CKN’s point of care tools

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Clinicians need assurance that the diagnostic and treatment decisions they are making are based on the most current evidence-based research and information available. CKN’s point of care (POC) tools can provide clinicians with that confidence making important decisions within the patient care setting. 

(Image courtesy of Metro North / RBWH)

Point of care tools are searchable databases that provide summarised or synthesised evidence for specific conditions or treatments. These tools are designed for rapid consultation, to quickly provide current evidence-based information and offer clinical decision support while providing patient care. POC tools typically include levels of evidence, rating scales or grade recommendations as well as citations back to the original or primary research studies, systematic reviews, or guidelines.

CKN’s most used POC tools

DynaMed  |  App version available

DynaMed provides high-quality evidence-based recommendations for patient management and guidance from leading experts. It publishes clinically-organised topics which are continuously updated, whenever new information indicates a need for change in practice. Content is written by a world-class team of physicians and researchers who synthesise the evidence through a systematic literature surveillance process, and provide objective analysis. DynaMed topics are based on clinical evidence and the content is updated multiple times each day to ensure clinicians have the information they need to make decisions at the point of care. DynaMed allows you to set up time-based CPD and generates certificates for making a CPD claim.

Content ranges from comprehensive reviews of diseases, conditions, and abnormal findings to highly-focused topics on evaluation, differential diagnosis, and management. Drug and laboratory monographs developed and maintained by IBM Micromedex are also included. DynaMed integrates with the Isabel diagnosis checklist tool to help clinicians broaden their differential diagnosis. DynaMed also links to Queensland Clinical Guidelines, the Primary Care Clinical Manual (PCCM) and the Chronic Conditions Manual (CCM) supporting rural and remote health, as well as recommendations from respected national organisations such as the Royal Children’s Hospital Melbourne’s guidelines, the Australian Resuscitation Council, National Asthma Council Australia, Lung Foundation Australia and Choosing Wisely Australia.


ClinicalKey  |  App version available

ClinicalKey is a peer reviewed, evidence based point-of-care clinical search engine and POC database. It provides relevant answers from Elsevier’s library of proprietary medical and surgical content, including a unique combination of electronic books, medical journals, practice guidelines, clinical trials, MEDLINE, and abstracts from PubMed.

The database gives access to daily updated information within more than 30 medical and surgical specialties. It provides access to medical and surgical content in one interface with access to over 1,200 medical textbooks, over 650 journals, 33,000 videos, 3 million images, first consult monographs, AMH drug monographs, practice guidelines and customisable patient education handouts. A presentation maker and print, save and e- mail functions makes it easy to store selected information and share with others.


BMJ Best Practice  |  App version available

BMJ Best Practice presents systematic reviews incorporated with expert opinion and guidelines, to help provide a “second opinion” without the need for checking multiple resources. It covers all medical specialties, helping to guide clinicians and healthcare professionals throughout clinical process. BMJ Best Practice draws on the latest evidence-based research evidence, guidelines and expert opinion to provide patient-focused step-by-step guidance on diagnosis, prognosis, treatment and prevention.

Content is updated daily with clinical expertise from more than 1,600 international authors and 2,500 peer reviewers. BMJ Best Practice includes step-by-step guidance using treatment algorithm tables, over 6,000 clinical guidelines, prescription guidance using linked drug databases, as well as 250+ medical calculators, automatic CME/CPD tracking, how-to videos and patient information leaflets.


Nursing Reference Center Plus  |  App version available

Nursing Reference Center Plus, in both online and app versions, is a comprehensive reference tool designed to provide relevant, evidence-based clinical resources to nurses, directly at the point-of-care. It offers the best available and most recent clinical information from thousands of full-text documents. It includes a range nursing topics covering skills develpment with competency checklists, nursing practice, nusing management and leadership, regulatory and risk management. It includes multimedia and video content associated with skills that helps nurses improve patient care. Nursing Reference Center Plus can be used to access evidence-based clinical practice guidelines, point-of-care drug information and patient education handouts.

With a strong focus on professional development Nursing Reference Center Plus provides nurses, nurse educators and nursing management with a resource that supports education goals, with best practice information targeted towards continuing education.


ClinicalKey for Nursing

ClinicalKey for Nursing provides help with clinical decision making tailored for nurses, with both ANZ and international nursing content. It incorporates Mosby’s Nursing Consult, a comprehensive overviews of key diseases, as well as point-of-care content including diagnosis, risk factors, treatments and interventions. It covers clinical nursing concepts and 180 nursing topics, complete with Mosby’s evidence-based monographs.

It contains all AMH drug monographs, over 300 clinical overviews and local ANZ guidelines, step-by-step procedural videos, integration with clinical skills and procedures, images, full-text practice guidelines, customisable patient education handouts, lab values and diagnostics, plus:

  • Local and international nursing books, including Potter and Perry’s Fundamentals of Nursing – ANZ Version, Lewis’s Medical-Surgical Nursing, and Understanding Pathophysiology – ANZ Adaptation
  • Journals such as Australian Critical Care, Australasian Emergency Nursing Journal, and Collegian: The Australian Journal of Nursing Practice

Paediatric Injectable Guidelines (PIG)

The Paediatric Injectable Guidelines (PIG) is a decision support tool compiled by pharmacists at The Royal Children’s Hospital Melbourne to assist in the safe and effective administration of injectable medicines in children. The guidelines have been developed to provide concise and consistent, practical information for clinicians on medicines administration. PIG provides advice tailored for nursing, pharmacy and medical staff on preparation and administration of injectable medications. The information is specific to the paediatric setting with important details such as powder volume to calculate part vial doses, maximum concentrations to reduce fluid volume, and line access considerations. Precautions around administration are given without distracting clinicians with unnecessary detail. It provides important information on:

  • Specific parenteral administration advice for paediatric patients
  • Compatibility of medications with IV fluids
  • Parenteral nutrition and fat emulsion compatibility & incompatibility
  • Intravenous fluid additive calculations
  • Infusion solution composition details

Isabel

Isabel is a diagnosis checklist tool which helps clinicians construct or broaden their differential diagnosis and recognise a disease at the point of care. Isabel is a software tool (not content) used to determine a likely diagnosis based on symptoms entered. Isabel includes more than 6,000 disease presentations by multiple signs and symptoms. The web-based Isabel tool uses the patient's demographics and clinical features to produce a list of possible diagnoses, including time-sensitive "Don't Miss Diagnoses.” Users enter clinical features including age, gender and symptoms and a result list is presented in order of likelihood of a match to specific conditions.

Isabel is also fully integrated with DynaMed, with results linking directly to relevant DynaMed topics.

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