The leading evidence-based point-of-care clinical reference tool

Best Research Evidence Comprehensive – evidence only known to be best if all the available evidence is known Valid – critical appraisal determines potential for bias Systematic – selection and evaluation of evidence by protocol reduces author bias, investigator bias Current – every day new evidence could be best Synthesized – one study vs. the whole picture

Published information may be wrong or misleading Due to citation of what is published instead of tracing to original research Due to acceptance and citation of conclusions of research instead of evaluating methods and statistics Due to re-interpretation of information to match personal biases Due to selective summarization and citation from bias or familiarity Due to use of abstracts instead of full-text articles Due to Conflict of interest

The greatest enemy of knowledge is not ignorance; it is the illusion of knowledge. – Stephen Hawking

It ain’t what you don’t know that gets you into trouble. It’s what you know for sure that just ain’t so. – Mark Twain

Adjust the conclusions and recommendations when new evidence is published Report conclusions and make recommendations Synthesize the evidence Objectively report the relevant findings and quality of the evidence Critically appraise the evidence Select the best evidence Identify the evidence DynaMed’s Editorial Process

The New Way: The DynaMed Way...and provide objective analysis of the evidence in an easily-digestible format... A tool, not a textbook ensuring clinicians have access to the most current and relevant information to make the best diagnosis and treatment decisions for their patients Convenient and interactive; pushing new information to you via alerts Providing access anytime, anywhere from any device or system EMR Developed by a community of clinicians who synthesize the evidence...

DynaMed is used around the world Healthcare differs around the world.Systems, approaches, and ways of delivering can vary. But every clinician, no matter where they practice, wants to provide the best care possible to their patients. With more than 2200 healthcare facilities in 72 countries across every continent... DynaMed has become the solution for the global clinical community to apply evidence into practice.

The DynaMed DIFFERENCE VS. Evidence Based Opinion Based

The DynaMed DIFFERENCE VS. Updated Daily updated when experts deem necessary

The DynaMed DIFFERENCE VS. Easy to read: Bullets Hard to read textbook

The DynaMed DIFFERENCE VS. Links to Full Text Links to Abstracts

The DynaMed DIFFERENCE VS. Alerts when topics change No alerting capabilities

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The DynaMed DIFFERENCE VS. Complimentary mobile app Mobile app at extra cost

New and improved DynaMed Mobile App The new DynaMed app provides you with: Improved user experience Seamless authentication Easy access Fully functional mobile usage reporting Features that meet clinician’s needs: Offline access Bookmark Favorites topics Write and save notes about particular topics Access is easy and designed for seamless authentication.

The DynaMed DIFFERENCE VS. Affordable Highly priced

The DynaMed DIFFERENCE nothing more Pay for content,

Independent research points to DynaMed most current | high quality | preferred by users

Journal of Medical Internet Research DynaMed ….had by far the least number of articles that needed to be updated, indicating that quality was not sacrificed for speed.” “ How Current Are Leading Evidence-Based Medical Textbooks? An Analytic Survey of Four Online Textbooks; Rebecca Jeffery *, B.Sc (Hons); Tamara Navarro *, MLIS, MEd; Cynthia Lokker *, PhD; R Brian Haynes *, MD, PhD; Nancy L Wilczynski *, PhD; George Farjou *, B.Sc (Hons); Sept, 2012

Journal of Clinical Epidemiology DynaMed was the only resource to rank in the top three in all categories evaluated.” “ J Clin Epidemiol Sep 10

British Medical Journal DynaMed has an updating process that markedly led the others.” “ (BMJ 2011 Sep 23)

DynaMed rises above competition in KLAS [DynaMed’s] timeliness and wealth of information go a long way to enhancing our education and, in turn, our patient care.” “ *Clinical Decision Support 2013: Sizing up the competition, December 2013 KLAS Enterprises ©, LLC. All rights reserved. Collected about DynaMed by KLAS in December 2013 KLAS Enterprises ©, LLC. All rights reserved.

Journal of The Medical Librarian Association Six tools claimed to update summaries within 6 months or less. For the 10 topics selected, however, only DynaMed met this claim.” “ J Med Libr Assoc 2011 Jul;99(3):247

All articles from UpToDate demonstrated a conflict of interest. This is in contrast to DynaMed articles, in which no author or editor had a documented conflict.” “ Conflict of interest in online point-of-care clinical support websites. Kyle T. Amber, Ethics Program, University of Miami Miller School of Medicine, February 3, 2014 Journal of Medical Ethics

DynaMed’s timeline for updating was the quickest …..indicating that quality was not sacrificed for speed.” Physicians trust DynaMed’s objective, evidence-based approach. It’s become an important clinical information resource for physicians around the world.” Our citation analysis showed that DynaMed clearly dominates the other products…” Unlike the “Encyclopedia Britannica” approach that UpToDate takes to its topics—extensive, multiple pages, mini-novels—DynaMed has a much more “bulleted” format. It’s a “just the evidence” approach. Frankly, I like the “quick, to the point” approach and many times can find the answer faster with DynaMed…” DynaMed is absolutely the best point-of-care product out there.” McMaster University Study, 2012 Journal of Medical Internet Research Tej Maini, MD, FACS Dean of International Affairs, Tufts University School of Medicine BMJ 2011 Sep 23;343:d5856 iMedicalApps, Iltifat Husain, MD November 26, 2014 KLAS Report, November 2012, (Quote from DynaMed customer) DynaMed is Preferred “

Adoption of DynaMed Continues to Grow *number of medical schools in the US

Access Anytime, Anywhere

Referential Link Web Service API HL7 Infobutton Contextual Search EMR Integration

Referential Link