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					   InfoPOEMs
長亨文化事業有限公司
           What is POEM ?
• Patient-Oriented Evidence that Matters™

• 要件:
  – 臨床工作面臨的問題
  – 評量醫護人員和病患共同關心的議題(outcome)
     症狀、致病率、生活品質、死亡率
  – 具有改變實務的濳力
  – 以牛津大學實證醫學分級檢視之
    ( http://www.cebm.net/levels_of_evidence.asp )
     Content of InfoPOEMs
• The Clinical Awareness SystemTM
  – DailyPOEMs       PUSH
    • 保持臨床人員和臨床研究的最新發展接軌
  – InfoRetriever    PULL

    • 提供臨床人員最佳的證據
   Content of InfoPOEMs I
• DailyPOEMs:
 – 期刊:100+ / 月
 – 文章:1200+ / 月
 – E-Mail Alerts
      Content of InfoPOEMs II
• InfoRetriever:
  –   POEMs(2000+)
  –   Cochrane Database Abstracts(1700+)
  –   USPSTF and NGC Guidelines Summaries(700+)
  –   Clinical Decision Rules(200)
  –   H&PE and Diagnostic Test Calculators(2000+)
  –   Griffith’s 5-Minute Clinical Consult(1000+ topics)
  –   Photographic Atlas(500+)
  –   Patient handout(500+)
    檢索平臺
-Web PC Palm PPC-
InfoRetriever
-Daily POEM-
                問題導向
                研究結果
                背景知識
                結果應用
                證據強度
                文獻連結
                研究方法
                研究環境
                總結
  InfoRetriever
-Cochrane Database-
          • 世界級的實證醫學資
            料庫,
            Cochrane Database of
            Systematic Reviews
            含1700個以上的摘要
InfoRetriever
 -Guidelines-
       • 從 National Guidelines
         Clearinghouse Web 網
         站和其他重量級網站
         上整理而成,超過
         700重要的實證基礎
         的Guideline摘要
    InfoRetriever
-Clinical Decision Rules-
            • 包括所有必要的判別
              資訊、好發族群、環
              境因子的訊息,讓你
              輕易判斷其可信度
            • 數量超過180個
      InfoRetriever
-Diagnostic Test Calculators-
              • 醫學檢驗操作和診斷
                測試的詳細資訊數量
                超過2100個
              • 簡明的計算介面,只
                要更動變數,馬上就
                可以得到您想要的結
                果
          InfoRetriever
-Griffith’s 5-Minute Clinical Consult-
                   • 超過1000個主題
                   • 每年更新內容
                   • 收錄內容包括整個醫
                     學領域
                   • 包含醫學影像
  InfoRetriever
-Photographic Atlas-
          • 超過500個醫學影像
            可做病患衛教和參考
            之用
InfoRetriever
-Patient handout-

           • 直接在網上連結的分
             類病患衛教資訊(適用
             網路版和PC版)
           • 數量超過500個
          Why InfoPOEMs ?
• 以實證取代經驗
• 過濾、分級、結構化的資訊
• 線上資訊庫
 The Clinical Awareness System™

• 不限使用者
Why InfoPOEMs ?
                      Why InfoPOEMs ?
The information needs of practicing clinicians are distinct from the needs of students,
researchers, or nonclinical personnel. Clinicians seek information to stay current with new
relevant medical developments and to find answers to patient-specific questions. The volume
of available information makes clinicians' tasks of rapidly identifying high-quality studies
daunting. New tools evaluate the rigor and relevance of information and summarize it in the
form of synthesized clinical answers. These sources have the opposite focus of many other
information tools in that they strive to provide less information rather than more. With the
development of these sources of validated and refined information, a new search approach is
needed to locate clinical information in which speed is the benchmark. The existing medical
literature, including these new refinement tools, can be conceptualized as a pyramid, with
the most useful information, based on validity and relevance, placed at the apex. Use of
this hierarchy allows searchers to drill down through progressive layers until they find their
answers. Librarians can play a significant role in evaluating the ever-increasing variety of
these synthesized resources, placing them into the searching hierarchy, and training clinicians
to search from the top down.


