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Transforming healthcare practice with UpToDate and UpToDate Lexidrug: A case study and interview from the United Arab Emirates

This Expert Insight explores the transformative impact of UpToDate and Lexidrug in addressing clinical complexity with Dr. Khaled Aboeldahab, Head of Long-Term Care and Rehabilitation at Global Care Hospital in Abu Dhabi.

Clinical complexity is increasing at un­precedented rates in the Middle East and the UAE healthcare spending [1] is project­ed to reach US$30.7 billion (AED112.6 billion) – the highest healthcare spend­ing growth rate in the Gulf Cooperation Council (GCC). Care teams need access to the best resources possible to improve outcomes and control costs. Leadership can identify these resources by prioritizing tools that support tailored treatment plans, facilitate access to real-time information, center the clinician experience, and en­courage professional development.

Dr. Khaled Aboeldahab

Equipping clinicians to navigate grow­ing clinical complexity is the first step in standardized patient care [2]. When clini­cians don’t receive the support of evi­dence-based tools, the risk of variation in care is significantly higher – a gamble that is a loss for patients, clinicians, and pro­vider organizations alike.

To help you better understand how healthcare organizations in the Middle East are revolutionizing healthcare with evidence-based medicine tools [3], we’re delving into the transformative impact UpToDate® Lexidrug™ drug information at Global Care Hospital in Abu Dhabi, a facility known for its world class care and commitment to compassion and innova­tion through the experiences of Dr. Khaled Aboeldahab, expert and founder of the Long-Term Care (LTC) and Rehabilitation at Global Care Hospital in Abu Dhabi.

Exploring the transformative impact of UpToDate with Dr. Aboeldahab

Q: Can you provide an overview of your role and involvement with UpToDate and Lexidrug?
Dr. Khaled Aboeldahab: As a senior physician, my role involves overseeing clinical practices and ensuring that my medical team has access to the best resources available.

My involvement with UpToDate began in 2021 when we introduced it to address the constant need for reliable clinical in­formation. Recognizing the additional need for detailed drug information, we integrated Lexidrug in 2022. These tools became indispensable in my daily opera­tions, aiding both junior and senior staff in making informed decisions and optimizing medication choices.

Q: What benefits do you believe UpToDate and Lexidrug bring to the medical field?
Dr. Khaled Aboeldahab
: UpToDate provides a comprehen­sive, evidence-based resource that supports clinicians in making informed decisions. It helps reduce the unnecessary use of medi­cations, particularly antibiotics, and guides appropriate dosing adjustments. Lexidrug enhances this by offering detailed drug information and interaction checks, cru­cial for managing complex medication regimens in our long-term care facility. To­gether, they improve patient care, reduce side effects, and lower healthcare costs.

Q: What sets UpToDate and Lexidrug apart from other resources in the health­care industry?
Dr. Khaled Aboeldahab: UpToDate stands out because of its extensive and continuously updated database of clinical information. The reli­ability and accuracy of the content, along with its user-friendly interface, make it a superior resource. Lexidrug adds value by providing precise drug information and interaction analysis, essential for our patients with chronic diseases requiring mul­tiple medications. The integration of these tools offers a unified, authoritative source for clinical decision-making.

Q: How do you see UpToDate and Lexidrug evolving in the future, particularly in addressing the changing landscape of healthcare?
Dr. Khaled Aboeldahab: As healthcare continues to evolve, the need for accurate and timely informa­tion will only grow. I see UpToDate incor­porating more real-time data analytics and predictive tools to further support clinical decision-making. Lexidrug will likely ex­pand its drug databases and interaction checks to include more personalized medi­cine insights. This evolution will be crucial in addressing emerging healthcare chal­lenges and improving patient outcomes.

Q: As an advocate for UpToDate and Lexidrug, what key message or recom­mendation would you offer to your peers in the medical community?
Dr. Khaled Aboeldahab: I would strongly recommend in­corporating UpToDate and Lexidrug into daily practice. These tools are essential for supporting evidence-based medicine and enhancing the quality of care provided to patients. The ability to access reliable in­formation at any time is invaluable. The tools not only support clinical decisions but also foster a standardized approach to patient care.

Q: How satisfied are you with your ex­perience with UpToDate and Lexidrug?
Dr. Khaled Aboeldahab: I am extremely satisfied with both UpToDate and Lexidrug. They have signifi­cantly improved clinical practices, reduced medication errors, and optimized patient outcomes. The feedback from my medical team has been overwhelmingly positive, and the support from Wolters Kluwer has been excellent, ensuring any issues are re­solved promptly.

