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• Volume 7, Issue 4

TRIP database

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• Victor M Montori , MD, MSc ,
• Jon O Ebbert , MD
• Mayo Clinic
 Rochester, Minnesota, USA

https://doi.org/10.1136/ebm.7.4.104

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TRIP is easy to use, with a simple web page design that provides quick downloads even with slow internet connections. TRIP organises the links in its database into clinical areas (eg, cancer, cardiovascular, pregnancy and childbirth, and mental health) and features a self directed learning area that offers online continuing medical education based on systematic reviews. A user-friendly search engine is also available on the site. The user can enter a word or phrase (searched exactly as typed) or a simple Boolean expression into a query box. The search is limited to the title of the link or to the title and text that were captured in the database when the hit was first identified by TRIP (this text could include the executive summary of a guideline or the abstract of a manuscript). A helpful troubleshooting guide to improve searching is a click away. Users can store their search terms to be run periodically and can have the results emailed.

The search results are organised into colour coded categories. The categories include evidence-based resources (including links to ACP Journal Club and Evidence Based Medicine and links to databanks of critically appraised topics); query-answering services (mainly the Ask TRIP to Rapidly Alleviate Confused Thoughts [ATTRACT] service, www.attract.wales.nhs.uk ); peer reviewed journals (including the journals published by the BMJ Publishing Group, JAMA , Annals of Internal Medicine , and the New England Journal of Medicine ); guidelines; electronic textbooks (including the Merck Manual and emedicine.com); and links to the Clinical Queries feature of PubMed ( www.pubmed.gov .). Within each of these categories the links are listed by date of publication and include the name of the host website.

To evaluate TRIP, we completed a series of searches using questions that arose during our clinical practice. A search that used the simple Boolean expression “diabetes AND smoking” and that was restricted to “titles” identified 6 hits: 5 articles in peer reviewed journals and 1 guideline from the American Diabetes Association Practice Recommendations. When we completed the search using “titles and text,” it took longer, and most of the 387 resulting hits were not relevant.

A search for “vitamin E” in “titles” led to 19 hits. The results included critically appraised topics of several randomised trials of vitamin E and 3 Cochrane reviews. The hits also included ATTRACT’s answer to a question about the effectiveness of vitamin E in dementia. The peer reviewed journal hits included abstracts to 3 important clinical trials. The electronic textbook hits offered links to narrative reviews of vitamin E toxicity and deficiency.

Unfortunately, the search engine does not enhance the search terms entered by users who type in synonyms or medical subject headings. We found that searching by title and text yielded too many irrelevant hits, but this finding may represent our lack of experience with the search engine. Performance of quick searches on specific topics using TRIP can be hit or miss because success is dependent on the content of the database. We feel that the inclusion of textbooks delays the search and provides information of limited validity and clinical usefulness.

TRIP offers a friendly interface and quick access to the evidence (particularly if the search is limited to titles) with user friendly organisation of search results. We recommend this resource for those seeking pre-appraised evidence, reviews, and guidelines. Those seeking the original studies may be better off using the Clinical Queries and Related Articles functions in PubMed.

Methods/Quality:★☆☆☆☆

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Trip and Trip Pro

Trip and Trip Pro.  Trip Database,   moc.esabatadpirt@troppus ;    http://www.tripdatabase.com , basic version free; Trip Pro $55 per year for new individual subscribers or $1,000–$1,500 annually for most institutions; institutional trial available; user registration recommended. 

INTRODUCTION

The Trip database began more than twenty years ago in an effort to simplify searching for clinically relevant, high-quality, evidence-based information. Originally an acronym for Turning Research Into Practice, Trip is a meta-search tool and a convenient first stop for busy clinicians, librarians, and students who are seeking evidence for practice or learning. It is an excellent tool for librarians when they are developing search vocabulary during the early stages of a systematic review. Searching Trip can yield additional studies for systematic reviews because of its unique approach to retrieval.

