Disclosure 1/21/2019. Ask A Librarian: Searching PTNow C L A S S. Gini Blodgett Birchett, MSLS Lead information resources specialist, APTA

Transcription

1 Ask A Librarian: Searching PTNow Gini Blodgett Birchett, MSLS Lead information resources specialist, APTA January 25, 2019 Combined Sections Meeting, APTA Washington, DC C L A S S Disclosure Gini Blodgett Birchett, MSLS Lead information resources specialist / APTA, for 16 years PTNow Librarian for members & staff Evidence projects: Hooked on Evidence, Open Door, Guide to Physical Therapist Practice 1

2 After the conference. Connect with me for assistance with searching, troubleshooting access, and/or general questions via the following ways: (800) , ext Learning objectives 1. Search PTNow smartly for resources important to clinical practice; 2. Locate and download resources like functional outcome measures, clinical practice guidelines (CPGs), G codes, ICD domains, instructional videos, Cochrane reviews, and more; 3. Explain concepts associated with CPGs and implement them into practice. URL [member login required] 2

3 Perspectives December 2018 issue /Perspectives/ Your guide to research & tools available from APTA s PTNow.org Title Additional Information PTNow resources Visit the Resources box for customized resources: Tips for Using PTNow Providing a Safe Alternative to Opioids Opioid Epidemic: 4 Things to Know (PDF) #ChoosePT Toolkit Functional Limitation Reporting (FLR) Under Medicare: Tests and Measures for High Volume Conditions 3

4 A member only benefit of the American Physical Therapy Association (APTA) Designed by PTs for PTs A combo of custom content & external resources provide members the best available evidence in patient care PTNow fast facts Responsive design provides optimal viewing on a variety of devices Access to publications for literature searching 520+ Cochrane reviews 230+ CPGs 240+ tests & measures 38 custom clinical summaries Title Additional Information PTNow ArticleSearch Databases available: CINAHL Complete Cochrane Database of Systematic Reviews ProQuest Health & Medical Collection and Nursing & Allied Health Source PubMed Central SportDiscus with Full Text Features: full text publications available across databases Search databases directly or across ones you select Ask A Librarian e mail services Regularly updated content 4

5 Database: PubMed/MEDLINE Description: The U.S. National Library of Medicine s premier bibliographic database provides information from across the health care spectrum. Contains article references published in biomedical journals & magazines. Coverage: 28 million+ records from 7,300+ current biomedical journals. Time period: 1946 to present, with limited coverage dating back to Database: PubMed/MEDLINE Availability: Free to the public. Features: PubMed The free, public version of Medline available on the National Library of Medicine Web site, < PubMed Central (PMC) An ever increasing number of articles (now 4.7 million) provide access to free full text from < Database: CINAHL Description: CINAHL is the authoritative bibliographic resource for nursing & allied health literature. It covers the fields of nursing and 17 allied health professions, including physical therapy. It is primarily an index of sources. Coverage: 5.8+ million records from 5,500+ journals, 1937 date. (C. COMPLETE=1,300 in full text) Availability: By subscription only. 5

6 Database: Cochrane DB of Systematic Reviews Description: Contains full text articles, as well as research protocols, focusing on the effects of interventions for prevention, treatment and rehabilitation in a healthcare setting. Evidence based. Combined statistically with meta analysis to increase the strength of the findings. Produced by the Cochrane Collaboration (est. 1993). Coverage: 10,000+ records. Database: Cochrane DB of Systematic Reviews... Time period: NEW Only the most recent reviews on a topic are in the database. Features: Review Groups focus on particular areas of health. Range of topics includes wound care, musculoskeletal, multiple sclerosis, incontinence, women s health, etc. Availability: By subscription only. Database: SportsDiscus Description: A comprehensive source of full text for sports & sports medicine journals. Subjects covered include: physical therapy kinesiology rehabilitation biomechanics nutrition sports & movement science occupational health exercise exercise physical fitness sports medicine 6

