18
Advisor Reviews / The Charleston Advisor / January 2021
www.charlestonco.com
ADVISOR REVIEWS—STANDARD REVIEW BMJ Best Practice
Date of Review: December 10, 2020
doi:10.5260/chara.22.3.18
Composite Score: HHHH
Reviewed by: Jamie Saragossi
<Jamie.Saragossi@stonybrook.edu>
Health Sciences Library, Stony Brook University, Stony Brook, New York
Abstract BMJ Best Practice is an evidence-based point of care tool that helps support clinical decisions by providing the latest and highest qual- ity research available to clinicians. The target audience for this re- source is anyone delivering health care services. Currently, BMJ Best Practice is available as an institutional subscription in the United States. The resource includes clinical summaries based on the latest evidence, drug information, clinical calculators, evidence-based tool kits, and patient leaflets. The content provided goes through a rigor- ous editorial process by expert reviewers who have been required to disclose any financial conflicts. This process can however be rela- tively time consuming therefore updates that do not pose an imme- diate harm to patient care could potentially take anywhere from 1 to 3 months to be reflected in the clinical topic overviews. Overall, the tools and content provided on the platform are reliable and easy to navigate for the end user. Pricing Options Some content for BMJ Best Practice is freely available however for full access to all resources and features a subscription is required. It would be recommended to use this resource with an institutional sub- scription to avoid providing only partial content on a clinical topic to patients or end users. Pricing models are based on institutional profiles however the exact formula is not shared prior to negotiation. A free institution-wide tri- al is available prior to subscription. The current format is an unlimit- ed access institutional 12-month subscription. The BMJ sales support team are available to discuss pricing options. The current subscription provides full access to all content on the BMJ Best Practice platform with IP and remote authentication. The platform allows for customi- zation of local formularies for drug information as well as personal- ization for registered users. Product Overview/Description BMJ Best Practice is a point of care tool providing clinical decision support and evidence-based information for users across several med- ical specialties (Table 1). The specialty areas included provide a browsable list of topic over- views. Each of these overviews of a condition or disease contain a synopsis broken down into different areas, Theory, Diagnosis, Man- agement, Follow-up, and Resources. The section labeled Theory pro- vides information on the epidemiology and etiology of the disease. The section on Diagnosis depending on the disease or disorder pro- vides categories such as clinical approach, history and exam, investi- gations, potential differential diagnoses, criteria for diagnosis as well
as screening tools that are available for the clinician to make a pos- itive diagnosis. Another section referred to as Management provides information on approaches to treatment, new and emerging treat- ments or disease management, and strategies for prevention. The Fol- low-Up category includes information relating to prognosis as well as monitoring and potential complications to be aware of in long term treatment. The Resources section provides users with links to clinical practice guidelines, the references that have informed the recommen- dations through the aforementioned sections and patient leaflets. BMJ Best Practice is intended for different audiences across the spec- trum of health care delivery. Physicians, nurses, pharmacists, and hospital systems in general would be the target audience as they are providing direct patient care. Updates using the latest evidence-based information are made to clinical overviews, diagnostic criteria, and treatment as they become available. The resource is updated daily and available via website and through an app that can provide information even at the patient bedside. Having all providers accessing the same content provides a level of continuity across the health care institu- tion. Continuing Medical Education credits are also available to regis- tered users who engage with the content available through BMJ Best Practice. Medical students may also find this resource useful during their clinical placements to ensure they have the latest information on the various clinical presentations of a disease as well as the latest treatments. They may also use this to access the references and origi- nal research on a topic area of particular interest.
Table 1 BMJ Specialty Areas
Nephrology Neurology Neurosurgery Nutrition Obstetrics and gynecology Oncology Ophthalmology Orthopedics Palliative care Pediatrics and adolescent medicine Primary care Psychiatry Pulmonary medicine Rheumatology Urology Vascular surgery
Allergy and immunology Anaesthesiology Cardiology Cardiothoracic surgery Critical care medicine Dermatology Ear, nose, and throat Emergency medicine Endocrinology and metabolic disorders Gastroenterology and hepatology General surgery Genetics
Geriatric medicine Health maintenance Hematology Infectious diseases
Powered by FlippingBook