A comparison chart clearly outlines the free versus fee features [ 1 ]. Trip Pro subscribers access greater content and more advanced search features. Free Trip users are prompted to consider Trip Pro when they attempt to access locked features so that they can evaluate whether a Pro subscription is warranted. An informal advisory group, composed of librarians and clinicians with database experience or content knowledge, provides guidance to Trip founder Jon Brassey about technical improvements or appropriate evidence-based content to add. They are sometimes asked to test prototypes of new features. The advisory group also helps Brassey better understand Trip’s users’ needs for evidence-based information, since he is neither a librarian nor clinician. The home page links to About, How to Use, and Liberating the Literature Blog. Tour links provide extensive information about using Trip and describe new features and proposed features that are currently being tested by the advisory group [ 2 ].

USER ACCOUNT

Users of all types of accounts are encouraged to register. Accounts allow users to change their passwords or associated email addresses; select a clinical interest, profession, and affiliated institution to access full-text collections; set up customized search strategies or specialty alerts; mark articles as favorites; return to prior searches via a history list; and receive updates and alerts from Trip.

SEARCHING AND CONTENT

Trip’s motto is “Find Evidence Fast.” Multiple search types and functions are available, including Boolean operators, asterisk truncation, phrase searching, proximity searching, and date and title limit searching. Trip Pro users can use basic or advanced search or combine search statements using the “Recent” search feature. A patient/problem, intervention, comparison, outcome (PICO) search form is available to assist with retrieving evidence. Search term suggestions, based on searches by other users, appear when a topic is typed into the search box. Spelling and typing errors are corrected by a polite, “search for…instead?” prompt. Another helpful crowdsourced prompt, “Trip users also search for,” aids users in finding associated search topics. For those searching multiple topics or trying multiple iterations of a single topic, a clear query box function would be helpful in the basic search.

The focus of Trip’s content is high-quality, evidence-based resources such as systematic reviews, clinical guidelines, and evidence-based synopses. These include a broad range of grey literature including regulatory advice, clinical trials, critically appraised topics (CATs), and patient decision aids. Trip users can access ten monographs per month from EBSCO DynaMed. Appropriate evidence-based resources are added at the suggestion of users or advisory group members, with a list of included publications provided [ 3 , 4 ]. Trip includes open access evidence-based content from PubMed Central and other government, private, and foundation full-text. Trip’s PubMed content is updated every two weeks. Other Trip content is updated monthly [ 5 ]. Categories of evidence and the types of content that fit each category are neatly explained, using the evidence pyramid that is familiar to evidence-based practitioners.

RETRIEVAL AND FILTERING

An algorithm scores the search results to determine their order and then sorts results based on quality of evidence. Users will find systematic reviews, primary research, evidence-based synopses, and clinical trials at the top of the results. A text score uses search term position and frequency; the publication score assigns a rank based on general quality of evidence for a publication; and the date score moves recent documents higher in the results. Filter options appear to the right of the results. Filters include evidence/publication types, search hedges for overdiagnosis and world development, limits for years, and links to previously viewed or starred favorites. A clinical filter allows users to limit results to a practice specialty. After selecting a result, a SmartSearch prompt appears offering closely related titles and other titles based on clickstream data [ 6 ].

RESULTS DISPLAY

Default display is by quality. Users can also display results by date, relevance, and popularity based on user views. For example, the popularity display for naloxone includes recent hot topics such as guidelines addressing use of the drug in recovery rooms, end-of-life care, substance abuse, and patient-controlled analgesia. Crowdsourced data are also used in the “Latest & Greatest” feature, which provides a list of the most frequently visited results for a topic searched in the past twelve months [ 7 ]. As Trip’s user base continues to expand, crowdsourced features will become more powerful and useful.

The results display includes a color bar that links a result to publication type filters ( Figure 1 ). Other data in the display include the title, source and date, an OpenURL link if the user has configured one in their user profile, and links to tweet the citation, save the result in a user profile, report a broken link, and view related articles and number of times that the result has been viewed by other users. The results display also includes the publication type and an indicator of the source position in the evidence sources pyramid. The abstract cannot be displayed in the results list.