7 Database: SportsDiscus Coverage: 160,000+ articles with searchable cited references; 650+ full text journals & abstracts for some 980 journals; 3,800 records for sports related videos; fulltext coverage back to Availability: By subscription only. Database: ProQuest Description: APTA s subscription combines ProQuest Health & Medical Complete and Nursing & Allied Health Source libraries. Topics: healthcare research and information for allied health, medical, and nursing professionals; also healthcare business and finance. Coverage: 4,500+ publications in full text and images; another 500+ in abstract form. 7

8 Database services Alert creation RSS (Really Simple Syndication) feeds Downloading into bibliographic software Style guide selection (AMA, APA, etc.) Searching inside one periodical or across all A personal folder for saving search results, and more. Usually requires an account creation and log-in. Activity #1a 1. In which database will you find the most citations to physical therapy & related rehabilitation literature? a. Cumulative Index for Nursing & Allied Health (CINAHL) b: PubMed/Medline c: SportDiscus Activity #1b 2. Where can you find research and news articles on sports medicine, wellness & fitness programs, and physical therapy? a. Cumulative Index for Nursing & Allied Health (CINAHL) b. SportDiscus c. PubMed/Medline 8

9 Activity #1c 3. Systematic reviews on interventions for low back pain a. ProQuest b. Medline c. Cochrane Database of Systematic Reviews Databases: How to access Navigation bar Display box And.. New search engine for searching across the databases (DBs) Or search DBs directly 9

10 Title Additional Information Title Additional Information Title Additional Information 10

11 Title Additional Information Title Additional Information 11

12 Title Additional Information Setting your preferences in the Search Engine 12

13 13

14 Sidebar discussion: PICO... To locate evidence relevant to a patient, formulate an answerable clinical question which encompasses the issues at hand: Patient + Intervention + Comparison + Outcome (PICO) 14

15 Sidebar discussion: PICO... Activity #2 Map out search using online form OR go.usa.gov/xfn When treating patients who have ankle fractures, would adding early weightbearing exercises to a therapy regimen promote increased range of motion faster than immobilizing the ankle for several weeks before exercise therapy? Activity #

16 16

17 17

18 18

19 Your results open in a new frame/tab. Close the frame to return to the search engine. 19

20 Rehabilitation Reference Center 800 clinical reviews of health conditions & diseases 9,800+ exercise images in handout format for patients Listings from AHFS Drug Information Essentials on 11,700+ drugs 1,500+ patient education topics in English & Spanish E-handbooks & bi-monthly newsletter References for several hundred research instruments & CPGs Links to literature databases 20

21 RRC tutorial URL ash_videos/rrc/rrc.html (4:56 minutes) RRC feature: Clinical reviews Detailed coverage: 800 clinical reviews ICD 10 CM codes G codes & modifiers Risk factors Contraindications Medical & occupational history Relevant tests & measures Plan of care Treatment summary Outcome measures Maintenance Patient education References 21

22 Detailed coverage: Overview Classification Screening Examination Diagnosis Prognosis Intervention Management Clinical summaries Case studies Features: Clinician QuickTakes direct users to a summary section Downloadable portable summaries (PDFs) Links to instruments References Clinical summaries Health conditions Achilles Tendinitis Acute Kidney Injury Acute Stroke Asthma Autism Cerebral Palsy Concussion Fall Risk Incontinence Multiple Sclerosis Neck Pain Spinal Cord Injury Stroke Total Joint Replacements TBI 22

23 Clinical summaries... Clinical summaries Portable Summary download Searching tips for tests, CPGS, & Cochranes 23

24 Tests & measures Search filters Tests & measures... Search by: Keyword Pulldown menus for: Health Conditions Practice areas ICF Domains Practice area G-Code Examples:.balance, gait, posture.copd, reduced coordination, hip, motor function, shoulder.activity, participation.acute care, home health.self mobility Tests & measures... Records feature: Licensed instrument forms or directions Original videos of measures being administered Psychometrics Bibliographic references 24