Q: Do you have any additional insights or perspectives you’d like to share about UpToDate and Lexidrug?
Dr. Khaled Aboeldahab: UpToDate and Lexidrug have be­come more than just reference tools; they are integral to our practice. Their continu­ous updates and evidence-based recommen­dations help clinicians stay at the forefront of medical care, ensuring that patients receive the best possible treatment. They also play a crucial role in training medical students and new staff, making them indis­pensable in modern medical practice.

Q: Can you give an example of a time when UpToDate and Lexidrug provided critical information that influenced a pa­tient’s treatment plan?
Dr. Khaled Aboeldahab: Certainly. In one of my previous roles, we had a case where a patient with compromised renal function needed pre­cise dosing adjustments for multiple medi­cations. Using UpToDate and Lexidrug, we were able to tailor the treatment plan accurately, avoiding potential complica­tions and ensuring effective therapy. This precise management was particularly cru­cial given the advanced age and complex medical conditions of our patients.

Q: How does using UpToDate and Lexidrug contribute to more efficient use of your time and resources in your practice?
Dr. Khaled Aboeldahab: UpToDate and Lexidrug save time by providing immediate access to reliable information, reducing the need for exten­sive searches or consultations. The plat­form’s use of AI minimizes search time. It chooses the exact topic that the physician is searching for based on the physician’s specialty and the question asked and can even suggest some differential diagnoses.
These efficiencies allow clinicians to focus more on patient care and less on administrative tasks, thereby optimizing resources. The unified decision-making process also minimizes unnecessary queries and ensures consistent, high-quality care.

Q: How would you describe the overall impact of UpToDate and Lexidrug on your professional development and patient care?
Dr. Khaled Aboeldahab
: UpToDate and Lexidrug have had a profound impact on both my professional de­velopment and patient care. They keep me informed about the latest medical advance­ments and best practices, which translates to better patient outcomes and continuous pro­fessional growth. They also foster a culture of evidence-based medicine within our team, promoting lifelong learning.

The application of AI also contributes to patient safety. Integration with the EMR can raise red flags for severe medica­tion interactions and provide certain ad­vice based on the patient’s condition.

Q: Do you find UpToDate and Lexidrug’s mobile apps useful for accessing information on-the-go? Can you share an example?
Dr. Khaled Aboeldahab
: Yes, the mobile apps are incred­ibly useful. For instance, during a recent patient round, I needed to check a drug interaction. Using the apps, I quickly accessed the information and made an in­formed decision without delay. This im­mediacy is crucial in a clinical setting, ensuring timely and accurate patient care.

Q: Can you discuss any cost-benefit analy­ses you’ve encountered where UpToDate and Lexidrug demonstrated clear financial savings for your practice or institution?
Dr. Khaled Aboeldahab
: Implementing UpToDate and Lexidrug has led to significant financial sav­ings, particularly by reducing unnecessary antibiotic use and optimizing medication choices. This has decreased overall phar­macy expenditures and minimized compli­cations, resulting in lower treatment costs. Additionally, morbidity and mortality rates decreased, reflecting improved patient out­comes and cost efficiency.

Q: How do you see the role of continu­ous professional development evolving in the Middle East, and how can UpToDate and Lexidrug support this evolution?
Dr. Khaled Aboeldahab
: Continuous professional develop­ment is becoming increasingly important in the Middle East. UpToDate and Lexidrug can support this evolution by providing health­care professionals with access to the latest medical knowledge and best practices, ensur­ing they remain current in their fields and can deliver high-quality care. These tools are es­sential for fostering a culture of lifelong learn­ing and evidence-based practice.

Dr. Khaled Aboeldahab is the Head of Long-Term Care and Rehabilitation at Global Care Hospital in Abu Dhabi. With a master’s degree in Critical Care Medicine from Alexandria University, Dr. Aboeldahab has over two decades of experience in the Gulf region’s healthcare sector. His leadership and business development skills have been instrumental in expanding healthcare services and generating significant revenue in his previous roles, including as the CEO of Burjeel Darak Unit. He is currently focused on driving the business development and expansion efforts for healthcare groups across the UAE and Gulf region. Dr. Aboeldahab is also an experienced healthcare consultant, well-versed in critical care, long-term care, and healthcare management.

References:

  1. https://www.wam.ae/en/details/1395303163635
  2. https://www.wolterskluwer.com/en/expert-insights/how-standardized-care-helps-hospitals-and-patients 9
  3. https://www.uptodate.com/contents/evidence-based-medicine

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