Sample Trip results

PubMed Central (PMC) and other Trip partner sites provide full-text, open access content through title links in the results list. Trip also offers OpenURL linking to hundreds of institutional full-text collections. Registered users select an institution (or multiple institutions if they are affiliated with more than one) in their user profiles. Institutional full-text links appear below results and may require institutional authentication for access. Librarians can send OpenURL linking information to Trip to be added as a full-text provider.

EXPORT AND ALERTS

Trip Pro allows users to email results or export them in comma-separated values (CSV) and Research Information Systems (RIS) formats. Test files imported smoothly into Endnote Web, but users will need to supplement data in some references. Some non-journal resources have incomplete metadata, which results in incomplete citation data in RIS files.

Users can set up search topic alerts by performing a search, then clicking the Alerts link. Email alerts arrive monthly and include updates about Trip. Searchers may find the alert function a bit basic and may prefer to use other tools for more sophisticated alerting needs.

ANSWER ENGINE AND “BEST SUGGESTED” ANSWER

Trip mines content to provide links to answers that are a click or two away from the results screen [ 8 ]. For example, when searching for naloxone , Trip provides a prompt at the top of the results: “Trip has 9 answers for related questions.” Clicking the Show link provides a list of common topics; then another click takes the user to content on any of the following topics: naloxone and opioid-induced constipation, clinical pharmacology, indication and usage, contraindications, warnings, precautions, adverse reactions, overdosage, and dosage and administration. Answers are culled from reliable sources, such as the National Library of Medicine’s DailyMed.

Trip has several other methods for helping users find answers more quickly. The results of a search on “influenza vaccine pregnancy” include a box labeled, “Trip’s best suggested answer.” This box contains a short summary on the topic of vaccination benefits to the fetus and infant, followed by a link to a Canadian Pediatric Society statement. Users can also use the Clinical Q&A publication filter to identify synopses of their search topics. Synopses dates can vary widely from topic to topic, so some topics may not present results that are recent enough for clinical users.

IMAGE AND VIDEO SEARCH

Search results can be limited to images and videos. Those results can be limited further to “Only show images that are free to modify, share and use,” making Trip a useful resource for presentations or training.

FUTURE PLANS

Trip Database has announced that an automated review system will be available to Trip Pro users in January 2018 [ 9 ]. This tool will help users understand the results of multiple trials [ 10 ] and allow them to automatically generate a list of interventions from multiple trials with an estimate of likely effectiveness [ 11 ]. In the future, Trip will address the automated review of outcomes [ 12 ].

Trip is a web-based resource that is compatible with major browsers. A mobile version for all tablets and phone browsers works well for quick clinical searches [ 13 ]. The mobile version should be used in the portrait orientation for best viewing. No mobile app is available.

COMPARISON TO OTHER PRODUCTS

The cost for Trip is modest compared to many point-of-care tools that are used in medical libraries. The search functions offer flexibility for naïve and sophisticated searchers. Trip’s search functions are less robust than most vendor implementations of MEDLINE but more robust than those found in most point-of-care resources. The unique capabilities of Trip’s results sorting are not found in other products. Specialized filters focus results and are valuable to those who are interested in evidence-based information for clinical decision-making. Trip also includes grey literature that is not available in many other tools.

Trip and Trip Pro offer many features of interest to clinicians and librarians by using ideas from linguistic analysis, answer summarization, crowdsourcing, and automation to provide quality information with fewer clicks. Trip combines results from many evidence-based sources, displaying them in an order that makes sense for evidence-based practice. Filters are designed with evidence-based clinical decision-making in mind. Increasing open access content and OpenURL linking to institutional journal collections puts full-text a click or two away from results. Output in RIS format allows users to import results into bibliographic citation databases. Alerts provide updates on Trip’s development along with links to new results on user topics.

