6 weeks ago I posted an article about using TRIP to identify content suitable for resource poor settings click here.

Since then I’ve been busy discussing the idea with a significant number of people including Richard Smith (Director of Ovations and ex-editor of the BMJ), David Lipman (Director of the NCBI and responsible for PubMed) and representatives from WHO. I’ve worked up the idea some more – with the help of those I’ve discussed the idea with – and am currently seeking funding. The idea, as it stands, is as follows:

Problem: A clear problem for resource poor settings is identifying high quality evidence upon which to base clinical decisions. Within TRIP, content suitable for these environments, is frequently ‘hidden’ by the volume of material aimed at resource rich environments, making the identification of appropriate evidence difficult. This problem is not restricted to TRIP: there is no way in Medline (or other databases) to select material suitable for resource poor settings.

Proposal: We propose that users of TRIP would be allowed to ‘tag’ (by pressing a single button) an article if it is suitable for resource poor settings. A user coming to TRIP could then carry out a search and decide if they want to restrict the results to just those tagged as being suitable for resource poor settings.

Quality is an important issue, therefore, we propose a quality system whereby an article would be considered ‘pending’ until it has been selected at least two further times. If a user restricts any subsequent search a pending article would be clearly marked as such.