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Point of care tools comparison chart
                                                                                                                                                                                   2013


Point-of-    Access     Platform/    Content summary              Evidence Rating            Notable features/ Significance      evidence-based      Frequency of update        Authorship         Other
Care1        option     Publisher                                                                                                methodology/        and/or updating            transparency
                                                                                                                                 availability of     mechanism
                                                                                                                                 policy online

ACP PIER     Online,    Stat!Ref     A collection of over 400     3 level of statement        Topics are selected by ACP based   High Evidence-      Monthly but the contents   Individual
             Mobile                  evidence summaries           based on formal             upon prevalence in clinical        Based Methodology   of at least six major      authors, their
                                                                          2                                                            4
             App                     published by the             criteria . All summaries    settings                           Score               medical journals are       credentials and
                                                                                         3                    4
                                     American College of          with graded evidence        Covers Internal and medicine                           reviewed each week by      affiliations are
                                                                                                                                                                                       4
                                     Physicians (ACP).                                        specialists                                            PIER's editorial staff.    listed .
                                                                                              It does not provide                                    Relevant citations are
                                                                                                                  4
                                                                                              Recommendations                                        added to the “What's
                                                                                                                             7                       New” section of module
                                                                                              Quality assessment scores 7/10
                                                                                                                                                                    2
                                                                                                                                                     home pages.
Clinical     Online,    BMJ Group    Aims to cover common         The 4 level GRADE           The content is based on pre-       High Evidence-       A tailored updating       High editorial
Evidence     Mobile                  or important clinical        statement and quality       selected clinical questions.       Based Methodology    schedule via the BMJ      Quality Score
                                                                                                                                                                                               4
                                                                                                                                       4                                7
             App                     conditions seen in           assessment are based        Results of thorough literature     Score                Evidence Centre.
                                     primary and hospital         only on the data            searches about current evidence                         Hazard ratio (HR) of
                                     care. The questions in       presented in the            are summarized into concise                             0.03 when compared to
                                                                                                                                                                 8
                                     concern the benefits and     Benefits and Harms          answers. Rigorously peer                                DynaMed
                                                                                                        5
                                     harms of preventative        sections, the reporting     reviewed .
                                                                                                                       4
                                     and therapeutic              of which is in turn         Covers GPs & specialists
                                     interventions, with          based on the                It does not provide
                                                                                                                  4
                                     emphasis on outcomes         parameters outlined in      Recommendations
                                                              5                                                              6
                                     that matter to patients.     the review plan for         Quality assessment scores 9/10
                                                                  which a systematic
                                                                  search has been
                                                                             5
                                                                  performed .




            N.Torabi - Allyn & Betty Taylor Library - Last update : January 22, 2013                                                                                              Page 1 of 5
Point of care tools comparison chart
                                                                                                                                                                                       2013
                                                                                                                                                              6             8
DynaMed       Online,    EBSCO         A medical information        3 levels of grades        Covers GPs& specialists
                                                                                                                      4
                                                                                                                                    High Evidence-       Daily , HR of 1.         Individual
                                                                                        9
              Mobile                   database with over           recommendations but       Intent to provide                     Based Methodology                             authors, their
                                                                                                                4                         4
              App                      3,200 clinical topic         not all summaries have    Recommendations                       Score                                         credentials and
                                                                                      3                                      6
                                       summaries.                   graded evidence           Quality assessment scores 8/10                                                      affiliations are
                                                                                                                                                                                               4
                                                                                                                                    https://dynamed.eb                            NOT listed
                                                                                                                                    scohost.com/conten
                                                                                                                                    t/7-step-process