25 Tests & measures... Test properties Tests & Measures... Media Tests & Measures... Filters 25

26 ICF domains & G code categories PTNow.org: Tests are searchable by ICF domain and G-code categories Select the domain or code from the separate pulldown menus on the Tests page Each test listed lists the ICF domain & G-code RRC: Disease & Condition entries list ICD-10-CM codes & G-codes, with breakouts of the G-codes & a table of G-code modifiers Activity #3 Using PTNow.org: Search for tests by using ICF domain and/or G-code categories Select the ICF domain or G-code from the separate pulldown menus on the Tests page Review tests in the results for ICF domain & G-code categories Searching tips for tests, CPGS, & Cochranes 26

27 Clinical practice guidelines (CPGs) PTNow.org: RRC: 240+ CPGs by societies References from National around the world Guideline Clearinghouse CPG; doesn t link to Includes related resources fulltext (e.g. executive summaries, ~ ~ ~ algorithms, change reports) Both are indexed by age Full text access linked in ranges & health conditions to facilitate 95% of CPGs searching About CPGs on PTNow: clinical practice guidelines cpgs PTNow.org links to relevant CPGs, following the inclusion criteria of the National Guideline Clearinghouse. Based on a systematic review of the evidence Published by APTA CPGs... sections or by other health care associations, organizations, and societies, not by individuals Published within the last 5 years CPG+: APTA s Clinical Translation Tool Brief appraisals of full CPGs performed by 3-4 physical therapist and methodologist authors. Each include: Quality ratings (using the AGREE II Tool) Highlights of the CPG Check Your Practice tips for clinicians Each are linked to the free access CPG for easy reference Access from the box on PTNow homepage 27

28 CPGs: CPG+ Rating between 0 (lowest) and 7 (highest) AGREE II scores by domain AGREE II rater comments Appraisers are identified About CPGs on PTNow: clinical practice guidelines cpgs Activity #4 Using PTNow.org, run a CPG search: Care of a patient with potential venous thromboembolism Q1: Which standardized tool is suggested by a CPG to determine the likelihood of a LE DVT when patients have signs and symptoms?. Activity #4 Q1: Which standardized tool is suggested by a CPG to determine the likelihood of a LE VTE when patients have signs and symptoms?. A1: Use a standardized tool such as the Wells Criteria (Figure 6; page 154) as part of the physical therapist examination (Evidence: strong). 28

29 Activity #4 Q2: What is the source of the guideline (where was it published) and in which year? Activity #4 Q2: Where is the full text of the CPG published? A2: Physical Therapy Journal [ Role of Physical Therapists in the Management of Individuals at Risk for or Diagnosed With Venous Thromboembolism: Evidence-Based Clinical Practice Guideline],

30 Cochrane Systematic Reviews 500+ Cochrane systematic reviews related to physical therapy / rehabilitation Full text access Indexed by age range and health condition to facilitate searching Extensive bibliographies Display of searches run Reviews updated regularly by a Cochrane Collaboration work group Each article contains detailed information about reviews included in research Cochrane is considered the gold standard of systematic reviews Cochrane Systematic Reviews... Cochrane Systematic Reviews... 30

31 PTNow Searching tips Entire PTNow Website Tests Clinical Practice Guidelines (CPGs) Cochrane systematic reviews Searching tip #1 Use the general search field at the top of every PTNow page to search across the website Note: this search field will not search across the PTNow ArticleSearch or Rehabilitation Reference Center resources (search them separately) Searching tip #2 Basic search results may be refined by: Opting for a specific type of document (e.g., clinical cases, CPGs, tests & measures) Evidence site source Clinical journals (listed) 31

32 For the areas of: Searching tip #3 Tests CPGs & Cochrane Reviews Use the search field below the Filter Results banner to search inside only that area of PTNow Your results will be restricted to the documents loaded in area of the site you are searching (e.g., Tests, CPGs, Cochrane reviews) MyPTNow folders Save frequently-used PTNow resources from across the Clinical Summaries, Tests, CPGs, & Cochrane Reviews areas of the website Save PTNow searches Update your APTA profile MyPTNow Welcome, APTA Member My Clinical Collections My Searches My Profile Logout Activity #5 Answer clinical questions using the tools you learned about today 32

33 Questions? Gini Blodgett Birchett, MSLS Lead information resources specialist American Physical Therapy Association 33