Point-of-Care in EBP
Point-of-care resources offer synthesized information evaluated by experts that often includes rating scales or graded recommendations. Most of this information is secondary, and has been pre-appraised to allow for quick, on-the-spot decision making.
Benefits of point-of-care tools include:
- more efficient search structure than in large, "academic" databases
- results in the form of systematic reviews, meta-analyses, guidelines, and critically appraised topics
- immediate access to full text (in most cases)
Resource Types: Systems, Synopses, Syntheses, Studies
From a point-of-care perspective, we can place evidence into four categories:
When searching for best evidence in clinical decision making, start at the the top of the hierarchy with systems and work your way down to synopses, syntheses, and studies. Opt for databases like PEPID or UpToDate, which present information quickly, clearly, and efficiently.
Remember that point-of-care tools are meant to save time in a fast-paced clinical environment. Even so, it is important to maintain proficiency in larger databases such as MEDLINE, in order to locate new research studies as they are published.
Mobile Applications can also be very helpful at the point-of-care, however, use caution since nearly anyone can develop an app! You must carefully evaluate the information & source. STAT!Ref is a library resource with a mobile app that is recommended to NAU students, as it provides access to ACP Smart Medicine, 5 Minute Clinical Consult, Red Book, and more.