, Haynes, RB. What do evidence-based secondary journals tell us about the publication of clinically important articles in primary healthcare journals? BMC Med 2004;2:33, doi:10.1186/1741-7015-2-33.CrossRefGoogle ScholarPubMed
7.DiCenso, A, Bayley, L, Haynes, RB. ACP Journal Club. Editorial: Accessing preappraised evidence: fine-tuning the 5S model into a 6S model. Ann Intern Med 2009;151:JC3–2, JC3–3.Google Scholar
8.Rowe, BH, Lang, E, Brown, M, et al, editors. Evidence-based emergency medicine. London: Wye Blackwell-BMJ Books; 2009.Google Scholar
9.Hoogenes, J, Worster, A, Upadhye, S et al. Utility of clinical practice guidelines in emergency medicine, [PhD independent study oral defense]. Presented at: McMaster University; 2011 May 28; Hamilton, ON.Google Scholar