EBM           Online     John Wiley    An easy-to-use               4 levels of grading       Audio samples linked to articles,     NA                    Continuously updated.   The articles are
Guidelines               & Sons, Inc   collection of nearly         system
                                                                            11
                                                                                              including descriptions of                                   HR of 0.22 when         also indexed by
                                       1,000 clinical guidelines                              pulmonary diseases and heart                                compared to DynaMed     author and by
                                                                                                                                                          8                                   10
                                       for primary and                                        murmurs in children.                                                                speciality.
                                                                                                          4
                                       ambulatory care linked                                 Covers GPs
                                       to the best available                                  Intent to provide
                                                                                                                 4
                                       evidence and Over                                      Recommendations
                                       3,000 quality graded
                                                             10
                                       evidence summaries
Essential     Online,    Wiley-        Filtered, synopsized,         Level of evidence        It covers primary care topics that    http://www.essenti   Updating policy is not   Individual
Evidence      Mobile     Blackwell     evidence-based                (LOE) refers to a        measure patient-oriented              alevidenceplus.com   clear.                   authors are
Plus          App                      information which             rating indicator         outcomes (morbidity, mortality,       /product/ebm_over                             mentioned but
                                       includes: EBM topics and      provided by the          quality of life) should change        view.cfm                                      only credentials
                                       Guidelines, daily POEMs       Centre for Evidence-     practice, if the reported results                                                   and affiliations
                                       podcast, Cochrane             Based Medicine,          are valid. They are also called                                                     of some of
                                                                                                                                                                                                   4
                                       Abstracts, Practice           Oxford and 4 levels of   POEMs--Patient-Oriented                                                             them are listed
                                                                                       12
                                       Guidelines, Calculators,      grading system.          Evidence that Matters. It also
                                       Diagnostic Tests,             Not all summaries        provides "Bottom Line” for each
                                                                5                                          13
                                       Calculators, and ICD-9        with graded evidence     EBM topics
                                                                     3                                                          6
                                                                                              Quality assessment scores 8/10




             N.Torabi - Allyn & Betty Taylor Library - Last update : January 22, 2013                                                                                                 Page 2 of 5
Point of care tools comparison chart
                                                                                                                                                                                          2013
eMedicine       Online,    WebMD        Including expert            No                        It covers across more than 30        The policy is no      The policy is not very        Individual
(Medscape)      Mobile     LLC.         knowledge in 63                                       medical specialties. Peer-           clear                 clear.                        authors, their
                App,                    specialty areas covering                              reviewed disease summaries;          Low Evidence-         HR of 0.05 when               credentials and
                                                                                                                                                                                8
                Free                    7,000 diseases and                                    multimedia files, clinical tools     Based Methodology     compared to DynaMed           affiliations are
                                                                                                                                         4
                                        disorders. More than                                  and differential diagnosis           Score                                               listed.
                                                                                                           5
                                        6,300 evidence-based                                  information.
                                        and physician-reviewed                                Covers GPs and other health
                                                                                                                 .4
                                        disease and condition                                 care professionals
                                        articles are organized to                             Intent to provide
                                                                                                                  4
                                        answer clinical                                       Recommendations
                                                    14                                                                         6
                                        questions.                                            Quality assessment scores 4/10

Epocrates       Online,    Epocrates,   It organizes practical,     Not all summaries have   BMJ Point of Care provides the        The policy is no      The policy is not very        Individual
Essentials ,    Mobile     Inc          peer-reviewed content.      graded evidence
                                                                                    3
                                                                                             disease content for Epocrates
                                                                                                                           15
                                                                                                                                   clear                 clear.                        authors, their
/ Epocrates     App                     Treatment                                                                                                                                      credentials and
Online                                  recommendations for                                                                                                                            affiliations are
Premium                                 common and                                                                                                                                     listed.
                                                                                                                                                                                               4

                                        uncommon infections,
                                        Detailed lab
                                                      15
                                        monographs.
                                                                                                                                                                                  16
First           Online,    MD Consult   A collection of              Rating system derived    Each topic includes summary,         Low Evidence-         The policy is not clear .     Individual
Consult         Mobile                  resource for health care     from those produced      background, diagnostic,              Based Methodology                                   authors, their
                                                                                                                                         4
                App                     professionals, providing     by the American          therapeutic, outcomes-related,       Score                                               credentials and
                                        access to the latest in      Academy of Family        and prevention information, as                                                           affiliations are
                                                                                                                                                                                               4
                                        evaluation, diagnosis,       Physicians and the US    well as the evidence and                                                                 listed.
                                        management, outcomes,        Agency for               references which support
                                                                                                                  5
                                        and prevention at the        Healthcare Policy and    recommendations.
                                                                5                                                     4
                                        point and time of care.      Research                 Covers GPs, specialists
                                                                                   16
                                                                     Classification .         Intent to provide
                                                                                                                 4
                                                                     Not all summaries        Recommendations




