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140 D.M. D’Alessandro Ontario, BC Decker Inc, 2000) and published clinical practice guidelines (indexed in the National Guideline Collection http://www.guideline.gov). Systems: The full integration of best evidence to care of individual patients consists of incorporation of decision support into information tools such as electronic medical records (EMRs), electronic prescribing and computerized order entry. Important aspects of systems layer implementation of evidence are source transparency (the basis of decision support rules on previous layers) and currency (based on new research), as well as protocols, procedures (critical paths) and information sources that reflect current evidence. 10.6.2 Evidence Resources for Patient Care An annotated bibliography of available online EBM resources is included in Table 10.1. GeneralPediatrics.com is an online user-centered, problem-based pediatric digital library based on the common pediatric problems discovered through a literature-based needs assessment. This digital library provides access to current, easily accessible, authoritative pediatric information. One study showed that computer-based resources, including GeneralPediatrics.com, were as effective as other more traditional information resources, e.g. consulting people, journals, textbooks, etc., but computer-based information resources were much more time efficient. 36,46 Since this study, others have documented that pediatricians are spending more and more of their time using computer-based resources. 6 10.6.3 Evidence Resources for Continuous Professional Development A major challenge for practitioners is to keep updated on clinical research. Technology can help to manage information overload and to guide CPD effectively and efficiently. However, it depends in part on self-knowledge of information prefe rences and their association to personal learning. “What’s new” pages on (pediatric) information Web sites can summarize updates and new journal articles of interest. Pediatric updates are available through the American Academy of Pediatrics Websites (as well as through journal Web sites and pediatric portals). “Bookmarks” can be reviewed on demand, with e-mail alerts notifying users of updates. 47 News aggregators provide digest versions of new information using RSS (Really Simple Syndication) and e-mail technologies (where information from multiple sources is sent to one e-mail box for easy review). The federal government offers free health-related RSS feeds, 48 including one that allows notification of customized MEDLINE searches.
10 Evidence-Based Medicine and Pediatrics 141 Table 10.1 Annotated list of EBM resources Name Sponsor Description Cost Notes GeneralPediatrics.com University of Iowa General pediatric portal for Free Curated WWW resource (See text for evidence-based information description) http://www.generalpediatrics.com AAP Red Book American Academy Pediatric infectious disease Free with AAP Print, CD-ROM, Online, Handheld of Pediatrics (AAP) authority membership, versions, updated every 3 years varies http://www.aapredbook.org AAP Policy AAP Pediatric policy and technical Free Published in Pediatrics, updated every Statements statements 3 years http://www.aappolicy.org AAP Clinical Practice AAP CPG subset of AAP Policy Free Published in Pediatricsl Guidelines (CPG) Statements http://aappolicy.aappublications.org/ practice_guidelines/index.dt National Guideline Agency for Healthcare Comprehensive database of Free From original sources Clearinghouse Research and Quality EBM CPGs http://www.guideline.gov (AHRQ) Online Mendelian National Library of Comprehensive and Free Continually updated Inheritance in Man Medicine (NLM) and collaborartive database of http://www.ncbi.nlm.nih.gov/sites/ (OMIM) the Johns Hopkins human genes and genetic entrez?db=omim University disorders (continued)
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Health Informatics (formerly Comput
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Editors Christoph U. Lehmann George
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vi Series Preface changes to both t
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viii Foreword This text will prove
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x Preface financial investment and
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How to Use This book This book is t
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xvi Contents 9 Pediatric Care, Safe
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xviii Contents Part VII A Vision an
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xx Contributors Donna M. D’Alessa
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xxii Contributors Christoph U. Lehm
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xxiv Contributors Mark M. Simonian,
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4 G.R. Kim pharmacy, medical educat
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6 K.B. Johnson and G.R. Kim Deaths
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8 K.B. Johnson and G.R. Kim 2.4.1 I
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10 K.B. Johnson and G.R. Kim 2.4.3
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12 K.B. Johnson and G.R. Kim Educat
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14 K.B. Johnson and G.R. Kim 2.6 Co
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Chapter 3 Core Pediatric Data Kevin
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3 Core Pediatric Data 21 3.3 Pediat
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3 Core Pediatric Data 23 3.6 Pediat
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Chapter 4 Neonatal Care and Data De
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4 Neonatal Care and Data 27 Essenti
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4 Neonatal Care and Data 29 4.3 The
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4 Neonatal Care and Data 31 some ma
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4 Neonatal Care and Data 33 Measure
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4 Neonatal Care and Data 35 4.5.2.4
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4 Neonatal Care and Data 37 4.6.3 I
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4 Neonatal Care and Data 39 4.7.2.2
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4 Neonatal Care and Data 41 Availab
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44 D.M.N. Paperny Tasks related to
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46 D.M.N. Paperny Behavioral risk d
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48 D.M.N. Paperny for outside ancil
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50 D.M.N. Paperny Video reinforceme
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52 D.M.N. Paperny 3. Litzelman DK,
