Point-of-care (POC) databases are rapidly becoming vitally important tools in the integration of evidence-based medicine with direct patient care. The best of these POC resources are not only easy to use, well researched, and well referenced, but must also be frequently updated to allow the clinician to comfortably rely on the presented information for clinical decision making. BMJ Best Practice is a POC database created in 2009 by BMJ Evidence Centre, a division of the BMJ Group. The database is designed to provide clinicians with quickly accessible patient consult information. The user interface is straightforward and simple, enabling the user to reach the desired content with just a few clicks.
All content is fully referenced with hyperlinked citation number notes within the text as well as a cumulative references and resources page for every monograph. Recommendations included in the monographs are identified with an evidence grade using the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) Working Group evidence tables system with embedded links to a brief summary and an explanation of the assigned GRADE level of evidence. BMJ Best Practice provides basic drug information content from American Hospital Formulary Service (AHFS) Drug Essentials, published by the American Society of Health-System Pharmacists, for US end users, and from Martindale Complete Drug Reference, published by Wolters Kluwer Health, for Canadian and international subscriptions.
Interestingly, individual subscriptions to BMJ Best Practice are not available in the United States However, BMJ Best Practice content is contained in the ePocrates online product, ePocrates Online Premium, or the ePocrates mobile product, ePocrates Essentials, which are available by subscription from ePocrates.com ($159.99/year, mobile or online access). For students, small clinics, or small practices, access via ePocrates.com could be a viable solution to provide POC support for those with limited resources. Institutional subscriptions are an option for those organizations wishing to provide direct, Internet protocol (IP) authentication to access the database. All institutional subscriptions include access onsite, remotely, and from mobile devices.