The Charleston Advisor / January 2021
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There is a team of 1,600 clinicians across almost 30 countries that work together to provide the evidence that is included in the clinical content overviews. There is a six-step process for vetting the evidence that is listed as part of the transparent editorial practices. 1. Regular searches of the literature with a particular eye on potential practice changing Randomized Controlled Trials. 2. Continuous in-house screening of drug alerts. 3. Daily monitoring of user feedback by content editors. 4. External peer-review by at least two experts in the related field. 5. Internal peer-review by a pharmacist and senior editor. 6. Continuous updates and highlighting of any practice changing up- dates.
User Interface/Navigation/Searching BMJ Best Practice is a standalone web-based point of care tool. Each of the sections has the ability for PDF download. This feature pro- vides additional accessibility not only for the clinician but for the pa- tient as well. Having the option to provide content to the patient that is above and beyond what can be found on the patient leaflets is a great way for shared decision making to take place. The BMJ Accessibility statement is applicable to their evidence-based platforms: BMJ’s websites and mobile applications adhere to the Web Content Accessibility Guidelines version 2.1 level A, wher- ever viable. Our objective is accessibility by design to ensure we achieve the guidelines and standards outlined by the World Wide Web Consortium (W3C) in their Web Content Accessi- bility Guidelines. Our in-house User Experience (UX), Devel- opers and Multimedia teams all undergo accessibility train- ing, and we strive to work with suppliers and partners with the same standards. We know some of our websites and mobile applications are not currently fully accessible, so we are cur- rently reviewing existing standards across all of our websites and mobile applications and aim to publish details of the areas where we think there is scope for improvement in the future. Categories make navigation throughout complex topics much easier for the user to navigate quickly. Rather than having to scroll through one long clinical overview as is the case with other point of care tools, the ability to drill down directly to the area of focus (i.e., Theory, Fol- low Up) allows end users to quickly access the information that is rel- evant to their immediate need (see Figure 1). Clicking through to related topics and possible recommended differ- ential diagnoses makes exploring potentially relevant content a bit more seamless. However, the ability to search for specific key words within a topic overview is not an available feature. Searches on the main page may be performed for clinical symptoms, diseases, or di- agnostic tests. MeSH (Medical Subject Heading) terms are incorpo- rated into the system to enhance search results. Additionally, syn- onyms are used to help map content for related items. The BMJ Best Practice platform has multiple versions depending on the country of origin. This allows for specific recommendations based on region. This can be a bit confusing for the end user as they may come upon a topic via web searching however it could take you to a country specific version that is not included in your institution’s sub- scription.
ADDITIONAL CONTENT FORMATS Patient Leaflets
Over 300 patient leaflets are available to help foster shared decision making between clinicians and patients. According to BMJ, each of the patient leaflets are accredited by Information Standards and are approved by an internal BMJ patient panel. Assessments The Assessments help to identify potential diagnoses based on clin- ical presentations, abnormal test results, and other signs and symp- toms. Evidence Based Medicine Toolkits Allow users to evaluate the evidence presented in clinical studies to help determine the impact this study should have on one’s practice and/or applicability to patient care. These tools can be useful to the clinician but also the medical student or resident who may be present- ing cases. Videos Procedural videos were introduced in 2017 to cover commonly used techniques and diagnostic tests. They also include lists of potential complications, the necessary equipment for running such tests and procedures as well as implications for follow-up care for the patient. Calculators Over 500 calculators are available through BMJ Best Practice which allow clinicians to assess treatment options and diagnoses at the point of care. Clinicians can enter patient or case specific data and use pre- loaded algorithms to calculate things such as body mass index, num- ber needed to treat, and unit conversions.
FIGURE 1 BMJ Best Practice Topic Headings
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