Trip Database Blog

Liberating the literature, latest evidence from trip.

At Trip, we continuously update our database with thousands of new articles each month, prioritizing the inclusion of high-quality evidence such as guidelines and systematic reviews. Our ‘Latest’ feature is designed to present these recent additions in a user-centric manner, tailored according to individual profiles. This customization occurs in two primary ways:

• Clinical area: For users with specific clinical interests noted in their profiles, such as Gastroenterology, we curate and list the most recent, relevant evidence in that field. ( Click here to explore the latest articles in Gastroenterology).
• Personalised Topics: Users have the option to highlight particular topics of interest within their profiles. Based on these selections, we actively search for and recommend new articles that align with these specified interests, such as research on bipolar .

To ensure our users remain informed of the latest evidence, we distribute a monthly email containing a direct link to these updated resources. This link is accessible at any time, allowing users the flexibility to explore the latest findings at their convenience. While this feature is frequently utilized and appreciated by our community, we believe there are opportunities for enhancement to further enrich user engagement and satisfaction.

At the top is a list of 5 ‘key’ documents and below that a list of recorded search terms and/or clinical areas of interest. If you click on a link it takes you to a page of search results – the results being a search for the topic for content added that month:

Recognizing the current approach as ‘sub-optimal’—a diplomatic term for inadequate—we are in the process of re-evaluating this feature. It’s evident that users have a strong desire to access the most recent evidence related to their specific areas of interest, and we acknowledge the need for improvement in meeting this demand. We highly value your feedback and encourage you to share your insights and suggestions either through the comments section or by directly emailing me at [email protected] . This initiative is part of our ongoing commitment to enhance user experience and optimize our services for better search engine visibility and user satisfaction.

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Trip: Overview

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Trip Overview

Trip is a clinical search engine designed to allow users to quickly and easily find a variety of high-quality research evidence to support their practice and/or care. Results provided can be sorted by quality, relevance, date or popularity and organized by the type of evidence via a pyramid graphic under the title of each article.

The library provides the free version of Trip. We do not have an institutional subscription to this product. There is a pro version of Trip that can be purchased which allows more full text results and additional tools if you wish to subscribe on your own. The personal subscription has an annual cost of $55 + tax.

For a comparison of free versus paid features see:  Trip Feature Comparison

Special Features

• Trip provides a graphic next to each result to inform you about level of evidence it qualifies as. The hierarchy is shown above.
• Filtering options are provided to focus on the kind of evidence (systematic reviews, primary research, regulatory guidance, etc.) desired.
• Search results can be ranked by quality, relevance, date or popularity.
• Patient/population, Intervention, Comparison and Outcomes ( PICO) searching is available allowing you to focus in on your research question.
• Trip provides a large collection of clinical guidelines and thousands of systematic reviews.
• The SmartSearch feature displays three related articles.
• If you sign up with your email to Trip, you can receive alerts about newly added sources regarding topics of interest to you at no charge.

Trip has a blog and the most recent posts are shown here. Click on the website link below to see the rest.

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• Last Updated: Sep 8, 2023 8:01 AM
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Trip database – a different way to find evidence

Posted on 1st July 2013 by Alice Buchan

The Trip database may at first seem like any other search engine for scientific and medical research – plug your key words into the box, press enter, and watch what comes back. What makes Trip different, is what appears on the results page. Trip originally stood for translating research into practice – which is what it aims to help you do.

Searching Trip

To illustrate this, I’ll start by searching the database, with a topical (at the time of writing [1]) entry: “diclofenac heart” . The most obvious point is that results are colour coded – this is made clear by the toolbar at the side, where secondary evidence, such as systematic reviews, is green, primary evidence red, and so on. The order in which the results appear is what makes Trip unique; their algorithm includes research quality, date (more recent first), and a text score (relevance) [2], which combine to give you relevant, recent, and high quality results first (with a few odd exceptions I’ll come to later).