               N.Torabi - Allyn & Betty Taylor Library - Last update : January 22, 2013                                                                                                 Page 3 of 5
Point of care tools comparison chart
                                                                                                                                                                                   2013
                                                                                                                           6
                                                                 have graded              Quality assessment scores 8/10
                                                                          3
                                                                 evidence
UpToDate      Online,    UpToDate,    A comprehensive          2 level grading            Contains all of the internal         High Evidence-       Daily updated. Topics       Individual
                                                                       17
              Mobile     Inc          synthesis of the         system .                   medicine subspecialties (at a        Based Methodology    in UpToDate are revised     authors, their
                                                                                                                                     4
              friendly                evidence followed by     Not all summaries have     level that meets the needs of the    Score                whenever important          credentials and
                                                                               3
              website                 recommendations that     graded evidence            subspecialist), all of primary                            new information is          affiliations are
                                                                                                                                                                                        4
                                      can be acted on at the                              care, internal medicine, ob/gyn,     http://www.uptoda    published, not              listed.
                                                    .5
                                      point of care                                       pediatrics, general surgery, and     te.com/home/edito    according to any
                                                                                          more                                 rial-policy          specific time schedule.
                                                                                          Intent to provide                                         “Practice Changing
                                                                                                                4
                                                                                          Recommendations                                           Updates” section
                                                                                                                           6
                                                                                          Quality assessment scores 8/10                            highlights important
                                                                                                                                                    and practice-changing
                                                                                                                                                               18
                                                                                                                                                    updates.
                                                                                                                                                    HR of 0.14 when
                                                                                                                                                                            8
                                                                                                                                                    compared to DynaMed




1
  Point of care tools are those reference resources that a clinician or health care professional can utilize immediately at the point-of-care at the bedside. Those resources which only provide
structured abstracts or systematic reviews, or act as literature surveillance are not included here. Also, the resources providing only drug information are excluded.
2
  Evidence-Based Clinical Content in ACP PIER, Use Guide. available at http://www.statref.com/resources/PDFs/SROnline/PIERUserGuide.pdf
3
  Shurtz, S., & Foster, M. J. (2011). Developing and using a rubric for evaluating evidence-based medicine point-of-care tools. Journal of the Medical Library Association: JMLA, 99(3), 247.
4
  Banzi, R., Liberati, A., Moschetti, I., Tagliabue, L., & Moja, L. (2010). A review of online evidence-based practice point-of-care information summary providers. Journal of medical Internet
research, 12(3). http://www.jmir.org/article/viewFile/jmir_v12i3e26/2
5
  EBM Resources Comparison Chart. Duke University Medical Centre Library and Archive. Program on Teaching Evidence-Based Practice available at
http://eno.duhs.duke.edu/sites/eno.duhs.duke.edu/files/public/guides/ebmchart.pdf




            N.Torabi - Allyn & Betty Taylor Library - Last update : January 22, 2013                                                                                             Page 4 of 5
Point of care tools comparison chart
                                                                                                                                                                                   2013

