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  • Evidence based medicine provides the foundation for improving patient outcomes by providing up-to-date, peer-reviewed, filtered information at the point of care. Clinical Evidence, a product of BMJ Publishing Group, is a database of clinical questions, representing nearly every specialty, covering the effects and treatments and interventions for commonly encountered or important conditions. Clinical Evidence provides a synopsis of the best available evidence to help answer the questions and enable clinicians to make informed decisions about patient care.. Clinical Evidence is a database of more than 200 clinical questions, with new evidence added with each biannual update. Currently, additional questions are added annually. Treatments and interventions are covered for each question that through a thorough review of the research. The result is a synopsis of the best available evidence that identifies provides identifies Clinical Evidence does not make recommendations for action, it presents concise synopses of the available research in order to help clinicians make informed decisions about patient care.
  • Move swftly through this slide Now let’s take a look at Clinical Evidence
  • Through this comprehensive table of contents or use the tool bar and perform a search. We’ll select myocardial infarction.
  • The question covered here is “How improve outcomes in acute myocardial infarctions. A list of the interventions covered and highlight those that the research shows are beneficial, those likely to be beneficial or no significant result, and in some cases those that can be harmful. Selecting Calcium Channel Blockers, we move to a synopsis of the research
  • Quickly we find out that randomized clinical trials do hot show any significant reduction in mortality, but there is evidence that shows this intervention is harmful to patients with reduced left ventricular function. Each synopsis outlines the benefits, harms and offers brief commentary. If there is a lack of evidence in the literature, that too is covered. Using CE, the physician has access to the best available evidence to help make the informed clinical decisions.
  • Some points to make: Ovid is still committed to the goal of aggregating content, particularly in the STM areas, but there are some publishers who will never participate, and there are some subject areas that are not our focus. Thus OpenLinks provides another way for sites to integrate full text content from many sources via familiar and functional Ovid bibliographic databases.
  • Some points to make: The two main options for linking are production-based processes and “live linking” based upon data in the record. We chose the “live linking” approach for several reasons: so that linking processes would scale as more links were added; so that sites don’t have to rely on us for links; and so that sites can create their own links -- to unique content, to private content, or to content that is not of interest to most customers. The “Toolkit” will include pre-defined links to popular full text targets so that sites won’t have to do all the work themselves.
  • Some points to make: The two main options for linking are production-based processes and “live linking” based upon data in the record. We chose the “live linking” approach for several reasons: so that linking processes would scale as more links were added; so that sites don’t have to rely on us for links; and so that sites can create their own links -- to unique content, to private content, or to content that is not of interest to most customers. The “Toolkit” will include pre-defined links to popular full text targets so that sites won’t have to do all the work themselves.
  • The next several slides walk through a couple of OpenLinks scenarios: In this slide we show the starting point -- an Ovid search in a familiar database.
  • Make sure you emphasize INTEGRATION -- the vocabulary is mapped to MeSH so the best search that can be done is, and common limits like english and human are automatically applied.
  • Another new product Ovid approaches the integration of evidence-based medicine at the point of care in a different way.. Clineguide is A product of Clineanswers, Inc, Here, evidence-based drug and disease management content is is the foundation for a revolutionary, point of care clinical decision support system.
  • What makes Clineguide unique? Move through the slide Clineguide makes acctionable recommendations based on the best evidence to clinicians at the point of care.
  • Clineguide is easy to use… Simply enter in the patient characteristics. Here our patient has presented with unstable angina. We have been prompted as to the level of short term risk of death. For our patient, it is high. We see an alert that recommends patients with intermediate or high unstable angina be given heparin immediately. A prompt outlining the efficcacy of this intervention appears when we click on continue
  • Here we are given the background and supporting evidence as to why we should treat the patient immediately with heparin.
  • We access a management overview, can review the disease characteristics, go through the diagnostic process from workup, to diagnostic tests, to differential diagnosis, and other relevant history. Follwing that, we can access the recommended therapeutic interventions and follow up. All recommendations are specific to the patient and are referenced to the best available evidence.
  • Call for a new name!!!!!