Colour coded results

Back to my search “diclofenac heart” – the default is to sort with quality as the top priority – but you can also make date or relevance more central to the ordering of results. When sorting by date, this highlights one of the idiosyncrasies of Trip; quality is based on journal or source [2], so a meta-analysis, which is high quality secondary research, (Lancet 2013 in the screen grab) is coded red, for key primary research. This isn’t much of an issue, but worth bearing in mind. Flicking through all 3 sorting options can help you find papers the first one might have missed. Another way of finding more relevant papers is by using the synonyms tab at the top of the search results. You may start your search knowing you want a certain type of evidence, such as a Cochrane review or a set of guidelines, and you can filter using the buttons on the right hand side, which also includes filters for evidence relevant to the developing world.

Filtering the results

As with many other databases, Trip features an advanced search, including the ability to define the proximity of key words within the document, but the PICO search is really unique, and I think it’s a fantastic way of finding what you are interested in quickly. For the uninitiated, PICO is Patients, Intervention, Comparison, and Outcome, and the importance of these 4 measures is explained in detail here [3]. Making my search more specific, I searched for heart outcomes in patients with arthritis taking diclofenac.

Searching using PICO

I found Trip really intuitive to use and clearly laid out, but they also have a series of “How-to” videos to help [4] . My favourite features were the wide range of evidence and sources available, including things like guidelines, which aren’t in some other databases, as well as colour-coding.

[1] Trip Database http://www.tripdatabase.com 

[2] Trip Database. About Trip  http://www.tripdatabase.com/about

[3] CEBM. Asking Focused Questions.  http://www.cebm.net/?o=1036

[4] Trip Database. How to use Trip  http://www.tripdatabase.com/how-to-use-trip  

Alice Buchan

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• TRIP Database [Pro] This link opens in a new window The TRIP (Turning Research into Practice) Database is a clinical search engine designed to allow clinicians to quickly find answers to their clinical questions using the best available evidence. The Library has licensed the professional version of TRIP, which has added features, and requires IP authentication However, the standard version is freely available. See: Sources searched by TRIP to see categories of publications searched by the TRIP database, including: systematic reviews, evidence based synopses, clinical guidelines, regulatory guidance, relevant journals, controlled trials, and other sources.
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Dr. Parul Aneja, MD, is an Internal Medicine specialist in Saint Petersburg, Florida. She attended and graduated from medical school in 2007, having over 17 years of diverse experience, especially in Internal Medicine. She is affiliated with many hospitals including Florida Hospital Carrollwood, Tampa General Hospital. Dr. Parul Aneja also cooperates with other doctors and physicians in medical groups including Infectious Disease Consultants Of West Florida Llc. Dr. Parul Aneja may accept Medicare Assignment. Call (727) 771-1300 to request Dr. Parul Aneja the information (Medicare information, advice, payment, ...) or simply to book an appointment.

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Offer your patients a reliable transportation solution for recurring treatments like dialysis or chemotherapy. NEMT service with Uber Health’s recurring ride feature can enhance treatment adherence and contribute to better patient outcomes.

Preventive care and specialist visits

Make preventive care more accessible in Saint Petersburg, Florida, by offering transport to regular medical appointments, screenings, or vaccinations. Or help remove transportation concerns when consultations or treatments might be outside patients’ immediate locality.

Arrange non-emergency medical rides for your patients in Saint Petersburg, FL

Easy scheduling.

A care coordinator accesses the Uber Health dashboard or API to arrange non-emergency medical transportation for the patient or caregiver—either on demand or for a scheduled time. Coordinators have the flexibility to select the required support for the transport, be it for ambulatory individuals, wheelchair users, or people needing door-to-door assistance. 2

Streamlined communication

After the ride is set up, the patient or caregiver gets a text or call detailing their journey. Another notification is sent when the driver is on their way.

Care coordinators can monitor the ride live and determine if extra oversight or intervention becomes necessary. 3

Seamless service

The patient is picked up and dropped off at their requested locations. The care coordinator receives confirmation once the journey is successfully completed.

