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Best Practice 將實 證 依 據帶進臨床 流程

Best Practice 將實 證 依 據帶進臨床 流程. 2. 1. Best Practice 的基本介紹. Best Practice 檢索範例分享. 3. Best Practice 更多功能與應用. 認識 BMJ Group. BMJ Group 是由 英國醫學會 ( British Medical Association) 組成 , 至今 已 170 年歷史 , 是全 英國醫學 界各 學科醫師之代表 。

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Best Practice 將實 證 依 據帶進臨床 流程

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  1. Best Practice 將實證依據帶進臨床流程

  2. 2 1 Best Practice 的基本介紹 Best Practice 檢索範例分享 3 Best Practice 更多功能與應用

  3. 認識 BMJ Group • BMJ Group 是由英國醫學會(British Medical Association) 組成, 至今已170年歷史, 是全英國醫學界各學科醫師之代表。 • 其代表刊物 British Medical Journal (BMJ) 屬於國際4大醫學期刊之一, 發表原創科學研究，評論和教育文章，為醫生日常工作和醫學新知發展提供幫助。 • 提供 Clinical Evidence 具有教科書水準的即時性實證醫學資源兼具時效性，從問題面出發，正確且完整地提供具實證強度之文獻和系統化統計說明。 Our Mission: Provides a comprehensive information resource system aimed at improving patient outcomes

  4. Types of Evidence-based Information Systematic Reviews and Meta-analyses Randomised Controlled Double Blind Studies

  5. Advancement of Clinical Based Information Systems

  6. 您如何找到您要的資源? 或: • 翻閲醫學教科書及期刊等 • 請教上級醫生或教授 • 請教其他醫藥公司或醫學資源廠商代表

  7. 您如何取得並使用您找到的資源? 獲取全文 讀全文

  8. 2 1 Best Practice 的基本介紹 Best Practice 檢索範例分享 3 Best Practice 更多功能與應用

  9. 臨床問題: A 70-year-old man is discovered by a family member to have difficulty speaking and extreme balance difficulty. The family member brings him to you in the Emergency Ward. He was last known to be fully functional 1 hour ago when the family member spoke to him by phone. There is a history of treated hypertension and diabetes. How should you proceed with assessing and managing this patient? 一位七十歲的老翁，被家人發現有說話困難以及嚴重平衡問題。老翁在一個小時前與家人通話時失去意識，家人緊急將他送往醫院診診室尋求急救治療。 初步了解，該老翁具有高血壓及糖尿病病史。接到本病患的您將如何評估與進行治療呢? ……………………………………………………………………….

  10. What Can you get from Best Practice?

  11. 主要專論(Monograph)形式 • 病症專論(Condition Monograph) • 提供特定一種或是同一類型症狀完整資訊

  12. 主要專論(Monograph)形式 • 疾病評估專論 (Assessment Monograph) • 針對病患徵狀進行評估How to evaluate a symptom (e.g., chronic cough) • 臨床發現Clinical finding (e.g., peripheral oedema) • 診斷測試Diagnostic test finding (e.g., metabolic acidosis)

  13. 主要專論(Monograph)形式 • 疾病概論(Overview Monograph) • - 提供某一病症的概述Provides an overview of a • category of conditions

  14. 根據徵狀查詢 (Symptom Searching)

  15. 查詢結果呈現:

  16. 疾病評估資訊 (Assessment Details)

  17. 鑑別診斷 (Differential Diagnosis)

  18. 疾病詳述 (Condition Details)

  19. 診斷 ─ 病史與檢查 (Diagnosis – History & Examination)

  20. 診斷─檢測 (Diagnosis – Tests)

  21. 診斷─ 逐步說明 (Diagnosis – Step-by-Step)

  22. 治療─根據病患類型 (Treatment – Ordered by Patient Group)

  23. 治療─與Martindale串聯 (Treatment – Links to Martindale)

  24. 逐步─實證支持 (Step-by-Step – Supported by Evidence) Integrated with Clinical Evidence

  25. 導引─ 來自國際與本院資訊(Guidelines – International and Institutional)

  26. 2 1 Best Practice 的基本介紹 Best Practice 檢索範例分享 3 Best Practice 更多功能與應用

  27. 影像圖片參考

  28. 參考資訊的全文連結

  29. 直接瀏覽Clinical Evidence完整內容

  30. 來自Clinical Evidence 全文

  31. 透過Drug Database瀏覽所有Best Practice參考的藥物資料

  32. 病患衛教單張

  33. 個人化工具 • 增加個人註記 • 將經常參考的資訊頁面設為書籤 • 加入至個人BMJ Learning 學習計畫中

  34. “My Best Practice” 特色 • 儲存檢索歷史 • 新增書籤 (Bookmarks) • 閱讀院內導引(Guidelines)

  35. Best Practice 透過手機遠端登入 在任何地方，您都可以利用您的手機遠端連線使用 • 在院內有效IP範圍內註冊個人帳號“My Best Practice” • 利用“My Best Practice”的個人帳號密碼即可遠端登入 • 手機版本登入網址:bp.bmjgroup.mobi

  36. 快來體驗行動裝置版的便利性! http://bp.bmjgroup.mobi/ http://bp.bmjgroup.mobi/

  37. 主要特色: • 臨床決策支援工具 Clinical decision support Tool • 資訊架構以病患問題為考量 Structured around the patient consultation • 提供症狀評估、治療與檢測應用 Advice on symptom evaluation, treatment approach and test ordering • 國際觀點、並可提供客製服務結合院內資訊 International perspective, customisable for local needs • 整合來自Clinical Evidence證據資訊 Integrated evidence from Clinical Evidence • 串聯來自Martindale重要處方資訊Critical prescribing information with links to Martindale • 病患衛教單張Patient support leaflets • 遠端使用與手機連線使用Remote Access and Mobile Phone Access

  38. THANKS Carol Chih 池祥寧 飛資得醫學資訊股份有限公司 FlySheet Med-Informatics CO.,Ltd Tel: 02-2658-2223 x121 Email: carolchih@flysheet.com.tw Website: http://medinfo.flysheet.com.tw Facebook! 飛資得醫學資訊

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