  • Lexicon flushes out different meanings for tens. So if an article refers to transcutaneous electrical nerve stimulation it gets picked up. You may notice tens has a second meaning which will also be searched, HOWEVER later when the ranking algorithm sorts results the results having to do with toxic epidermal necrolysis will fall to the bottom of the list because they will not have the other terms from the search.
  • Using Natural Language is a very way to quickly get the few good articles a clinician would need on his or her topic. The Algorithm looks at things like proximity of words in a document, what fields they appear in, and how often they appear to decide the relvence. When the actual words the user inputs are found the algorithm gives the documents score an extra boost.
  • Pretty cool, eh? We’ve got a lot of new stuff for you to examine, evaluate and take home and make available to your customers. I’m very excited about the work we’ve been doing at Ovid and I hope we’ve conveyed a bit of that excitement to you. New Content, New Tools, One Goal -- it’s our goal -- yours and Ovid’s. Key concepts:
  • O V I D T E C H N O L O G I E S

    1. 1. Ovid Update EAHIL, Alghero June 2001 <ul><li>Ian Hames </li></ul><ul><li>European Sales Manager </li></ul><ul><li>Ovid Technologies </li></ul><ul><li>[email_address] </li></ul>
    2. 2. Ovid Technologies Update Agenda <ul><li>New products and services </li></ul><ul><li>Version 4.1.0 - Integration in your world </li></ul><ul><li>Ovid today and going forward </li></ul>
    3. 3. Ovid Content Aggregated, Integrated & Fully Searchable <ul><li>Bibliographic Databases </li></ul><ul><ul><li>over 90 essential files </li></ul></ul><ul><li>Journals </li></ul><ul><ul><li>500+ full searchable & linked via Journals@Ovid </li></ul></ul><ul><li>Reference Texts </li></ul><ul><ul><li>65+ seminal reference texts via Books@Ovid </li></ul></ul><ul><li>Evidence Based Content </li></ul><ul><ul><li>EBMR now with DARE </li></ul></ul><ul><ul><li>Clinical Evidence from BMJ </li></ul></ul>
    4. 4. New Databases <ul><li>Clinical Evidence (BMJ Publishing) </li></ul><ul><li>PreMedline (complete PubMED content) </li></ul><ul><ul><li>merged MEDLINE & PreMEDLINE database </li></ul></ul><ul><li>AMED: Allied & Comp. Medicine </li></ul><ul><li>DARE: Database of Abstracts of Reviews of Effectiveness </li></ul><ul><li>EBMR II and additional packages coming soon </li></ul>
    5. 5. [email_address] Fast answers. Great sources. All together under Ovid <ul><li>Easy access to the world's most prestigious international clinical texts </li></ul><ul><ul><li>65+ slated for release in upcoming months </li></ul></ul><ul><ul><li>23 books available now </li></ul></ul><ul><li>#1 or #2 titles in all clinical areas! </li></ul><ul><ul><li>Washington Manual Medical Therapeutics </li></ul></ul><ul><ul><li>Griffith’s 5 Minute Medical Consult </li></ul></ul><ul><ul><li>Current Medical Diagnosis & Treatment </li></ul></ul><ul><ul><li>The top nursing texts from LWW </li></ul></ul>
    6. 6. Books@Ovid -- Benefits <ul><li>Addresses critical needs for: </li></ul><ul><ul><li>- background information </li></ul></ul><ul><ul><li>- quick clinical consults </li></ul></ul><ul><ul><li>- drug lookups </li></ul></ul><ul><li>High quality content from authoritative sources </li></ul><ul><li>Useful in medical education and clinical practice </li></ul><ul><li>Complements Ovid’s primary and secondary databases </li></ul>
