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TERVEYSPORTTI
TERVEYSPORTTI
…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
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
DynaMed Plus evidence
• The most current – updated daily• Synthesized• Critically appraised
8
Meta-analyses
Systematicreviews
Randomisedcontrolled trials
Cohort studies
Case control studies
Case reports / case series
Systems
Summaries
Synopses
Syntheses
Studies
Knowledge pyramid
DynaMed Plus
EVIDENCE-BASEDMETHODOLOGY
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
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?
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.
Images
• Tables• Clinical photos• Radiological imaging• Algorithms• Illustrations• Microscopic images
DynaMed Plus Guidance
• Over 21,000 guidelines referenced including UK andEuropean associations - DUODECIM
• Recommendations using GRADE system
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
Editorial team structure
• General Internal Medicine• Cardiology/Pulmonology/Critical Care• ID/Immunology• Oncology/Hematology• Emergency Medicine
SPECIALTY PUBLISHING GROUPS:
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
DynaMed Plus - following
• Alerts by Topic• Alerts by Subject Area• Practice changing update
Mobile App
Get the Mobile App
Access anytime, anywhere from any device
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
DynaMed Plus Partnerhips
Who else uses DynaMed?
Examples
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
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
Independent Researchpoints to DynaMed Plus
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
KLAS Category Leader for Clinical Decision Support – Point of CareClinical Reference in the 2018 Best in KLAS: Software & Services report.