把證據(jù)帶進(jìn)臨床BMJBestPractice.2014TypesofEvidence-basedInformationCohortStudiesCaseControlStudiesCaseSeriesCaseReportsIdeas,Editorials,OpinionFull-TextJournalArticlesRandomisedControlledDoubleBlindStudiesSystematicReviewsandMeta-analysesSource:MedicalResearchLibraryofBrooklyn…althoughfiguresvary35,000biomedicaljournalarticlespublishedannually150,000articles/month120,000RCT/year500,000articlesareindexedinPubMedeveryyearTheburdenofevidenceissignificant臨床決策（診療系統(tǒng)）之效率工具應(yīng)用比例解決時(shí)長(zhǎng)Google49%31分鐘百度47%27分鐘丁香園46%??清華同方33%33分鐘萬(wàn)方數(shù)據(jù)31%37分鐘Pubmed21%46分鐘2008-2009，鄧白氏調(diào)查15個(gè)城市，121家三甲醫(yī)院，7321份問(wèn)卷2581名中國(guó)臨床醫(yī)生調(diào)查Studytoshoweffectivenessoffull-textforvariouspurposesofaclinicianstime有73.7%即使完全讀懂全文內(nèi)容（中文/英文），仍對(duì)其臨床診療無(wú)任何幫助(5分制選0分和1分)。臨床決策（診療系統(tǒng)）之效率項(xiàng)目時(shí)間比例全文效力（5分制）結(jié)論治療79.2%1.72無(wú)效繼續(xù)教育11.1%2.88有限研究8.6%4.69推薦其他1.1%NANA2009-2010，鄧白氏調(diào)查全新的臨床決策指導(dǎo)工具

Brandnewapproachtoclinicaldecisionsupport全球6,000多知名臨床專(zhuān)家執(zhí)筆撰寫(xiě)

Written,compiledandreviewedbyover6,000expertsaroundtheworld提供國(guó)際權(quán)威指南和定制國(guó)內(nèi)標(biāo)準(zhǔn)和指南

ProvidesNICEGuidelinesandallowsforaddingofinstitutionalguidelineslocally

WhyBestPractice?–權(quán)威包括基礎(chǔ)，預(yù)防，診斷，治療和隨訪等各個(gè)關(guān)鍵環(huán)節(jié)的內(nèi)容

ContentpatientconsultationfromBasics,Prevention,Diagnosis,TreatmenttoFollow-up疾病評(píng)估專(zhuān)論及鑒別診斷包含超過(guò)10,000項(xiàng)診斷指引，讓臨床醫(yī)生能迅速解答臨床問(wèn)題

Includesover10,000diagnosesinAssessmentsandDifferentialDiagnosistohelpcliniciansanswerquestionsquicklyWhyBestPractice?–高效

把循證醫(yī)學(xué)帶進(jìn)臨床

BringsEBMpracticeintotheClinicalPracticesetting連接Martindale藥典

Directaccesstodrugdatabase–Martindale遠(yuǎn)程訪問(wèn)和移動(dòng)電話版本

RemoteaccessandmobilephoneaccessWhyBestPractice?–高效

Content疾病診治標(biāo)準(zhǔn)界面提供疾病的詳細(xì)內(nèi)容，包括診斷治療等訊息。BestPractice主要提供兩種標(biāo)準(zhǔn)結(jié)構(gòu)界面Content分析評(píng)估界面分析癥狀(e.g.,chroniccough)臨床發(fā)現(xiàn)(e.g.,peripheraloedema)診斷測(cè)試結(jié)果(e.g.,metabolicacidosis)BestPractice主要提供兩種標(biāo)準(zhǔn)結(jié)構(gòu)界面ACaseExampleACaseExampleA70-year-oldmanisdiscoveredbyafamilymembertohavedifficultyspeakingandextremebalancedifficulty.ThefamilymemberbringshimtoyouintheEmergencyWard.Hewaslastknowntobefullyfunctional1houragowhenthefamilymemberspoketohimbyphone.Thereisahistoryoftreatedhypertensionanddiabetes.Howshouldyouproceedwithassessingandmanagingthispatient?臨床問(wèn)題:ACaseExampleWheretobegin?-SymptomSearching(癥狀查尋)ACaseExampleFindyourresults(查尋結(jié)果)ACaseExampleAssessmentDetails(分析內(nèi)容)ACaseExampleDifferentialDiagnosis(鑒別診斷)ACaseExampleConditionDetails(疾病內(nèi)容)ACaseExampleDiagnosis–History&Examination(診斷–病史與檢查)ACaseExampleDiagnosis–Tests(實(shí)驗(yàn)室檢查)

ACaseExampleDiagnosis–Step-by-Step(診斷步驟)ACaseExample治療具體方法:確認(rèn)患者群+選擇治療方案ACaseExampleTreatment–進(jìn)入“馬丁代爾”藥典查看更多藥物作用信息ACaseExampleStep-by-Step–SupportedbyEvidenceACaseExampleStep-by-Step–SupportedbyEvidenceOtherFeaturesOtherFeaturesImagesforreference提供大量彩色圖像Bro