    7. 8. Top Medical Texts from Ovid <ul><li>BMJ Clinical Evidence </li></ul><ul><li>Tierney: Current Medical Diagnosis & Treatment </li></ul><ul><li>Kelley: Textbook of Internal Medicine </li></ul><ul><li>Goroll: Primary Care Medicine </li></ul><ul><li>McMillan: Oski’s Pediatrics </li></ul><ul><li>Scott: Danforth’s Obstetrics & Gynecology </li></ul><ul><li>Rowland: Merritts’s Textbook of Neurology </li></ul><ul><li>Topol: Textbook of Cardiovascular Medicine </li></ul><ul><li>Yamada: Textbook of Gastroenterology </li></ul><ul><li>Wintrobe’s Clinical Hematology </li></ul><ul><li>Greenfield: Principles & Practice of Surgery </li></ul>
    8. 9. Top Nursing Texts from Ovid <ul><li>Nettina: Lippincott Manual of Nursing </li></ul><ul><li>Carpenito: Nursing Care Plans and Documentation </li></ul><ul><li>Lippincott Nursing Drug Guide 2000 </li></ul><ul><li>Fischbach: Manual of Lab Tests </li></ul>
    9. 10. Clinical Evidence New Evidence-Based Content for Today’s Busy Clinicians <ul><li>A Product of the BMJ Publishing Group </li></ul><ul><li>Compendium of important clinical questions </li></ul><ul><li>Covers the effects of treatments and interventions </li></ul><ul><li>Reviews best available evidence to answer clinical questions </li></ul><ul><ul><ul><li>Identifies beneficial, likely and harmful interventions </li></ul></ul></ul><ul><ul><ul><li>Provides a synopsis of the evidence for each intervention option </li></ul></ul></ul><ul><ul><ul><li>Identifies gaps in the literature </li></ul></ul></ul>
    10. 11. How is Clinical Evidence Put Together? <ul><li>Topics and questions encountered in practice are identified </li></ul><ul><li>Literature is searched for good systematic reviews and primary studies </li></ul><ul><li>Reviews and studies are critically appraised by expert clinicians and information scientists </li></ul><ul><li>Results are subjected to rigorous peer review </li></ul>
    11. 15. Journals@Ovid - bigger and better! <ul><li>Over 380 titles now live and 500+ licensed from 66 publishers </li></ul><ul><li>Rich content, highly cited, prestigious publishers </li></ul><ul><li>PDF support for selected titles </li></ul><ul><ul><ul><li>- All by year end </li></ul></ul></ul>
    12. 16. Journals@Ovid Currency <ul><li>SGML key to Ovid’s aggregated, integrated and fully searchable philosophy. </li></ul><ul><li>70% of titles are received from publishers in SGML </li></ul><ul><li>SGML delivered titles will be available within 2 to 3 days of print publication or preprint </li></ul><ul><li>Critical titles ‘fast tracked’ through production </li></ul>
    13. 17. Journals@Ovid - One-Stop Administration <ul><li>Ovid administers all aspects of full text aggregation </li></ul><ul><ul><li>one contract </li></ul></ul><ul><ul><li>one invoice </li></ul></ul><ul><ul><li>organization wide (local and remote) </li></ul></ul><ul><ul><li>uniformity of use </li></ul></ul><ul><ul><li>one seamless login process - IP/password </li></ul></ul>
    14. 18. Journals@Ovid - Rich Linking 9,000,000 links! <ul><li>Currently </li></ul><ul><li>Medline weekly + NLM databases </li></ul><ul><li>Biosis Previews weekly </li></ul><ul><li>PsycINFO </li></ul><ul><li>Cinahl </li></ul><ul><li>Evidence-Based Medicine Reviews (DARE & CCTR) </li></ul><ul><li>Current Contents weekly </li></ul>
    15. 19. Ovid - Integration of Content Bibliographic Information Journal Articles
    16. 20. Ovid - Integration of Content Bibliographic Information Journal Articles References
    17. 21. Ovid - Integration of Content Bibliographic Information Journal Articles References Other Synoptic Content (e.g. textbooks)
    18. 22. Ovid’s OpenLinks is CrossRef compatible!!!! Integrate your Ovid databases with the world <ul><li>Ovid’s OpenLinks is software that allows sites to link from all Ovid bibliographic databases to non-Ovid full text. </li></ul><ul><li>Compliments Ovid’s own full text and enhances the value of your Ovid bibliographic database investment. </li></ul><ul><li>Dramatically simplifies the integration of external full text resources! </li></ul>
