clinical questions raised by clinicians at the point

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Page 1: Clinical questions raised by clinicians at the point

Clinical Questions Raised by Clinicians at the Point of Care: A

Systematic Review

Del Fiol Guilherme; Workman, Elizabeth T; Gorman, Paul N. JAMA Internal Medicine. 2014; 174(5):710-718

Page 2: Clinical questions raised by clinicians at the point

Copyright 2014 by the American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use. American Medical Association, 515 N. State St, Chicago, IL 60610. Publicado por American Medical Association.

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Clinical Questions Raised by Clinicians at the Point of Care: A Systematic Review.Del Fiol, Guilherme; MD, PhD; Workman, Elizabeth; PhD, MLIS; Gorman, Paul

JAMA Internal Medicine. 174(5):710-718, May 2014.DOI: 10.1001/jamainternmed.2014.368

Figure. Process for Selecting Studies of Clinical Questions Raised by Clinicians at the Point of Care Of 21 710 citations retrieved, 811 were selected for full-text screening, and 72 met the study inclusion criteria.

Page 3: Clinical questions raised by clinicians at the point

El numero de preguntas fue de 0,57 (IC 95%, 0,38-0,77) por paciente visto

Se buscaron el 51% (36% -66%) de preguntas y se encontraron respuestas en el

78% (67% -88%) El 34% de las preguntas se relacionaban con tratamiento medicamentos, y el 24% en

relación con las causas de un síntoma, signo físico o resultados de pruebas diagnósticas.

Page 4: Clinical questions raised by clinicians at the point

Copyright 2014 by the American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use. American Medical Association, 515 N. State St, Chicago, IL 60610. Publicado por American Medical Association.

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Box. Other Substantial and Recurring Findings

Clinical Questions Raised by Clinicians at the Point of Care: A Systematic Review.Del Fiol, Guilherme; MD, PhD; Workman, Elizabeth; PhD, MLIS; Gorman, Paul

JAMA Internal Medicine. 174(5):710-718, May 2014.DOI: 10.1001/jamainternmed.2014.368

Page 5: Clinical questions raised by clinicians at the point

Con las preguntas sin respuesta se pierden oportunidades para el aprendizaje y mejora de la práctica. 

Las soluciones potenciales deben ayudar a los médicos al acceso, justo en el momento que se necesita, a evidencias de alta calidad en el contexto de la toma de decisiones sobre la atención al paciente.