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Point of Care Tools

A syntheses of current evidence for diagnosis, tests and interventions (e.g. treatments, drugs) designed for rapid consultation at the point of patient care. These tools are evidence-based and frequently updated, with links to relevant literature.

What are Point of Care Tools?

  • Syntheses of current evidence for diagnosis, tests and interventions (e.g. treatments, drugs)
  • Designed for rapid consultation at the point of patient care
  • Evidence-based and frequently updated, with links to relevant literature
  • May include drug information, ICD coding, information for patients, and provision for links to electronic health records

Point of Care Tools

Clinical Search Engines

Product Reviews and Comparisons

Charbonneau, D. H., & James, L. N. (2018). DynaMed Plus®: an evidence-based clinical reference resourceMedical Reference Services Quarterly, 37(2), 168-176.

  • Table 1. Comparison of DynaMed Plus and UpToDate

Feature

DynaMed Plus

UpToDate

     Update Frequency

Daily

Daily

     Number of Clinical Topics

2,500+

10,500+

     Peer-Reviewed Content and
     Evidence Appraisal

3 Tiered System of Evidence Rating

2 Levels of Grading

(Level 1=likely reliable; Level 2=mid-level evidence; Level 3=lacking evidence)

(Grade 1=Strong; Grade 2=Weak)

     Journals Monitored

529+

440+

     Section for Guidelines in Topics

Yes

No

(“Guidelines and Resources” Section in each topic summary)

(Guidelines may be cited in “References;” but not consistently collected and presented)

     Graphics/Images

Yes

Yes

     Mobile Version

Yes

Yes

     Off-Campus Access

Yes

Yes

     Clinical Calculators

Yes

Yes

     Patient Education Materials

Yes

Yes

     CME/CE Credit Available

Yes

Yes



 

Andrews, R., Mehta, N., Maypole, J., & Martin, S. A. (2017). Staying afloat in a sea of information: point-of-care resourcesCleveland Clinic Journal of Medicine, 84(3), 225-235.​

  • "Each of the resources [UpToDate, DynaMed, First Consult etc.] has strengths and weaknesses. For example, UpToDate offers the most topics, but its articles tend to be too long to be practical to read at the point of care."
     
  • "Physicians should familiarize themselves with these resources and use the ones that best suit their needs."
     


Johnson, E., Emani, V. K., & Ren, J. (2016). Breadth of coverage, ease of use, and quality of mobile point-of-care tool information summaries: an evaluationJMIR mHealth and uHealth, 4(4).

Kwag KH, González-Lorenzo M, Banzi R, Bonovas S, Moja L. (2016). Providing doctors with high-quality information: an updated evaluation of web-based point-of-care information summaries. J Med Internet Res.,18(1):e15.

  • Five products (ACP Smart Medicine, BMJ Best Practice, Dynamed, Essential Evidence Topics, and UpToDate) received the maximum score for editorial quality. Six (ACP Smart Medicine, BestBets, BMJ Best Practice, Dynamed, EBM Guidelines, and UpToDate) received the maximum score for evidence-based methodology.

  • The ranking of point-of-care information summaries based on their strength of volume, editorial quality, and evidence-based methodology is shown in Figure 3 (full data reported in Multimedia Appendices 4-6). Best Practice, Dynamed, and UpToDate scored in the highest quartile across all three dimensions.

 

Campbell JM, Umapathysivam K, Xue Y, Lockwood C. (2015). Evidence-based practice point-of-care resources: a quantitative evaluation of quality, rigor, and content. Worldviews Evidence-Based Nursing, 12(6):313–27. 

  • Table 2. Content Presentation
 

Type of output

Formal ontology

Flexibility of summary

 Reference 

Formal grade of recommendation

 CME 

Education other material

Patient handout

Clinical tools

BMJ Best Practice

Key point summaries

Yes

Yes

Yes, specific

No

Yes

Yes

Yes

Yes

DynaMed

Key point summaries

Yes

Yes

Yes, specific

Yes

Yes

Yes

Yes

Yes

UpToDate

Book chapter like summaries

Yes

Yes

Yes, specific

Yes

Yes

No

Yes

Yes

 

  • Table 3. Editorial Quality

 

Authorship stated

Peer review

Frequency of updates

Conflict of interest

Commercial support

Total

UpToDate

3

3

1

3

3

13

BMJ Best Practice

3

3

1

3

3

13

DynaMed

1

1

1

1

0

4

  • Table 4. Evidence‐Based Methodology
 

Literature search/surveillance

Method of critical appraisal

Type of evidence

Grading of evidence

Expert opinion given

 Total  

UpToDate

3

1

3

3

3

13

BMJ Best Practice

3

3

3

1

1

11

DynaMed

3

3

3

1

0

10