    19. 23. Ovid OpenLinks including CrossRef linking <ul><li>You negotiate external full text subscriptions, access, and pricing directly with publishers. </li></ul><ul><li>Ovid has implemented “live links” to a wide range of the world’s most prestigious full text publishers. (Springer-Verlag, Academic Press, American Institute of Physics, Project Muse, and many more….) </li></ul><ul><li>Ovid’s participation in the CrossRef initiative allows OpenLinks to Elsevier, OUP, Wiley and over 50 others </li></ul>
    20. 24. Ovid OpenLinks including CrossRef linking <ul><li>Advantages </li></ul><ul><ul><li>Open, Flexible & Customizable </li></ul></ul><ul><ul><li>All full text formats supported: PDF, HTLM, ASCII, TIFF </li></ul></ul><ul><ul><li>Direct links to article available from Ovid’s title display and full citation </li></ul></ul><ul><ul><li>Links seamless if IP validation supported by target </li></ul></ul><ul><li>Full Text target site full text must support URL searches and be “open” to search requests from search services such as Ovid. </li></ul>
    21. 28. Introducing Ovid Organizers Organize content around subjects and specialties <ul><li>Ovid On Call </li></ul><ul><ul><li>Ovid organizing view for clinicians </li></ul></ul><ul><ul><li>Specialty and resource organizational scheme </li></ul></ul><ul><li>Ovid On Campus </li></ul><ul><ul><li>Ovid organizing view for academic and research customers </li></ul></ul>
    22. 31. Ovid - Premier Software <ul><li>Designed for all types of users </li></ul><ul><ul><li>Mapping ensures accuracy and quality </li></ul></ul><ul><ul><li>Natural Language Interface provides relevant ranked answers. Tailored for medical content today. </li></ul></ul><ul><ul><li>The upcoming Clinical Client will steer the clinician through the rich and varied sources of info. </li></ul></ul><ul><ul><li>The choice will be yours! </li></ul></ul>
    23. 32. Ovid - Integration in your world <ul><li>Weblinks to your OPAC </li></ul><ul><li>Autoalerts </li></ul><ul><li>Document ordering </li></ul><ul><li>Links to other journal services – OpenLinks & CrossRef </li></ul><ul><li>Complete statistics </li></ul><ul><li>Integrate learning topics, electronic reserve rooms and distance based education services with “JumpStart” </li></ul>
    24. 34. Ovid Jumpstart <ul><li>Define “jumps” into any part of Ovid from your web site </li></ul><ul><ul><li>automatically retrieve a fulltext document </li></ul></ul><ul><ul><li>run an expert search </li></ul></ul><ul><li>Use Jumpstart… </li></ul><ul><ul><li>Web-based learning programs </li></ul></ul><ul><ul><li>Faculty publication database link to fulltext </li></ul></ul><ul><ul><li>to integrate traditional library services </li></ul></ul>
    25. 35. [Link to Related Fulltext]
    26. 37. [Link to Related Fulltext]
    27. 39. Multifile and Deduping (4.1.0 Release) <ul><li>Cross file searching (up to 5 databases!) </li></ul><ul><li>Automatic, intelligent duplicate removal </li></ul><ul><li>Unique “review duplicates” option </li></ul><ul><li>Support for preferences for duplicate removal </li></ul><ul><li>Access to database-specific vocabulary tools, limits, fields and indexes </li></ul>
    28. 40. MedCases New Educational Tool for Medical Students and Clinicians <ul><li>A Product of MedCases, Inc </li></ul><ul><li>Uses problem-based, case-based learning methods </li></ul><ul><li>“ Virtual patients” presenting with specific medical complaints </li></ul><ul><li>Cases developed by leading institutions </li></ul><ul><li>Specialties include OB/Gyn, Pediatrics, Family Medicine, Surgery </li></ul><ul><li>Supports clinicians in training and CME </li></ul>