6
  Prorok, J. C., Iserman, E. C., Wilczynski, N. L., & Haynes, R. B. (2012). The quality, breadth, and timeliness of content updating vary substantially for 10 online medical texts: an analytic survey.
Journal of Clinical Epidemiology.
7
  Nuts, bolts, and tiny little screws: how Clinical Evidence works. Available at http://clinicalevidence.bmj.com/x/set/static/cms/nuts-and-bolts.html
8
  Banzi, R., Cinquini, M., Liberati, A., Moschetti, I., Pecoraro, V., Tagliabue, L., & Moja, L. (2011). Speed of updating online evidence based point of care summaries: prospective cohort analysis.
BMJ: British Medical Journal, 343.
9
  Level of Evidence. available at https://dynamed.ebscohost.com/content/LOE
10
   EBM Guidelines about this database http://onlinelibrary.wiley.com/book/10.1002/0470057203
11
   EBM Guidelines user guide http://tinyurl.com/bbabq59
12
   Essential Evidence Plus; Levels of evidence available at http://www.essentialevidenceplus.com/product/ebm_loe.cfm
13
   Essential Evidence Plus; Resources & Tools available at http://www.essentialevidenceplus.com/product/features_ir.cfm
14
   Medscape Reference available at http://reference.medscape.com/
15
   Epocrates clinical content available at http://www.epocrates.com/clinical/sources
16
   First Consult FAQ available at http://www.mdconsult.com/helpfiles/webhelp/faq/frequently_asked_questions.htm#First_Consult
17
   UpTODate: Grading guide available at http://www.uptodate.com/home/grading-guide
18
   UpTODate: Editorial Policy available at http://www.uptodate.com/home/editorial-policy

Disclaimer: The purpose of this chart is to provide some general information about several top point-of-care resources in the medical field. This information should not be considered complete.
We do not endorse any particular POC resources. The information gathered here by a literature review. Those articles that used bibliometric analysis are included. The articles which their
methodology were solely based on user-centred analysis (i.e. medical community survey about the popularity of particular tools) are excluded to minimize risk of bias. If information about
particular aspect of a POC was not obtained from the literature review, the editorial policy from their perspective website was cited.




             N.Torabi - Allyn & Betty Taylor Library - Last update : January 22, 2013                                                                                             Page 5 of 5

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Point of care tools comparison chart 2013

