36
BMF:n syysseminaari 2018 Muharrem Yilmaz Implementation Manager, Nordics [email protected] 2018

BMF:n syysseminaari 2018 - WordPress.com · The GRADE (Grading of Recommendations Assessment, Development and Evaluation) system was created in 2000 by a dedicated group of guideline

  • Upload
    others

  • View
    2

  • Download
    0

Embed Size (px)

Citation preview

Page 1: BMF:n syysseminaari 2018 - WordPress.com · The GRADE (Grading of Recommendations Assessment, Development and Evaluation) system was created in 2000 by a dedicated group of guideline

BMF:n syysseminaari 2018

Muharrem YilmazImplementation Manager, Nordics

[email protected]

2018

Page 2: BMF:n syysseminaari 2018 - WordPress.com · The GRADE (Grading of Recommendations Assessment, Development and Evaluation) system was created in 2000 by a dedicated group of guideline
Page 3: BMF:n syysseminaari 2018 - WordPress.com · The GRADE (Grading of Recommendations Assessment, Development and Evaluation) system was created in 2000 by a dedicated group of guideline

TERVEYSPORTTI

Page 4: BMF:n syysseminaari 2018 - WordPress.com · The GRADE (Grading of Recommendations Assessment, Development and Evaluation) system was created in 2000 by a dedicated group of guideline

TERVEYSPORTTI

Page 5: BMF:n syysseminaari 2018 - WordPress.com · The GRADE (Grading of Recommendations Assessment, Development and Evaluation) system was created in 2000 by a dedicated group of guideline

…Not a textbook

A TOOL Created byphysicians who are

EXPERTSin their

respective fieldswho provide

OBJECTIVE ANALYSISof the evidence &recommendations

in an easilydigestible format

with access anytime,anywhere from anydevice or system

Page 6: BMF:n syysseminaari 2018 - WordPress.com · The GRADE (Grading of Recommendations Assessment, Development and Evaluation) system was created in 2000 by a dedicated group of guideline

DynaMed Plus?

• A clinical reference tool to answer clinical questions

• Content is written by a world-class team of physiciansand researchers who synthesize the evidence andprovide objective analysis.

• Topics are always based on clinical evidence

• The content is updated multiple times each day

Page 7: BMF:n syysseminaari 2018 - WordPress.com · The GRADE (Grading of Recommendations Assessment, Development and Evaluation) system was created in 2000 by a dedicated group of guideline

DynaMed Plus evidence

• The most current – updated daily• Synthesized• Critically appraised

Page 8: BMF:n syysseminaari 2018 - WordPress.com · The GRADE (Grading of Recommendations Assessment, Development and Evaluation) system was created in 2000 by a dedicated group of guideline

8

Meta-analyses

Systematicreviews

Randomisedcontrolled trials

Cohort studies

Case control studies

Case reports / case series

Systems

Summaries

Synopses

Syntheses

Studies

Knowledge pyramid

Page 9: BMF:n syysseminaari 2018 - WordPress.com · The GRADE (Grading of Recommendations Assessment, Development and Evaluation) system was created in 2000 by a dedicated group of guideline

DynaMed Plus

EVIDENCE-BASEDMETHODOLOGY

Page 10: BMF:n syysseminaari 2018 - WordPress.com · The GRADE (Grading of Recommendations Assessment, Development and Evaluation) system was created in 2000 by a dedicated group of guideline

OVERVIEWS ANDRECOMMENDATIONS

• Overviews and Recommendations provideclinicians with concise, accurate overviewsfor highly relevant topics and evidence-based recommendations for action.

• Topics have been re-written from scratch toprovide immediate context and direction

Page 11: BMF:n syysseminaari 2018 - WordPress.com · The GRADE (Grading of Recommendations Assessment, Development and Evaluation) system was created in 2000 by a dedicated group of guideline

The GRADE (Grading of Recommendations Assessment,Development and Evaluation) system was created in 2000by a dedicated group of guideline developers.

RECOMMENDATIONSare graded as Strong or Weak

EVIDENCEis graded for the body of evidence as High, Moderate, Low or Very lowquality (A, B, C, or D).

QUALITYgrading for evidence is based on the risk of bias introduced by studymethodology, the precision the consistency of studies, the directness to theconclusion being made, and the likelihood of publication bias.

What is GRADE?

Page 12: BMF:n syysseminaari 2018 - WordPress.com · The GRADE (Grading of Recommendations Assessment, Development and Evaluation) system was created in 2000 by a dedicated group of guideline

MICROMEDEX DRUG CONTENT

• Medication Management Standard Drug Information

• Drug Information for Medication Safety

• IV Compatibility for Reduced Complications

• Lab Recommendations

Micromedex evidence-based content is presented in concise,sourced, and referenced blocks of information to help you getanswers quickly when the situation demands.

