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Clinical Decisions Made Easier BMJ Best Practice. 2014.

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Presentation on theme: "Clinical Decisions Made Easier BMJ Best Practice. 2014."— Presentation transcript:

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2 Clinical Decisions Made Easier BMJ Best Practice. 2014

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4 Content Clinical decision support Tool Structured around the patient consultation with advice on symptom evaluation, test ordering and treatment approach Includes over 10,000 diagnoses in Assessments and Differential Diagnosis to help clinicians answer questions quickly Provides NICE Guidelines and allows for adding of institutional guidelines locally Integrated evidence from Clinical Evidence Critical prescribing information with links to Martindale Patient support leaflets What is BMJ Best Practice?

5 Content The Condition Topics Provides comprehensive information on a specific condition or group of conditions 3 Key Topic Types

6 Content The Assessment Topics How to evaluate a symptom (e.g., chronic cough) Clinical finding (e.g., peripheral oedema) Diagnostic test finding (e.g., metabolic acidosis) 3 Key Topic Types

7 Content The Overview Topics Provides an overview of a category of conditions 3 Key Topic Types

8 A Case Example

9 A 70-year-old man is discovered by a family member to have difficulty speaking and extreme balance difficulty. The family member brings him to you in the Emergency Ward. He was last known to be fully functional 1 hour ago when the family member spoke to him by phone. There is a history of treated hypertension and diabetes. How should you proceed with assessing and managing this patient? Clinical Question

10 A Case Example Where to begin? - Symptom Searching

11 A Case Example Find your results

12 A Case Example Assessment Details

13 A Case Example Differential Diagnosis

14 A Case Example Condition Details

15 A Case Example Diagnosis – History & Examination

16 A Case Example Diagnosis – Tests

17 A Case Example Diagnosis – Step-by-Step

18 A Case Example Treatment – Ordered by Patient Group

19 A Case Example Treatment – Links to Martindale

20 A Case Example Step-by-Step – Supported by Evidence

21 A Case Example Step-by-Step – Supported by Evidence

22 Other Features

23 Images for reference

24 Other Features Using BP on your mobile devices Available on Android and Apple Devices

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26 BMJ Publishing Group Limited 2013. All rights reserved. Web: bestpractice.bmj.com Email: dlchng@bmj.com Thank You

27 A 30-year-old woman presents with Raynaud's phenomenon. Which one of the following clinical features suggests an underlying connective tissue disease? 1. Episodes lasting in excess of one hour 2. Involvement of toes 3. One previous miscarriage in early pregnancy 4. Symmetrical involvement of fingers 5. Symptoms developed as a teenager You can find the answer in our Raynaud's phenomenon monograph. Pop Quiz 1

28 Which of the following is not a recognised effect of chronic cocaine abuse? 1. Hallucinations 2. Hypersomnia 3. Hyponatraemia 4. Severe anxiety and paranoid ideation 5. Sexual dysfunction in men You can find the answer in our Cocaine abuse monograph. Pop Quiz 2

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