  • 1. Point of care tools comparison chart 2013 Point-of- Access Platform/ Content summary Evidence Rating Notable features/ Significance evidence-based Frequency of update Authorship Other Care1 option Publisher methodology/ and/or updating transparency availability of mechanism policy online ACP PIER Online, Stat!Ref A collection of over 400 3 level of statement Topics are selected by ACP based High Evidence- Monthly but the contents Individual Mobile evidence summaries based on formal upon prevalence in clinical Based Methodology of at least six major authors, their 2 4 App published by the criteria . All summaries settings Score medical journals are credentials and 3 4 American College of with graded evidence Covers Internal and medicine reviewed each week by affiliations are 4 Physicians (ACP). specialists PIER's editorial staff. listed . It does not provide Relevant citations are 4 Recommendations added to the “What's 7 New” section of module Quality assessment scores 7/10 2 home pages. Clinical Online, BMJ Group Aims to cover common The 4 level GRADE The content is based on pre- High Evidence- A tailored updating High editorial Evidence Mobile or important clinical statement and quality selected clinical questions. Based Methodology schedule via the BMJ Quality Score 4 4 7 App conditions seen in assessment are based Results of thorough literature Score Evidence Centre. primary and hospital only on the data searches about current evidence Hazard ratio (HR) of care. The questions in presented in the are summarized into concise 0.03 when compared to 8 concern the benefits and Benefits and Harms answers. Rigorously peer DynaMed 5 harms of preventative sections, the reporting reviewed . 4 and therapeutic of which is in turn Covers GPs & specialists interventions, with based on the It does not provide 4 emphasis on outcomes parameters outlined in Recommendations 5 6 that matter to patients. the review plan for Quality assessment scores 9/10 which a systematic search has been 5 performed . N.Torabi - Allyn & Betty Taylor Library - Last update : January 22, 2013 Page 1 of 5
  • 2. Point of care tools comparison chart 2013 6 8 DynaMed Online, EBSCO A medical information 3 levels of grades Covers GPs& specialists 4 High Evidence- Daily , HR of 1. Individual 9 Mobile database with over recommendations but Intent to provide Based Methodology authors, their 4 4 App 3,200 clinical topic not all summaries have Recommendations Score credentials and 3 6 summaries. graded evidence Quality assessment scores 8/10 affiliations are 4 https://dynamed.eb NOT listed scohost.com/conten t/7-step-process EBM Online John Wiley An easy-to-use 4 levels of grading Audio samples linked to articles, NA Continuously updated. The articles are Guidelines & Sons, Inc collection of nearly system 11 including descriptions of HR of 0.22 when also indexed by 1,000 clinical guidelines pulmonary diseases and heart compared to DynaMed author and by 8 10 for primary and murmurs in children. speciality. 4 ambulatory care linked Covers GPs to the best available Intent to provide 4 evidence and Over Recommendations 3,000 quality graded 10 evidence summaries Essential Online, Wiley- Filtered, synopsized, Level of evidence It covers primary care topics that http://www.essenti Updating policy is not Individual Evidence Mobile Blackwell evidence-based (LOE) refers to a measure patient-oriented alevidenceplus.com clear. authors are Plus App information which rating indicator outcomes (morbidity, mortality, /product/ebm_over mentioned but includes: EBM topics and provided by the quality of life) should change view.cfm only credentials Guidelines, daily POEMs Centre for Evidence- practice, if the reported results and affiliations podcast, Cochrane Based Medicine, are valid. They are also called of some of 4 Abstracts, Practice Oxford and 4 levels of POEMs--Patient-Oriented them are listed 12 Guidelines, Calculators, grading system. Evidence that Matters. It also Diagnostic Tests, Not all summaries provides "Bottom Line” for each 5 13 Calculators, and ICD-9 with graded evidence EBM topics 3 6 Quality assessment scores 8/10 N.Torabi - Allyn & Betty Taylor Library - Last update : January 22, 2013 Page 2 of 5
  • 3. Point of care tools comparison chart 2013 eMedicine Online, WebMD Including expert No It covers across more than 30 The policy is no The policy is not very Individual (Medscape) Mobile LLC. knowledge in 63 medical specialties. Peer- clear clear. authors, their App, specialty areas covering reviewed disease summaries; Low Evidence- HR of 0.05 when credentials and 8 Free 7,000 diseases and multimedia files, clinical tools Based Methodology compared to DynaMed affiliations are 4 disorders. More than and differential diagnosis Score listed. 5 6,300 evidence-based information. and physician-reviewed Covers GPs and other health .4 disease and condition care professionals articles are organized to Intent to provide 4 answer clinical Recommendations 14 6 questions. Quality assessment scores 4/10 Epocrates Online, Epocrates, It organizes practical, Not all summaries have BMJ Point of Care provides the The policy is no The policy is not very Individual Essentials , Mobile Inc peer-reviewed content. graded evidence 3 disease content for Epocrates 15 clear clear. authors, their / Epocrates App Treatment credentials and Online recommendations for affiliations are Premium common and listed. 4 uncommon infections, Detailed lab 15 monographs. 