{"id":1063,"date":"2010-03-10T17:37:08","date_gmt":"2010-03-10T16:37:08","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=1063"},"modified":"2010-03-11T14:21:04","modified_gmt":"2010-03-11T13:21:04","slug":"jon-brassey-on-the-trip-database","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2010\/03\/10\/jon-brassey-on-the-trip-database\/","title":{"rendered":"Jon Brassey on the TRIP database"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/www.bmj.com\/columns\/icons\/jon_brassey.jpg\" alt=\"Jon Brassey\" width=\"233\" height=\"291\" align=\"left\" \/>Searching for clinical information isn\u2019t easy, I know, I\u2019ve been doing it on an almost daily basis for over ten years. I\u2019d like to think that I\u2019m pretty good at searching across a number of clinical databases, I even helped create one \u2013 the <a href=\"http:\/\/www.tripdatabase.com\/\">free TRIP Database<\/a>.<\/p>\n<p>But search engines can be a real pain.\u00a0<\/p>\n<p>As an aside, if someone was to start from scratch and design a product to meet the need to answer clinical questions would anyone suggest a product that returned 10-20 links to articles that might have an answer?<!--more--><\/p>\n<p>Back to the present\u2026Search engines typically return a number of links that they believe will contain the information the searcher requires.\u00a0Behind this obvious comment are many complications.\u00a0One such complication is the fact that most people aren\u2019t great searchers.\u00a0The most popular searches on the TRIP Database are single terms such as diabetes, hypertension, asthma.\u00a0 These return large numbers of results that are unfocussed, covering many different aspects of the condition.\u00a0Granted, some people will want to look at anything on diabetes, but many will have a more specific reason e.g. what\u2019s the evidence for metformin in diabetics? Or how often should you screen for retinopathy in diabetics? Searching, using single terms in situations like this, is going to make the whole experience frustrating. Most studies of the mainstream search engines show that the majority of people will only look at the first page of results and only a very small number will get as far as page 4.\u00a0<\/p>\n<p>So, it\u2019s really, really important that search engines get the top ten results right.<\/p>\n<p>If you\u2019re in a developing country (for example, a rural district hospital in Africa or South Asia) the complications mount up further as there\u2019s a good chance you\u2019re hampered by a lack of money to purchase the latest drugs and expensive diagnostic tools.\u00a0 This can have a big effect on searching for evidence? The TRIP Database covers a range of content from secondary review articles such as Cochrane Systematic Reviews, primary research such as the BMJ through to eTextbooks.\u00a0\u00a0Most content stems from organisations based in the resource rich world and reflect this.\u00a0 If 10% of the content of the TRIP Database is suitable for resource poor settings that means there is additional \u2018noise\u2019 from the 90% of articles that aren\u2019t!\u00a0So, when a clinician (or patient) from a resource poor setting is looking for evidence they are faced with the additional challenge of finding evidence suitable for\u00a0 that setting. This is one of the key problems expressed by health professionals in Africa and Asia on the HIFA2015 email discussion forum (Healthcare Information For All by 2015; <a href=\"http:\/\/www.hifa2015.org\/\">www.hifa2015.org<\/a>). It\u2019s like trying to drink water from a fire hydrant.<\/p>\n<p>Unfortunately, there doesn\u2019t seem to be a clear way of identifying material suitable for the resource poor environments.\u00a0 People can be pretty good at identifying such material but the trick is to harness humans in the process.\u00a0Through funding from BUPA Giving, the TRIP Database has devised a new initiative to help identify evidence suitable for low resource settings.\u00a0 This will use the power of crowdsourcing \u2013 using \u2018crowds\u2019 of people to solve problems.\u00a0\u00a0<\/p>\n<p>Users of the TRIP Database can now see under each result a new link, \u2018Developing World?\u2019 If a user feels an article is suitable they can click on the link.\u00a0If a single document gets two clicks (from separate people) it will be \u2018accepted\u2019 and form the basis of a new sub-set of data.<\/p>\n<p>At the same time as the link appears under each result a tick box will be created on the results page.\u00a0This will allow users to restrict results to those suitable for low resource settings.\u00a0For example, a user might have searched for \u2018diabetes\u2019 and been overwhelmed by the results (50,000+ results including 2,200+ systematic reviews and 1,000+ guidelines) but can then opt to see only those articles suitable for their environment.<\/p>\n<p>The most obvious problem with this is that this valuable function needs time to develop. Initially, the database of approved articles will be zero (a user will go from 50,000 results to none \u2013 hardly an improvement).\u00a0However, over time users will click and the database will grow. We\u2019re confident that we\u2019ll soon have a powerful tool to help clinicians in low resource setting identify, and therefore use, high quality clinical evidence. This initiative launches today and we ask all interested people to visit us at <a href=\"http:\/\/www.tripdatabase.com\/\">www.tripdatabase.com<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Searching for clinical information isn\u2019t easy, I know, I\u2019ve been doing it on an almost daily basis for over ten years. I\u2019d like to think that I\u2019m pretty good at [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2010\/03\/10\/jon-brassey-on-the-trip-database\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":66,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[223],"tags":[],"class_list":["post-1063","post","type-post","status-publish","format-standard","hentry","category-guest-bloggers"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Jon Brassey on the TRIP database - The BMJ<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bmj\/2010\/03\/10\/jon-brassey-on-the-trip-database\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Jon Brassey on the TRIP database - The BMJ\" \/>\n<meta property=\"og:description\" content=\"Searching for clinical information isn\u2019t easy, I know, I\u2019ve been doing it on an almost daily basis for over ten years. 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