1 / 60

How to Use the Resources of the Telelibrary Project Effectively

How to Use the Resources of the Telelibrary Project Effectively. Jane A. Pellegrino, MSLS, AHIP Department Head, Library Services Naval Medical Center Portsmouth. Why do health professional look for clinical information?. To stay current with new relevant medical developments

carrington
Download Presentation

How to Use the Resources of the Telelibrary Project Effectively

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. How to Use the Resources of the Telelibrary Project Effectively Jane A. Pellegrino, MSLS, AHIP Department Head, Library Services Naval Medical Center Portsmouth

  2. Why do health professional look for clinical information? • To stay current with new relevant medical developments • To find answers to patient-specific clinical questions

  3. When you need information, where doYOUstart?

  4. Where does Google Fit In? • Googlehttp://www.google.com • Great locating tool for specific information • Rarely scholarly, not a substitute for library reference databases • Unstable • Google Scholarhttp://scholar.google.com • Searches peer-reviewed papers, books, theses, etc. • Leads to fee-based online full-text websites

  5. Objectives • Look beyond Google • Formulate a clinical question • Select appropriate resources to answer a clinical question • Search PubMed or CINAHL to find the answer to a clinical question • Find online full-text available through the Telelibrary

  6. Clinical Questions • What patients are at greatest risk for RSV infections? • What are the current guidelines for treating acute otitis media? • Does clonidine pose a risk to the fetus in a hypertensive patient? • What are the diagnostic criteria for Lyme disease? • Should healthy patients over 65 years of age receive pneumococcal vaccine and does immunization reduce hospitalization for pneumonia?

  7. Where do I begin? • Formulate the question • Identify key concepts • PICO (patient, intervention, comparison, outcome) • Choose a likely source of the information • Is it an overview of a subject found in a textbook or other full-text reference? • Is it a set of specific drug facts? • Is there a guideline on the clinical question? • Is it the latest journal article?

  8. Formulate a good, answerable clinical question Identify key concepts

  9. Choosing the right tool • To stay current with new relevant medical developments • American Family Physician, Journal of Family Practice, JAMA, New England Journal of Medicine • MD Consult • Stat!Ref • ACP Medicine, ACS Surgery • eMedicine (CME) • Journals in online full-text

  10. Choosing the right tool • To find answers to patient-specific clinical questions • UpToDate • MD Consult • eMedicine • eBooks • Stat!Ref - ACP Medicine, ACS Surgery • Books @ Ovid • Practice Guidelines and Systematic Reviews

  11. https://tlib.med.navy.mil • CAC required Links are also available at Navy Medicine Online https://nmo.med.navy.mil

  12. http://www.med.navy.mil/sites/nmcp/Library/Pages/Telelibrary.aspxhttp://www.med.navy.mil/sites/nmcp/Library/Pages/Telelibrary.aspx

  13. Question #1 – Brief Clinically Related QuestionTryUpToDate What patients are at greatest risk for RSV infections?

  14. UpToDate

  15. RSV - UpToDate

  16. Risk of RSV - UpToDate

  17. Question #2 – Discussion of Current ManagementTryUpToDate What are the current guidelines for treating acute otitis media?

  18. UpToDate

  19. Acute Otitis Media - UpToDate

  20. Question #3 – Question on the Safety of a DrugTryMicroMedex Does clonidine being taken by a hypertensive mother pose a risk to the fetus?

  21. http://www.med.navy.mil/sites/nmcp/Library/Pages/Telelibrary.aspxhttp://www.med.navy.mil/sites/nmcp/Library/Pages/Telelibrary.aspx

  22. Choose MicroMedex

  23. MicroMedex

  24. MicroMedex

  25. Question #4 – Looking for an overview? Try eBooks:MD Consult or Stat!Ref What are the diagnostic criteria for Lyme disease?

  26. Choose MD Consult or a specific ebook textbooks at the click of a mouse

  27. MD Consult

  28. MD Consult ~ Information for the Provider

  29. MD Consult ~ Information for the Patient

  30. Question #5 – Looking for a guideline? TryACP PIER at Stat!Ref or the National Guideline Clearinghouse • Should healthy patients over 65 years of age receive pneumococcal vaccine and does immunization reduce hospitalization for pneumonia?

  31. Evidence-based resource

  32. EBM Resources ACP PIER from Stat!Ref ACP PIER

  33. EBM Resources ACP PIER from Stat!Ref

  34. National Guideline Clearinghouse http://www.guideline.gov

  35. EBM Resources Vaccine Recommendations Answer to the first part of the question

  36. Search the journal literature to answer the second part of the question When the textbooks or guidelines do not answer the specific question Should healthy patients over 65 years of age receive pneumococcal vaccine and does immunization reduce hospitalization for pneumonia? Use PubMed with LinkOut or CINAHL to look for journal articles

  37. Journal Searching~ beyond Google • MEDLINE(complete MEDLINE indexes 6000 journals) • PubMed • Ovid Online • Ovid Online(MEDLINE, PsycINFO) • CINAHL with Fulltext • Evidence-Based Healthcare Database • Cochrane Library (at Ovid)

  38. Using MEDLINE or CINAHLto find articles on a specific subject

  39. MEDLINE Databases:PubMed MEDLINE and Ovid MEDLINE http://gateway.ovid.com • Same data • Different interface PubMed linked to Telelibrary http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?myncbishare=navy&holding=usntelib

  40. Medline Reviewing the results Fulltext @ Telelibrary Fulltext @ NEJM Fulltext @ Ovid

  41. Using PubMed with LinkOut for journal article searching http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?myncbishare=navy&holdings=usntelib

  42. PubMed enter keywords in query box, separate concepts Use AND or OR to combine concepts

  43. PubMed Results Screen Combine terms using AND or OR; use * to truncate wordspneumococcal vaccin* AND hospitalization 160 citations

  44. PubMed Medical Subject Headings - MeSH

  45. PubMed Using MeSH to formulate a search Select term and send it to the search box; restrict search to major topic headings; choose subheadings Adding a term

  46. PubMed Choose a second MeSH term Choose another MeSH heading, send it to the search box, and execute the search Execute Search Search Strategy

  47. PubMed Reviewingthe results All articles Full text @Telelibrary 35 citations

  48. PubMed Using LimitsLimit by date, language, age group… Select limits

  49. PubMed Reviewing the limited results All articles Limited by age, language, and journal subset

  50. PubMed Saving the results to the Clipboard

More Related