16 First Online, MD Consult A collection of Rating system derived Each topic includes summary, Low Evidence- The policy is not clear . Individual Consult Mobile resource for health care from those produced background, diagnostic, Based Methodology authors, their 4 App professionals, providing by the American therapeutic, outcomes-related, Score credentials and access to the latest in Academy of Family and prevention information, as affiliations are 4 evaluation, diagnosis, Physicians and the US well as the evidence and listed. management, outcomes, Agency for references which support 5 and prevention at the Healthcare Policy and recommendations. 5 4 point and time of care. Research Covers GPs, specialists 16 Classification . Intent to provide 4 Not all summaries Recommendations N.Torabi - Allyn & Betty Taylor Library - Last update : January 22, 2013 Page 3 of 5
  • 4. Point of care tools comparison chart 2013 6 have graded Quality assessment scores 8/10 3 evidence UpToDate Online, UpToDate, A comprehensive 2 level grading Contains all of the internal High Evidence- Daily updated. Topics Individual 17 Mobile Inc synthesis of the system . medicine subspecialties (at a Based Methodology in UpToDate are revised authors, their 4 friendly evidence followed by Not all summaries have level that meets the needs of the Score whenever important credentials and 3 website recommendations that graded evidence subspecialist), all of primary new information is affiliations are 4 can be acted on at the care, internal medicine, ob/gyn, http://www.uptoda published, not listed. .5 point of care pediatrics, general surgery, and te.com/home/edito according to any more rial-policy specific time schedule. Intent to provide “Practice Changing 4 Recommendations Updates” section 6 Quality assessment scores 8/10 highlights important and practice-changing 18 updates. HR of 0.14 when 8 compared to DynaMed 1 Point of care tools are those reference resources that a clinician or health care professional can utilize immediately at the point-of-care at the bedside. Those resources which only provide structured abstracts or systematic reviews, or act as literature surveillance are not included here. Also, the resources providing only drug information are excluded. 2 Evidence-Based Clinical Content in ACP PIER, Use Guide. available at http://www.statref.com/resources/PDFs/SROnline/PIERUserGuide.pdf 3 Shurtz, S., & Foster, M. J. (2011). Developing and using a rubric for evaluating evidence-based medicine point-of-care tools. Journal of the Medical Library Association: JMLA, 99(3), 247. 4 Banzi, R., Liberati, A., Moschetti, I., Tagliabue, L., & Moja, L. (2010). A review of online evidence-based practice point-of-care information summary providers. Journal of medical Internet research, 12(3). http://www.jmir.org/article/viewFile/jmir_v12i3e26/2 5 EBM Resources Comparison Chart. Duke University Medical Centre Library and Archive. Program on Teaching Evidence-Based Practice available at http://eno.duhs.duke.edu/sites/eno.duhs.duke.edu/files/public/guides/ebmchart.pdf N.Torabi - Allyn & Betty Taylor Library - Last update : January 22, 2013 Page 4 of 5
  • 5. Point of care tools comparison chart 2013 6 Prorok, J. C., Iserman, E. C., Wilczynski, N. L., & Haynes, R. B. (2012). The quality, breadth, and timeliness of content updating vary substantially for 10 online medical texts: an analytic survey. Journal of Clinical Epidemiology. 7 Nuts, bolts, and tiny little screws: how Clinical Evidence works. Available at http://clinicalevidence.bmj.com/x/set/static/cms/nuts-and-bolts.html 8 Banzi, R., Cinquini, M., Liberati, A., Moschetti, I., Pecoraro, V., Tagliabue, L., & Moja, L. (2011). Speed of updating online evidence based point of care summaries: prospective cohort analysis. BMJ: British Medical Journal, 343. 9 Level of Evidence. available at https://dynamed.ebscohost.com/content/LOE 10 EBM Guidelines about this database http://onlinelibrary.wiley.com/book/10.1002/0470057203 11 EBM Guidelines user guide http://tinyurl.com/bbabq59 12 Essential Evidence Plus; Levels of evidence available at http://www.essentialevidenceplus.com/product/ebm_loe.cfm 13 Essential Evidence Plus; Resources & Tools available at http://www.essentialevidenceplus.com/product/features_ir.cfm 14 Medscape Reference available at http://reference.medscape.com/ 15 Epocrates clinical content available at http://www.epocrates.com/clinical/sources 16 First Consult FAQ available at http://www.mdconsult.com/helpfiles/webhelp/faq/frequently_asked_questions.htm#First_Consult 17 UpTODate: Grading guide available at http://www.uptodate.com/home/grading-guide 18 UpTODate: Editorial Policy available at http://www.uptodate.com/home/editorial-policy Disclaimer: The purpose of this chart is to provide some general information about several top point-of-care resources in the medical field. This information should not be considered complete. We do not endorse any particular POC resources. The information gathered here by a literature review. Those articles that used bibliometric analysis are included. The articles which their methodology were solely based on user-centred analysis (i.e. medical community survey about the popularity of particular tools) are excluded to minimize risk of bias. If information about particular aspect of a POC was not obtained from the literature review, the editorial policy from their perspective website was cited. N.Torabi - Allyn & Betty Taylor Library - Last update : January 22, 2013 Page 5 of 5