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Medicine: Evidence-based practice: EBP (5) & (4)

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5. Systems

'In these [S1] computerised decision support systems (CDSSs), detailed individual patient data are entered into a computer program and matched to programs or algorithms in a computerised knowledge base, resulting in the generation of patient-specific assessments or recommendations for clinicians" Dicenso, A., Bayley, L., & Haynes, R. B. (2009)

None of these tools is licensed by the University of Otago, although all General Practices should have access to computerised decision support tools, built into their main software, for things like CVD risk assessment and diabetes review. BPAC also provide a series of decision support tools to practices (separate to their journal and website), listed in the August 2015 issue of Best Practice.


4. Summaries

"These include clinical pathways or textbook summaries that integrate evidence-based information about specific clinical problems and provide regular updating." Dicenso, A., Bayley, L., & Haynes, R. B. (2009)


The University's subscription to UpToDate ceased on 30th September 2018. Trainee Interns (6th year medical students) will be able to access UpToDate through the Whatu Ora network.

Clinical Overviews

ClinicalKey has recently added several hundred Clinical Overviews. These provide easy-to-scan, actionable information for clinicians on diagnosis, treatment, monitoring, screening, and prevention of diseases and conditions.New Clinical Overviews will be added to ClinicalKey as they are finalized. Over time, Clinical Overviews will replace First Consult on ClinicalKey.