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-original works that introduce new knowledge or enhance existing knowledge -ex. article reporting results of a study (peer or non peer reviewed) -ex.abstracts (after presentation at a national meeting) |
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-group of papers on a specific topic published in a journal supplement -many supplements are sponsored by industry and may present a more favorable perspective of a drug -supplements are NOT peer reviewed |
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letters/editorials/commentaries |
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-designed to stimulate interest and discussion -less stringent review process or may not be peer reviewed |
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-poor source of primary? literature -may review new drug, provide current guidelines for management of a disease of warning of new complications -ex. Medical Letter, FDC Reports, "the Pinnk sheet", Pharmacists' Letter |
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categories of primary literature |
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-recount individual experiences for sharing ideas, describing programs, reporting new treatments and relating observations -do NOT explore cause and effect relationships -may only SUGGEST but not prove a relationship |
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evaluative (exploratory) studies |
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-observational -experimental |
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-records the results from an observation for some event -ex.to determine if disease X is associated with drug therapy Y, we would just observe what would happen to patients receiving drug Y therapy over time -no intervention on part of investigator |
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-designed to answer a question in a prospective manner -ex. is drug X as effective as drug Y for the treatment of a disease? -the investigator intervenes to determine which patients will receive X or Y and measures results over time |
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-reflects the number of times a journal is cited in publications -provides an index on how "authoritative" the journal is (power vs. throw away) -no impact factor for pharmacy journals because not as well known as medical journals |
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publish with one journal only |
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most recent impact ratings |
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-NEJM -Lancet -Annals of Internal Medicine -JAMA -BMJ -Archives of Internal Medicine -American Journal of Medicine |
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objectives of peer review |
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-screens out poorly conceived, designed, or executed reports of investigations -leads to helpful revisions and improvements in quality -provides constructive criticism -puts a stamp on quality in individual papers as an aid to non experts -improves professional acceptance of journals -NOT all material published in a peer reviewed publication may be reviewed -ex. editorials, letters to editor |
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what peer review will not do |
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-detect multiple publication of same article or research -detect scientific fraud |
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-bias may influence review process if either reviewer or author are identified -some evidence indicates that non blinded (open) peer review increases the quality of review |
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-should be disclosed to the reviewer but not always |
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recommendations reviewers may make |
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-accept manuscript as submitted (rare) -accept pending revisions -reject -final decision for publication still rests with editor of journal |
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-timing-how often published -format-number of advertisements, letters to the editor -subject matter-what is the intended audience?, original research or reviews |
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-integration of locating, analyzing, applying, and communicating information concerning medications |
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information needs are dependent on |
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-requestor (patients, physicians, nurses, pharmacists) |
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major types of information requests |
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-adverse event reactions -cost -dosage and administration -drug availability -drug interactions -etc |
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systematic approach to answering DI questions |
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-obtain demographics of requestor -obtain background info (3,2,1) -determine/categorize actual request -determine search strategy and conduct search -perform evaluation, analysis, synthesis -formulate and communicate response -follow up and documentation |
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obtain demographics of requestor |
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-who is asking -when do they need to know the answer -how may they be contacted |
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obtain background information |
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-patient vs. non-patient specific reques -name -age -gender -height/weight -allergies* -pertinent medical/medication history -pertinent lab values |
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determine and categorize actual request |
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-what is the real question -what are they asking it |
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-adverse drug reactions -drug ID/availability -compatibility/stability -dose/dosing schedule -drug interactions -pharmacokinetics/pharmacology -drugs of choice/evaluation of drug efficacy |
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determine strategy and conduct search |
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-need a basic working knowledge of available sources in order to make the retrieval process easier -organized method of reviewing sources based on literature hierarchy -always look in at least 2 references when answering a question (*drug interaction, ID of pill, ped dosing) |
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perform evaluation, analysis, and synthesis |
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-evaluation of the information during search |
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formulate and communicate response |
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-evaluate information from sources -list pertinent statements with referenced sources -include detailed or peripheral information to explain response (doses of other drugs, possible interactions) |
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formulate and communicate response (more) |
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-prepare verbal/written reply -do NOT state that there is no information available because you might have missed something -tell requestor that based on the information available to you, there does not appear to be any documented information on that topic -deliver with confidence/pronunciation -present competing viewpoints or considerations -fact first then judgement -anticipate follow up quesitons |
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-request background information (restate question) -response (intro, bg, findings) -conclusions/recommmendations (based on readings alone, provide a specific recommendation) -references (all facts should be referenced) |
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guidelines from communicating a response verbally |
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-do not guess at the answer -avoid "there are no reports in the literature" -avoid saying "i think, i dont think" -follow a logical sequence -do not be afraid to say that you od not know the answer -be prepared to offer to research the answer |
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follow up and documentation |
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-verify the appropriateness, correctness, and completeness of a response -serves to provide quality assurance -helps validate information for similar questions in the future -persist until both you and the requestor are satisfied with the answer |
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