Evolution and Validation 0f Practice Standards, Training, and Professional Development

Review table of contents of high-impact journals in critical care (e-mail or rich site summary

Care Surgery, Journal of Critical Care).

ii.

Topic alerts (e-mail or RSS) for critical care articles from high-impact multispecialty journals

iii.

iv.

Use of saved search strategies with automatic e-mail alerts on a scheduled interval (e.g.,

PubMed, PubCrawler, Ovid Medline)

Subscribe to a medical information alert service with high and transparent standards for

validity, relevance, and contextual interpretation of the data (e.g., Essential Evidence Plus, FPIN

[Family Physicians Inquiries Network] Clinical Inquiries, BMJ Clinical Evidence, Cochrane

for Clinicians).

vi.

Scan review journals relevant to critical care (e.g., Critical Care Clinics).

vii.

Identify high-quality, relevant, and contemporary clinical practice guidelines for critical care

therapeutics (e.g., National Guideline Clearinghouse, PubMed Clinical Queries, MD Consult).

viii.

Use up-to-date systematic reviews (e.g., Cochrane Database of Systematic Reviews, Agency for

Healthcare Research and Quality [AHRQ] Evidence-Based Practice Center Evidence-Based

Reports).

ix.

Selective use of other resources (e.g., evidence-based summaries such as Bandolier, Clinical

Evidence), critically appraised topics, point-of-care review services (e.g., UpToDate, Medscape),

database)

market. The individual pharmacist will need to stay current to maximize use of the literature and

will need to adapt his or her strategy over time.

Discussion and debate with colleagues, mentors, and other content experts

Therapeutic dilemmas

Complex cases

Primary literature

Journal clubs/clinical conferences

Interdisciplinary, patient care rounds – Daily interactive discussions of diagnostics, disease states,

therapeutics, monitoring, technology in the ICU, ethics, communication with patients and families, etc.

Guideline and protocol development for the ICU

Translation of evidence to best practices

Benchmarking with peer institutions

Consensus building

Point-of-care learning

Refers to day-to-day learning opportunities

Uncommon disease state or unexpected adverse drug reaction prompts reading and learning.

Complex drug information questions from colleagues