Evidence-based Medical Guidelines Improve Quality of Care

Implement evidence-based medical guidelines as clinical decision support into your hospital or primary care electronic health record. Clinical decision support

Poor adherence to medical knowledge is a significant clinical problem in healthcare that clinical decision support can improve

Clinical problem

The exponential growth: medical knowledge doubles every 73 days

Densen et al., 2011

Non-adherence: 80% of doctors do not treat according to the latest evidence-based guidelines

Cuspidi et al., 2003

Integrate evidence-based practice guidelines into your clinical workflow with Synbase

Synbase platform enables the use of evidence-based practice guidelines database as a decision-making tool for healthcare providers integrated into your electronic health record or as a complimentary web portal. #1 clinical decision support platform
  • Content of the database is in the local language
  • Possibility to add local content (e.g., guidelines, calculators)
  • Combined with other clinical databases (e.g., drug databases, differential diagnostics)
  • Support search terms in local language (diagnosis names, medication names, symptom names)
  • Can be used on desktop, tablet, or mobile application

Clinical decision support as nationwide service

Case study

Clinical practice guidelines

Evidence-based database

Evidence-based medical guidelines covering 1000 guidelines

Evidence-Based Medical Guidelines (EBMG) is a comprehensive online database of evidence-based, concise, and practical guidance on diagnosis and treatment, covering most clinical problems.

  • The Evidence-Based Medical Guidelines database includes almost 1000 concise primary care practice guidelines covering a wide range of medical conditions, including both diagnosis and treatment recommendations
  • Over 4000 high-quality evidence summaries supporting the given recommendations – a specific feature of the guidelines is the use of evidence codes (graded from A where strong evidence exists and further research is unlikely to change the conclusion, to D where the evidence is weak, and the estimate of effect is uncertain)
  • A library of 1500 high-quality medical images covering dermatological conditions, electrocardiograms, and eye pictures
  • Video library of over 80 medical videos about procedures, medical findings,
  • Library of over 70 audio files covering auscultation findings of lungs and heart.

Objective

The overall objective of the EBM Guidelines is to cover clinically meaningful evidence and provide guidance on diagnosis, screening, treatment, and follow-up of all conditions encountered in primary and ambulatory care. The guidelines also describe the scientific evidence underlying the given recommendations.

Methodology of evidence-based medical guidelines

High clinical usability in local language to support clinical decision making

According to published studies, more than 80% of general practitioners who searched information for a clinical problem in Evidence-Based Medical Guidelines found what they were looking for.

Clinical experts have produced databases according to standard operating procedures (SOPs). All references are, whenever possible, linked to their source evidence.

Concise summaries of scientific evidence attached to the individual guidelines are the unique feature of EBM Guidelines. These summaries are based on Cochrane reviews and DARE abstracts from the Cochrane Library as well as on other recent systematic reviews.

Whenever new material relevant to topics of primary care is published, a brief summary of this scientific evidence is written. The summary is then graded with a scale from A to D, and a short statement on the level of evidence is added to the summary. Each evidence summary consists of a heading, evidence code, evidence statement, and the actual summary. A comment at the end of the evidence summary indicates the reasons for downgrading or upgrading the quality of evidence, as suggested by the GRADE group.

Regular updates for evidence-based medical guidelines

Up-to-date information to provide medical advice – The Evidence-Based Medical Guidelines (EBMG) are developed and updated quarterly by Duodecim Medical Publications Ltd. (Finland).

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