Page 13: BMF:n syysseminaari 2018 - WordPress.com · The GRADE (Grading of Recommendations Assessment, Development and Evaluation) system was created in 2000 by a dedicated group of guideline

Images

• Tables• Clinical photos• Radiological imaging• Algorithms• Illustrations• Microscopic images

Page 14: BMF:n syysseminaari 2018 - WordPress.com · The GRADE (Grading of Recommendations Assessment, Development and Evaluation) system was created in 2000 by a dedicated group of guideline
Page 15: BMF:n syysseminaari 2018 - WordPress.com · The GRADE (Grading of Recommendations Assessment, Development and Evaluation) system was created in 2000 by a dedicated group of guideline

DynaMed Plus Guidance

• Over 21,000 guidelines referenced including UK andEuropean associations - DUODECIM

• Recommendations using GRADE system

Page 16: BMF:n syysseminaari 2018 - WordPress.com · The GRADE (Grading of Recommendations Assessment, Development and Evaluation) system was created in 2000 by a dedicated group of guideline

Who creates the content?

• An extensivenetwork of physicians, experts in their particular fields

– Select the best and most appropriate evidence

– Confirm the clinical applicability of content

– Peer-review topics

Page 17: BMF:n syysseminaari 2018 - WordPress.com · The GRADE (Grading of Recommendations Assessment, Development and Evaluation) system was created in 2000 by a dedicated group of guideline

Editorial team structure

• General Internal Medicine• Cardiology/Pulmonology/Critical Care• ID/Immunology• Oncology/Hematology• Emergency Medicine

SPECIALTY PUBLISHING GROUPS:

Page 18: BMF:n syysseminaari 2018 - WordPress.com · The GRADE (Grading of Recommendations Assessment, Development and Evaluation) system was created in 2000 by a dedicated group of guideline

ROBUST SPECIALTYCONTENT

• Allergy

• Cardiology

• Critical Care

• Dermatology

• Infectious Disease

• Emergency Medicine

• Endocrinology

• Gastroenterology

• Hematology

• Nephrology

• Obstetrics and Gynecology

• Oncology

• Orthopedics

• Pediatrics

• Primary Care

• Psychiatry

• Rheumatology

• Sports Medicine

• Surgery

• Urology

Page 19: BMF:n syysseminaari 2018 - WordPress.com · The GRADE (Grading of Recommendations Assessment, Development and Evaluation) system was created in 2000 by a dedicated group of guideline

DynaMed Plus - following

• Alerts by Topic• Alerts by Subject Area• Practice changing update

Page 20: BMF:n syysseminaari 2018 - WordPress.com · The GRADE (Grading of Recommendations Assessment, Development and Evaluation) system was created in 2000 by a dedicated group of guideline

Mobile App

Page 21: BMF:n syysseminaari 2018 - WordPress.com · The GRADE (Grading of Recommendations Assessment, Development and Evaluation) system was created in 2000 by a dedicated group of guideline

Get the Mobile App

Page 22: BMF:n syysseminaari 2018 - WordPress.com · The GRADE (Grading of Recommendations Assessment, Development and Evaluation) system was created in 2000 by a dedicated group of guideline
Page 23: BMF:n syysseminaari 2018 - WordPress.com · The GRADE (Grading of Recommendations Assessment, Development and Evaluation) system was created in 2000 by a dedicated group of guideline

Access anytime, anywhere from any device

Page 24: BMF:n syysseminaari 2018 - WordPress.com · The GRADE (Grading of Recommendations Assessment, Development and Evaluation) system was created in 2000 by a dedicated group of guideline

Graphics & ImagesAccess thousands of graphicsand images

Precise SearchResultsGet precise search resultsevery time

Overviews &RecommendationsRead concise overviewsand detailedrecommendations

Specialty ContentDynaMed Plus includes robustspecialty content

Expert ReviewersDeputy Editors aresupported by an extensivenetwork of clinical experts

Mobile AppThe mobile app iscomplimentary with everysubscription, at no extracost

Drug ContentDrug content to help withdiagnosis with Micromedex®Clinical Knowledge Suite

SUMMARY OF NEW FEATURES

Page 25: BMF:n syysseminaari 2018 - WordPress.com · The GRADE (Grading of Recommendations Assessment, Development and Evaluation) system was created in 2000 by a dedicated group of guideline

DynaMed Plus Partnerhips

Page 26: BMF:n syysseminaari 2018 - WordPress.com · The GRADE (Grading of Recommendations Assessment, Development and Evaluation) system was created in 2000 by a dedicated group of guideline
Page 27: BMF:n syysseminaari 2018 - WordPress.com · The GRADE (Grading of Recommendations Assessment, Development and Evaluation) system was created in 2000 by a dedicated group of guideline

Who else uses DynaMed?

