Essential Evidence Plus

Koos, Jessica

doi:10.5195/jmla.2017.211

Cited by 2 publications

(5 citation statements)

References 1 publication

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“…An evolution of this concept has been translated into an online resource, Essential Evidence Plus, which is unique in comparison to other point-of-care tools in that it provides daily emailed POEMs to subscribers. 73 …”

Section: Discussionmentioning

confidence: 99%

Developing a new clinical governance framework for chronic diseases in primary care: an umbrella review

Buja

Toffanin²,

Claus

et al. 2018

BMJ Open

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ObjectivesOur goal is to conceptualise a clinical governance framework for the effective management of chronic diseases in the primary care setting, which will facilitate a reorganisation of healthcare services that systematically improves their performance.SettingPrimary care.ParticipantsChronic Care Model by Wagner et aland Clinical Governance statement by Scally et alwere taken for reference. Each was reviewed, including their various components. We then conceptualised a new framework, merging the relevant aspects of both.InterventionsWe conducted an umbrella review of all systematic reviews published by the Cochrane Effective Practice and Organisation of Care Group to identify organisational interventions in primary care with demonstrated evidence of efficacy.ResultsAll primary healthcare systems should be patient-centred. Interventions for patients and their families should focus on their values; on clinical, professional and institutional integration and finally on accountability to patients, peers and society at large. These interventions should be shaped by an approach to their clinical management that achieves the best clinical governance, which includes quality assurance, risk management, technology assessment, management of patient satisfaction and patient empowerment and engagement. This approach demands the implementation of a system of organisational, functional and professional management based on a population health needs assessment, resource management, evidence-based and patient-oriented research, professional education, team building and information and communication technologies that support the delivery system. All primary care should be embedded in and founded on an active partnership with the society it serves.ConclusionsA framework for clinical governance will promote an integrated effort to bring together all related activities, melding environmental, administrative, support and clinical elements to ensure a coordinated and integrated approach that sustains the provision of better care for chronic conditions in primary care setting.

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Section: Discussionmentioning

confidence: 99%

Developing a new clinical governance framework for chronic diseases in primary care: an umbrella review

Buja

Toffanin²,

Claus

et al. 2018

BMJ Open

View full text Add to dashboard Cite

show abstract

“…Two other commonly used resources, DynaMed and Essential Evidence Plus (EEP), publish clinically-organized topics that are readily reviewed and updated. Topics in all three systems include comprehensive reviews of diseases, health conditions, and abnormalities, as well as more targeted topics related to patient evaluation, differential diagnosis, and healthcare management [9,10].…”

Section: Case Study On Mental Health Treatmentmentioning

confidence: 99%

“…Both EEP and DynaMed are evidence-based point-of-care resources designed to assist clinicians. EEP comprises several searchable databases that organize information as topics and sub-topics [10]. Each sub-topic offers a summative "Overall Bottom Line" of the most recent clinical evidence [10].…”

Section: Case Study On Mental Health Treatmentmentioning

confidence: 99%

“…EEP comprises several searchable databases that organize information as topics and sub-topics [10]. Each sub-topic offers a summative "Overall Bottom Line" of the most recent clinical evidence [10]. Similarly, DynaMed organizes information as "Evidence Reports" and assigns a numeric label from 1-3 representing "likely reliable evidence", "mid-level evidence", and "lacking direct evidence", respectively [9].…”

Section: Case Study On Mental Health Treatmentmentioning

confidence: 99%

“…The authors concluded that CBT was more effective than "treatment as usual" in achieving clinical response, as well as reducing anxiety, worry and depression symptoms [13]. The EEP article assigned a strength of recommendation value of B defined as "inconsistent or limited-quality patient-oriented information" [10]. DynaMed cited the same systematic review as EEP, assigning a "Level 2/Mid-Level" evidence grade to the study conclusion that CBT reduces anxiety symptoms in adults with GAD.…”

Section: Case Study On Mental Health Treatmentmentioning

confidence: 99%

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Challenges in remaining "UpToDate"

Akula

Dick

2020

hsi

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Our understanding of the prevalence of mental health disorders (MHDs) in society is in the midst of a paradigm shift: where MHDs were once considered rare within a population, studies through the last decade have converged to the conclusion that they are, in fact, near universal. Consequently, the demand for mental health treatment has resulted in the training of Primary-Care Physicians (PCPs) to identify, diagnose, and treat common MHDs. As generalists, PCPs require specialised point-of-care clinical resources to educate their patients and provide them with evidence-based treatment plans; UpToDate is one such resource. As a database of synthesized peer-reviewed medical information, written and approved by physician-experts from their review of contemporary peer-reviewed literature, this resource is considered a gold standard. Here, we examine an MHD-specific investigative case study on Generalized Anxiety Disorder where the synthesized UpToDate medical information was found to be in conflict with the original studies. In this era of unrelenting bombardment of digital data, the responsibility of assessing the truth of the information falls to the consumer. While a reliance on reputable information-sharing platforms facilitates both the access and assessment of truth, we discuss the risks of unintended errors, their propagation, and the potential impact at the point-of-care.

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Essential Evidence Plus

Abstract: Essential Evidence Plus (EEP) is a point-of-care tool that was created to assist clinicians with evidence-based practice.

Cited by 2 publications

References 1 publication

Developing a new clinical governance framework for chronic diseases in primary care: an umbrella review

Developing a new clinical governance framework for chronic diseases in primary care: an umbrella review

Challenges in remaining "UpToDate"

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