    29. 45. MedWeaver New Decision Support Tool for Clinicians <ul><li>A product of Unbound Medicine, Inc </li></ul><ul><li>From symptoms to differential diagnosis </li></ul><ul><li>Provides a diagnostic profile for each disease </li></ul><ul><li>Explains why disease is on the differential diagnosis list </li></ul><ul><li>Integrates with Ovid Medline, Full Text and vetted web sites </li></ul>
    30. 50. Clin e guide A New Evidence-Based Clinical Knowledge System <ul><li>A product of Clin e answers, Inc. </li></ul><ul><li>Evidence-based, filtered, reviewed drug and disease management knowledge system </li></ul><ul><li>Packaged in a revolutionary point-of-care, clinical decision support system </li></ul>
    31. 51. What Makes Clin e guide Unique? <ul><li>Delivers rapid access to evidence-based knowledge into clinician’s workflow </li></ul><ul><li>Prompts therapeutic and intervention actions by clinicians </li></ul><ul><li>Patient and disease specific -- asks questions that focus on patient-specific characteristics </li></ul><ul><li>Anticipates key issues that may influence outcomes and prompts clinicians </li></ul>
    32. 55. New Ovid Search Products A Look to the Future <ul><li>Natural Language Interface </li></ul><ul><ul><ul><li>Provides for “natural language” questions </li></ul></ul></ul><ul><ul><ul><li>Adjunct to existing interfaces </li></ul></ul></ul><ul><ul><ul><li>Ranks results </li></ul></ul></ul><ul><ul><ul><li>Phase I of clinical client </li></ul></ul></ul><ul><li>Clinical Client </li></ul><ul><ul><ul><li>Search interface specifically designed for clinicians </li></ul></ul></ul><ul><ul><ul><li>Geared toward providing quick question-asking templates for most common clinical questions </li></ul></ul></ul><ul><ul><ul><li>Support for all types of information </li></ul></ul></ul><ul><ul><ul><li>Ranked result list </li></ul></ul></ul>
    33. 56. Ovid’s Natural Language Interface <ul><li>Support for Natural Language query </li></ul><ul><ul><li>“How is aspirin used in treating heart attacks in an emergency room setting” </li></ul></ul><ul><ul><li>“Use of TENS for chronic pain” </li></ul></ul><ul><li>Lexicon </li></ul><ul><ul><li>Derived from the UMLS and other standard vocabularies </li></ul></ul><ul><ul><li>Includes medical and non-medical dictionaries (British and American) </li></ul></ul><ul><ul><li>More than mapping </li></ul></ul>
    34. 57. Robust Synonym Support tens or &quot;lyells syndrome&quot; or &quot;scalded skin syndrome&quot; or &quot;toxic epidermal necrolysis &quot; or &quot;epidermal necrolysis toxic&quot; or &quot;lyell syndrome&quot; or &quot;necrolysis toxic epidermal&quot; or &quot;syndrome lyells&quot; or &quot;syndrome scalded skin&quot; or &quot;ten&quot; or &quot;electrical stimulation transcutaneous&quot; or “electroanalgesia&quot; or &quot;stimulation transcutaneous electrical&quot; or &quot;transcutaneous electric nerve stimulation&quot; or &quot;transcutaneous electric stimulation&quot; or &quot;transcutaneous electrical nerve stimulation&quot; or &quot;transcutaneous electrical stimulation&quot; or &quot;transcutaneous nerve stimulation&quot; or &quot;transdermal electrostimulation&quot;
    35. 58. Natural Language Interface (cont) <ul><li>Ranks Results </li></ul><ul><ul><li>Pieces of information most likely to answer the question are brought to the top </li></ul></ul><ul><ul><li>Nineteen step algorithm </li></ul></ul><ul><ul><li>Driven by the words the user inputs </li></ul></ul><ul><li>Refine Option </li></ul><ul><ul><li>Ability to eliminate a term without starting a new search </li></ul></ul><ul><ul><li>Ability to require that a term be present in all results </li></ul></ul>
    36. 61. New Content, New Tools One Common Goal <ul><li>Aggregation of content…….. </li></ul><ul><li> </li></ul><ul><li>… ...integration of services </li></ul>