Examples

Page 28: BMF:n syysseminaari 2018 - WordPress.com · The GRADE (Grading of Recommendations Assessment, Development and Evaluation) system was created in 2000 by a dedicated group of guideline
Page 29: BMF:n syysseminaari 2018 - WordPress.com · The GRADE (Grading of Recommendations Assessment, Development and Evaluation) system was created in 2000 by a dedicated group of guideline
Page 31: BMF:n syysseminaari 2018 - WordPress.com · The GRADE (Grading of Recommendations Assessment, Development and Evaluation) system was created in 2000 by a dedicated group of guideline

National dealsSCOTLAND - NHS Scotland

WALES – NHS Wales

FINLAND - DUODECIM - National Healthcare purchase for Finland

PORTUGAL - Ordem dos Médicos - Medical Association

Important regional dealsKAROLINSKA - Stockholms Läns Landsting

Västerbottens Läns Landsting

HSE Dublin

HSE South West (Kerry, Cork)HSE West (Galway, Mayo, Roscommon)Queensland Australia

Important London HospitalsBarts Health NHS Trust

St George's University Hospitals Foundation NHS Trust

Kings College Hospital NHS Foundation Trust

South London and Maudsley NHS foundation trust

Great Ormond street hosp for children NHS trust

Royal Free London NHS Foundation Trust

Page 32: BMF:n syysseminaari 2018 - WordPress.com · The GRADE (Grading of Recommendations Assessment, Development and Evaluation) system was created in 2000 by a dedicated group of guideline

U.S. Medical schoolsBOSTON UNIVERSITY UNIVERSITY OF ARIZONABROWN UNIVERSITY UNIVERSITY OF CALIFORNIA, RIVERSIDECOLUMBIA UNIVERSITY UNIVERSITY OF CHICAGOCORNELL UNIVERSITY UNIVEUNIVERSITY OF UTAHDARTMOUTH COLLEGE UNIVERSITY OF VERMONTDuke University Medical Center Library UNIVERSITY OF WASHINGTONGEORGE WASHINGTON UNIVERSITY YALE UNIVERSITYGEORGETOWN UNIVERSITY YESHIVA UNIVERSITYHarvard University EMORY UNIVERITYJOHNS HOPKINS UNIVERSITY RSITY OF CINCINNATIMOUNT SINAI SCHOOL OF MEDICINE UNIVERSITY OF COLORADONEW YORK UNIVERSITY University of ConnecticutOREGON HEALTH & SCIENCE UNIV UNIVERSITY OF IOWASTANFORD UNIVERSITY UNIVERSITY OF MASSACHUSETTSSTATE UNIV OF NEW YORK : Upstate MedicalUniversity UNIVERSITY OF MIAMISTONYBROOK UNVERSITY - SUNY UNIVERSITY OF MICHIGANTEXAS A&M UNIVERSITY UNIVERSITY OF MINNESOTATUFTS UNIVERSITY UNIVERSITY OF PENNSYLVANIAUCLA - Univerity of California Los Angeles UNIVERSITY OF PITTSBURGHUNIVERITY OF CENTRAL FLORIDA UNIVERSITY OF TEXAS SYSTEM

UNIVERSITY OF ALABAMA

Page 33: BMF:n syysseminaari 2018 - WordPress.com · The GRADE (Grading of Recommendations Assessment, Development and Evaluation) system was created in 2000 by a dedicated group of guideline

Independent Researchpoints to DynaMed Plus

Page 34: BMF:n syysseminaari 2018 - WordPress.com · The GRADE (Grading of Recommendations Assessment, Development and Evaluation) system was created in 2000 by a dedicated group of guideline

DynaMed Plus®outscores all point-of-carereference competitors foroverall product quality inKLAS 2016 CDS report,including UpToDate®.Again.*

*Clinical Decision Support 2016: Providers Expect EMRs to Drive CDS Impact. November 2016 © KLAS Enterprises, LLC. All rights reserved.www.KLASresearch.comClinical Decision Support 2011: Understanding the Impact, November 2011. © KLAS Enterprises, LLC. All rights reserved.Clinical Decision Support 2013: Sizing up the competition, December 2013. © KLAS Enterprises, LLC. All rights reserved.

Clinical Decision Support KLAS Report - 2016

“Organizations…feel EBSCO Health’s…DynaMed Plus content ison par with UpToDate,allowing them to switch.”

- KLAS CDS 2016 Report

Page 35: BMF:n syysseminaari 2018 - WordPress.com · The GRADE (Grading of Recommendations Assessment, Development and Evaluation) system was created in 2000 by a dedicated group of guideline

KLAS Category Leader for Clinical Decision Support – Point of CareClinical Reference in the 2018 Best in KLAS: Software & Services report.

Page 36: BMF:n syysseminaari 2018 - WordPress.com · The GRADE (Grading of Recommendations Assessment, Development and Evaluation) system was created in 2000 by a dedicated group of guideline

THANK YOUMuharrem Yilmaz | Implementation Manager for Nordics

+47 406 58 082

[email protected]