UpToDate 循证医学临床决策支持系统内容说明以及使用操作.ppt

UpToDate 循证医学临床决策支持系统 内容说明以及使用操作 什么是UpToDate Quick Facts about UpToDate Evidence Grading 循证等级 检索UpToDate 问题与讨论 * 大纲 * 什么是UpToDate? 填补空白 * 什么是UpToDate? UpToDate is an electronic evidence-based clinical decision support tool written by physicians to help clinicians 为医师作者们执笔所撰写提供实时临床医疗信息，被设计对于医师们所遇之临床问题能快速回复，以协助医师们进行诊疗上的判断和决策 answer their clinical questions 解答医生在临床时遇到的问题 increase their clinical knowledge 新增医生在临床上的知识 improve patient care 有助于其为患者提供更好的医疗 * * Quick Facts about UpToDate * Topic reviews 全文型的资料 Patient Information 患者信息主题 Drug Information 药物信息 Quick Facts about UpToDate * 5,100+ world-renowned physician authors (international) 作者数量 9,500+ clinical topic in 20 specialties 包含科别 5,100+ unique drug entries in adult, pediatrics, international and natural drugs (Lexi-Comp) 药物信息 25,000+ graphics 包含图表 347,000+ references (Medline) 包含引用文献 Updated every month 每月更新 Adult and Pediatric Emergency Medicine 成人与小儿急救医学 Adult Primary Care Internal Medicine 成人初级保健和内科学 Allergy and Immunology 变态反应和免疫学 Cardiovascular Medicine 心血管医学 Endocrinology Diabetes内分泌学与糖尿病 Family Medicine 家庭医学 Gastroenterology Hepatology胃肠病学与肝脏病学 General Surgery 普外科 Geriatrics 老年病学 Hematology 血液学 Hospital Medicine 医院医学 Infectious Diseases 传染病学 Nephrology Hypertension 肾脏病与高血压 Neurology神经病学 Obstetrics, Gynecology Women’s Health 产科、妇科与妇女保健 Oncology 肿瘤科 Pediatrics 儿科 Pulmonary, Critical Care Sleep Medicine 肺部、重症监护和睡眠医学 Psychiatry 精神病学 Rheumatology 风湿病学 Specialties * Dermatology 皮肤科 Palliative Care 姑息性护理 Specialties in Development * In 2001, we began a collaboration with Gordon Guyatt, a world leader in EBM, and his colleagues in the international GRADE collaborative to implement a grading system for recommendations UpToDate grades specific treatment and screening recommendations Evidence Grading 循据等级 * Evidence Grading 循证等级 * RECOMMENDATION GRADES 医嘱的强度 (诊疗建议的强度) Grade 1 1 级推荐 Strong Recommendation 强推荐 Benefits clearly outweigh the risks and burdens (or vice versa) for most