          Journal of the Medical Library Association (JMLA), July 2002: "When Less is More: a practical
          approach to searching for evidence-based answers", Grandage, Karen; Shaughnessy, Allen; Slawson, David
Thanks
-------------期刊清單---------------
Level of Evidence




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                                 期刊清單 I
1. AIDs                                            16. American Journal of Surgery
2. Alternative Therapies                           17. American Journal of the Medical Sciences
3. American Heart Journal                          18. American Review of Respiratory Disease
4. American Journal of astroenterology             19. Annals of Allergy
5. American Journal of Cardiology                  20. Annals of Emergency Medicine
6. American Journal of Clinical Nutrition          21. Annals of Family Medicine
7. American Journal of Emergency Medicine          22. Annals of Internal Medicine
8. American Journal of Medicine                    23. Annals of Pharmacotherapy
9. American Journal of Obstetricsand Gynecology    24. Annals of Surgery
10. American Journal of Ophthalmology              25. Annals of the Rheumatic Diseases
11. American Journal of Preventive Medicine        26. Antimicrobial Agents and Chemotherapy
12. American Journal of Psychiatry                 27. Archives of Dermatology
13. American Journal of Public Health              28. Archives of General Psychiatry
14. American Journal of Respiratory and Critical   29. Archives of Internal Medicine
     Care Medicine                                 30. Archives of Neurology
15. American Journal of Sports Medicine
                                  期刊清單 II
31. Archives of Ophthalmology                       46. Clinical Otolaryngology
32. Archives of Otorhinolaryngology, Head and       47. Clinical Pharmacology and Therapeutics
     Neck Surgery                                   48. Critical Care Medicine
33. Archives of Pediatric and Adolescent Medicine   49. Dermatology
34. Archives of Surgery
                                                    50. Diabetes
35. Arteriosclerosis
                                                    51. Diabetes Care
36. Arthritis and Rheumatism
                                                    52. Digestive Disease and Sciences
37. Birth
                                                    53. Diseases of Colon and Rectum
38. British Heart Journal
                                                    54. European Journal of Neurology
39. British Journal of General Practice
                                                    55. European Journal of Pediatrics
40. British Journal of Obstetrics and Gynecology
41. British Medical Journal
                                                    56. Eye
42. Canadian Medical Association Journal            57. Family Medicine
43. Chest                                           58. Family Practice
44. Circulation                                     59. Fertility and Sterility
45. Clinical and Experimental Rheumatology          60. Gastroenterology
                                 期刊清單 III
61. Gut                                            76. Journal of Midwifery and Women's Health
62. Hepatology                                     77. Journal of Pediatrics
63. International Journal of Clinical Practice     78. Journal of Rheumatology
64. JAMA                                           79. Journal of The American Academy of
                                                        Dermatology
65. Journal of Allergy and Clinical Immunology     80. Journal of The American Board of Family
66. Journal of Bone and Joint Surgery (American)        Practice
67. Journal of Bone and Joint Surgery (British)    81. Journal of the American College of Cardiology
68. Journal of Clinical Endocrinology and          82. Journal of the American Geriatrics Society
     Metabolism                                    83. Journal of the American Medical Association
69. Journal of Clinical Epidemiology               84. Journal of the National Cancer Institute
70. Journal of Clinical Investigation              85. Journal of Urology
71. Journal of Family Practice                     86. Journal of Women's Health
72. Journal of General Internal Medicine           87. Kidney International
                                                   88. Lancet
73. Journal of Gerontology
                                                   89. Maturitas
74. Journal of Infectious Disease
                                                   90. Mayo Clinic Proceedings
75. Journal of Internal Medicine
                            期刊清單 IV
91. Medical Care                          104. Obstetrics and Gynecology
92. Medical Decision Making               105. Ophthalmology
93. Medical Education                     106. Pediatrics
94. Medical Journal of Australia          107. Pharmacotherapy
95. Medical Science Sports and Exercise   108. Physician and Sports Medicine
96. Medical Teacher                       109. Preventive Medicine
97. Medicine                              110. Quarterly Medical Journal
98. Menopause                             111. Scandinavian Journal of Gastroenterology
99. Metabolism                            112. Scandinavian Journal of Infectious
100. Nephron                                  Disease
101. Neurology                            113. Southern Medical Journal
102. New England Journal of Medicine      114. Spine
103. New Zealand Medical Journal          115. Stroke
                                          116. Surgery
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