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Chapter 6 Children with Development
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6 Children with Developmental Disor
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Chapter 7 Pediatric Emergency and P
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7 Pediatric Emergency and Pediatric
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84 W.H. Drummond et al. A recovery
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86 W.H. Drummond et al. 8.2.2 Forma
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13 Managing Pediatric Knowledge Res
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13 Managing Pediatric Knowledge Res
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Chapter 14 Supporting Continuing Pe
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14 Supporting Continuing Pediatric
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14 Supporting Continuing Pediatric
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Chapter 15 Pediatric Care Coordinat
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15 Pediatric Care Coordination: The
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Chapter 16 Prioritizing Pediatric I
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16 Prioritizing Pediatric Investmen
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Chapter 17 Aligning Pediatric Ambul
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17 Aligning Pediatric Ambulatory Ne
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258 G.R. Kim and C.U. Lehmann Elect
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260 G.R. Kim and C.U. Lehmann 18.2.
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262 G.R. Kim and C.U. Lehmann There
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264 G.R. Kim and C.U. Lehmann 13. C
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266 K.B. Johnson and C.G.M. Weigle
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280 C. Sable et al. computer for la
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282 C. Sable et al. Table 20.3 Tele
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284 C. Sable et al. without increas
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286 C. Sable et al. Fig. 20.1b Wash
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288 C. Sable et al. prior to case d
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290 C. Sable et al. presence of con
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292 C. Sable et al. 17. Sable C, Ro
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294 A.E. Zuckerman and G.R. Kim 21.
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296 A.E. Zuckerman and G.R. Kim �
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Chapter 22 Privacy Issues David M.N
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22 Privacy Issues 305 22.3 Pediatri
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22 Privacy Issues 307 patient must
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22 Privacy Issues 309 and receipt o
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Chapter 23 Electronic Mail in Pedia
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23 Electronic Mail in Pediatric Pra
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Chapter 24 Information Management b
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24 Information Management by Patien
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Chapter 25 Overview of Pediatric In
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25 Overview of Pediatric Inpatient
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Chapter 26 Prescribing/Ordering: Co
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26 Prescribing/Ordering: Computeriz
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346 S.H. Mitchell et al. 27.2.1 Med
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348 S.H. Mitchell et al. context of
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350 S.H. Mitchell et al. 27.3.3.1 C
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352 S.H. Mitchell et al. challenges
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354 S.H. Mitchell et al. work round
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Chapter 28 Medication Administratio
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28 Medication Administration and In
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Chapter 29 Understanding and Preven
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29 Understanding and Preventing Err
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386 D.C. Stockwell and A.D. Slonim
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400 J.H. Schneider a number of prob
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402 J.H. Schneider on governance, u
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404 J.H. Schneider 31.6.1 Data Rele
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406 J.H. Schneider Understanding op
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408 J.H. Schneider of this componen
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410 J.H. Schneider Table 31.1 (cont
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412 J.H. Schneider References 1. Am
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Chapter 32 Developing Pediatric Dat
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32 Developing Pediatric Data Standa
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430 G.R. Kim and S.T. Rosenbloom Co
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432 G.R. Kim and S.T. Rosenbloom No
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434 G.R. Kim and S.T. Rosenbloom pr
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436 G.R. Kim and S.T. Rosenbloom ab
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Chapter 34 Pediatric Research and I
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34 Pediatric Research and Informati
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Chapter 35 The Moving Picture of Pe
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35 The Moving Picture of Pediatric
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470 G.R. Kim and K.B. Johnson Cente
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472 G.R. Kim and K.B. Johnson 36.4
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Index A 2006 AAP recommendations on
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Index 477 psychological data, 45 se
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Index 479 High frequency flow inter
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Index 481 O Online Mendelian Inheri
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Index 483 Standards development org
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