Empowering patients with access to non-medical transport

Uber Health’s non-emergency medical transportation (NEMT) service in Saint Petersburg, FL, is designed to make healthcare journeys easier and more accessible, regardless of whether you’re seeking transportation for yourself or a loved one.

Easy ride coordination

Ask your healthcare provider if they have Uber Health to simplify the process of getting you to and from medical appointments in Saint Petersburg, FL, so you can arrive stress-free and focus on what matters most: your health.

Peace of mind

If your healthcare provider uses Uber Health, they can request a ride for you so you won’t have to worry about missing an appointment while struggling to find parking or because of any other issues you’re facing.

Seamless rides for your healthcare journey

You’ll get texts about the driver and vehicle coming to pick you up for your appointment in Saint Petersburg, Florida, and be able to track the trip live along the way. You don’t need to have the Uber app or an Uber account.

Connect with Uber Health to get started

Frequently asked questions.

Yes, Uber Health is available in Saint Petersburg, Florida. To get the most current details on the range of available vehicles and specific services in Saint Petersburg, please refer to the Uber Health dashboard. On each trip, you’ll see a prediction of likelihood of driver availability when you request, based on historical data.

Non-emergency medical transportation (NEMT) service bridges the gap for individuals who require transport for their medical appointments but aren’t facing urgent medical situations.

Streamlined scheduling: Enhance clinic efficiency by scheduling immediate or future rides, reducing patient no-shows. Manage multiple rides and set up recurring schedules from one central account.

In-depth reporting: Gain visibility into transportation spending and ride utilization with detailed reports, letting you make data-driven decisions.

Unified dashboard: Coordinate patient transportation in Saint Petersburg, FL, and receive real-time ride status alerts from a single dashboard.

Efficient database and multilingual support: Save time with our structured database for storing patient information and preferences. Overcome language and tech proficiency barriers with multilingual text support.

Uber provides a range of ride options to accommodate various assistance requirements in Saint Petersburg, Florida. The popular UberX option is ideal for passengers capable of entering and exiting vehicles independently, without aid. Uber Comfort trips allow for extended wait times, catering to riders who may require additional time to reach the vehicle.

Within the Uber Health interface, coordinators can have the ability to arrange door-to-door transportation services. These can be tailored for both ambulatory individuals and wheelchair users, and they're executed by vetted drivers trained to offer enhanced levels of support. These specialized services are managed through a third-party partnership and available in select locations. 3

For the rides that take place on Uber's platform Uber employs a dynamic pricing model, which means the prices will vary for each journey. The average price for an UberX trip in Saint Petersburg, FL is $17. If upfront pricing is offered in Saint Petersburg, you'll see the cost before confirming the ride via the Uber Health dashboard.

The pricing for scheduled rides is determined by standard Uber rates at the time you make the request. In certain markets, additional wheelchair-accessible vehicle (WAV) program fees may apply for Uber WAV rides booked through the Uber Health dashboard or API.

The NEMT rides in Saint Petersburg, FL, charges from a third-party service for each individual ride determine the cost.

No, your patient won’t need a smartphone or the Uber app. After you schedule a ride for them using Uber Health, they’ll be notified with trip details by text or phone call. This streamlined approach ensures that your patients receive transportation without any technological barriers.

For trips in Saint Petersburg, Florida, using Uber, you can request rides immediately or schedule them up to 30 days ahead. However, when using a third-party NEMT service through Uber Health (available in select locations), rides should be scheduled between 24 hours and 60 days in advance.

Nearby cities with NEMT service

Kenneth City, FL

Gulfport, FL

South Pasadena, FL

Pinellas Park, FL

Treasure Island, FL

St Pete Beach, FL

Madeira Beach, FL

Seminole, FL

Redington Beach, FL

Tierra Verde, FL

1 NEMT may not be available everywhere and/or may be referred to by another name including but not limited to non-medical transportation.

2 Options and availability may differ by location. 3 Features may differ based on service.

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