Point of Care Tools An initial study Ron Hudson 2010 Contents Page Contents Page……………………………………………………………………..1 Introduction………………………………………………………………………..2 A-Z Products list………………………………………………………………..3-10 1 Point of Care Tools Introduction: For the benefits of the study, this initial report will look at all the available point of care tools that exist commercially. However, the distinction is to be made that point of care tools in this context only means those that are information resources and not those which solely perform calculations etc. Also, no information gathered concerning subscription costs for these resources. Where available/possible, I have also included which mobile devices will access these resources (in italics). Point of Care has been defined as: “Any location where patient care is provided, including, eg., the bedside, radiology suite, emergency room, clinic or ambulance.” Taber, C.W. & Thomas, C.L., 1997., Taber’s cyclopedic medical dictionary. Philadelphia: F.A.Davis. A-Z Product list: AccessMedicine ACP PIER BMJ Best Practice BMJ Point of Care Clin-eguide Clinical Evidence Clinical Knowledge Summaries Clinical Knowledge Summaries Mobile version Clinical Xpert Navigator Diseasedex General Medicine Dynamed eMedicine Essential Evidence Plus First Consult Harrison’s Practice: Answers on Demand Healthgate InfoRetriever/InfoPOEMS Lexi-Comp Medical Evidence Matters Merck Manuals Online Medical Library Natural medicines Comprehensive Database Natural Standard Nursing Reference Center PsychiatryOnline Royal Marsden Hospital Manual of Clinical Nursing Procedures STAT!Ref (including Point of Care Info) Thomson Reuters MicroMedex 2.0 UpToDate WaveMedical ZynxEvidence 2 Products: 1. AccessMedicine: (McGraw-Hill) Updated daily. Full text and images from gold standard textbooks in internal medicine, cardiology, genetics, pharmacology, diagnosis and management, basic sciences, patient care. PDA & Smartphone download available needs e-Reader software loaded http://www.accessmedicine.com/clinical.aspx 2. ACP PIER: (American College of Physicians) PIER=Physician’s Information and Education Resource Updated monthly, evidence rated guidance for point of care. Includes structured disease modules, screening and prevention, complimentary & alternative medicine, ethical and legal issues, procedures. This is available through Stat!Ref PDA download available for Blackberry 4.1+, iPhone/I pod touch/I pad, Palm OS 3.5, Windows Mobile/PocketPC/Smartphone all using skyscape http://pier.acponline.org/index.html 3. BMJ Best Practice: Combination of the latest research evidence, guidelines and expert opinion – presented in a step-by- step approach, covering prevention, diagnosis, treatment and prognosis. PDA download available for internet enabled mobile phone, PDA or handheld device http://bestpractice.bmj.com/best-practice/ 4. BMJ Point of Care: (USA only) For UK use BMJ Best Practice 5. Clin-eguide: (Wolters-Kluwer Health) Online clinical decision support tool that provides the most accurate evidence-based medicine, disease and therapy information for health care providers in the clinical setting. (Used to be called clinicalresource@ovid) Smartphone, PDA and wireless devices http://www.clineguide.com/index.aspx 6. Clinical Evidence: Clinical Evidence systematic reviews summarise the current state of knowledge and uncertainty about the prevention and treatment of clinical conditions, based on thorough searches and appraisal of the literature. It is neither a textbook of medicine nor a set of guidelines. It describes the best available evidence from systematic reviews, RCTs, and observational studies where appropriate, and if there is no good evidence it says so. Pocket PC 2000, 2002, 2003, 2003 Second Edition Pocket (Windows Mobile™ Pocket PC) , Palm OS® 3.x, 4.x, or 5.x or higher , Windows® OS 95, 98, ME, 2000, XP, or NT 4.0 Workstation (SP3) , For PocketPC ActiveSync 3.1 or later , For Palm OS® HotSync Manager (or equivalent), version 3.01 or later http://clinicalevidence.bmj.com/ceweb/index.jsp 7. Clinical Knowledge Summaries: Reliable source of evidence-based information and practical 'know how' about the common conditions managed in primary care. CKS provides quick answers to real-life clinical questions that 3 arise in the consultation, linking to detailed answers that clearly outline the evidence on which they are based. http://www.cks.nhs.uk/home 8. Clinical Knowledge Summaries Mobile version (CKS Mobile) Less functionality than the full CKS site above and only accesses the clinical topics section. Need to access the website above for full information PDA and smartphone accessible http://www.cks.nhs.uk/mobile 9. Clinical Xpert Navigator: (Thomson Reuters) not information but data Clinical knowledge from Thomson Healthcare with access to disease and laboratory test information. Can be downloaded onto any device supporting Palm OS or Pocket PC Operating System 10. Diseasedex General Medicine: (Thomson Reuters) Evidence-based reference tool to support disease management and treatment decisions within a hospital. Provides evidence based etiology and treatment information for general conditions and more detailed information on rarer topics. Main audiences are pharmacists, physicians and nurses. http://www.micromedex.com/products/diseasedexgeneral/ 11. Dynamed: (EBSCOhost) Summaries of diseases, disorders and symptoms, with information on etiology, associated conditions, history and research findings, differential diagnosis and diagnostic testing, prognosis, treatment, prevention and links to patient information Palms – Devices running Palm OS 3.5 and higher, Pocket PC – Devices running Microsoft Windows Mobile 5.0 or Microsoft PocketPC 2000 (ARM/X-SCALE only), PocketPC 2002, PocketPC 2003, PocketPC 2003 SE. Windows Smartphone, BlackBerry – Devices running OS 4.1 and higher, iPhone and iPod Touch, Android Smartphones – Devices running Android OS 1.5 or higher http://ebscohost.com/dynamed/ 12. eMedicine: (WebMD Health Professional Network) The evidence-based content, updated regularly by more than 8,000 attributed physician or health care provider authors and editors, provides the latest practice guidelines in 38 clinical areas. The eMedicine Clinical Knowledge Base contains articles on over 6,500 diseases and medical topics, and is richly illustrated with some 28,000 multimedia files. iPhone, iPod touch, and iPad. Requires iOS 3.0 or later, BlackBerry OS: 4.2.1 or later http://emedicine.medscape.com/ 13. Essential Evidence Plus: (Wiley-Blackwell) Includes Cochrane abstracts, evidence based medicine guidelines, icd-9 codes, daily evidence based medicine alerting service. (Used to be called InfoRetriever/InfoPOEMS) PDA download available, Palm PDAs running Palm OS 5 or higher, Pocket PC 2003 or higher or Windows Mobile 5.0 or higher, http://www.essentialevidenceplus.com/ 14. First Consult: (Elsevier) Primary care evidence based medicine clinical information system, instant, user-friendly access to the latest information on evaluation, diagnosis, clinical management, prognosis, and prevention. 4 MDConsult supports iphone/itouch, blackberry, Palm http://www.mdconsult.com/das/pdxmd/lookup/208006063-2?type=med 15. Harrison’s Practice: Answers on Demand: (McGraw-Hill) Based on Harrison’s Practice of Internal Medicine, diagnosis and treatment summaries, including images, drug database, patient information. Available for iPhone, Android, BlackBerry, Palm and Windows Mobile devices. http://www.harrisonspractice.com/practice/ub 16. Healthgate: Although mentioned by sources, after searching the web, could not find anything beyond 2009 and should be discounted. 17. InfoRetriever/InfoPOEMS (see Essential Evidence Plus) 18. Lexi-Comp: Pharmacology and clinical information, drug interactions, tablet & capsule identification, patient advisory leaflets. Indivudual databases include: Lexi-Drugs (covering areas such as dentistry, pharmacy, nurising, oncology etc) Pediatric Lexi-Drugs (covering paediatric and neonatal dsoing information) The 5-minute Clinical Consult (covers over 700 medical conditions) The 5-Minute Pediatric Consult (covering infants, children, adolescents) Lexi-Infectious Diseases (covering organisms to therapy in areas such as anthrax, ebola etc) Lexi-Natural Products (split into 6 categories – herbs, vitamins, minerals, neutraceuticals, glandulars & amino acids) PDA download available, for iPhone/iPod touch/iPad, Android, BlackBerry 5.0, and Palm webOS devices http://www.lexi.com/ 19. Medical Evidence Matters: (ProQuest) Assess therapy options for known medical conditions by comparing outcomes from the peer- reviewed literature, compare effectiveness of therapies based on a range of clinical outcomes http://medicalevidencematters.com/emweb/pages/static/faq/faq.jsp (main page only goes to logon screen) 20. Merck Manuals Online Medical Library: (Merck & Co) The Online Medical Library (consistuing of its healthcare manuals), is updated periodically with new information, and contains photographs, and audio and video material. When accessed via the web, no charge, however payment needed through mobile devices. iPhone, iPhone 3G, iPhone 3GS, iPad, iPod touch, All Android devices, BlackBerry devices with memory card support, All Windows Mobile devices, All Palm OS devices (v.5 or later), Most smartphones and PDAs with web access. http://www.merck.com/mmpe/index.html 21. Natural Medicines Comprehensive Database: Evidence based medicine on herbal and dietary supplements. Containing a comprehensive listing of brand name product ingredients