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Finding the Best Evidence Literature for Evidence Based Health Care

Finding the Best Evidence Literature for Evidence Based Health Care

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Page 1: Finding the Best Evidence Literature for Evidence Based Health Care

Finding the Best Evidence

Literature for Evidence Based Health Care

Page 2: Finding the Best Evidence Literature for Evidence Based Health Care

Agenda Welcome & Introductions Ovid

Bibliographic Databases EBM Reviews

EBSCO DynaMed

Publication Types, Clinical Queries, and Subject Subsets Limits

Ovid Search Demo Additional Resources

Page 3: Finding the Best Evidence Literature for Evidence Based Health Care

Ovid: Bibliographic Databases

MEDLINE

Page 4: Finding the Best Evidence Literature for Evidence Based Health Care

MEDLINE

Produced by the National Library of Medicine Indexes over 4,700 journals from the mid-

1960’s forward Controlled vocabulary (MeSH) available Premier bibliographic database for

information in the fields of medicine, dentistry, veterinary medicine, nursing, the healthcare system, and preclinical sciences

International in scope

Page 5: Finding the Best Evidence Literature for Evidence Based Health Care

Publication Types

Clinical Trial, Phase I-IV

Controlled Clinical Trial

Randomized Controlled Trial

Evaluation Studies

Meta-Analysis Multicenter Study Practice Guideline

Page 6: Finding the Best Evidence Literature for Evidence Based Health Care

Clinical Queries (sensitivity, specificity, optimized)

Therapy Diagnosis Prognosis Reviews Clinical Prediction

Guides

Qualitative Studies Etiology Costs Economics

Page 7: Finding the Best Evidence Literature for Evidence Based Health Care

Subject Subsets

Systematic Reviews

Page 8: Finding the Best Evidence Literature for Evidence Based Health Care

EBM Reviews

ACP Journal Club Cochrane Central Register of

Controlled Trials Cochrane Database of Systematic

Reviews Database of Abstracts of Reviews

of Effects (DARE)

Page 9: Finding the Best Evidence Literature for Evidence Based Health Care

ACP Journal Club Database consists of two journals:

ACP Journal Club Evidence-Based Medicine (BMJ) Titles merged in 2000; new content appears in

ACP Journal Club Editors of ACP Journal Club:

screen the top clinical journals on a regular basis and identify studies that are both methodologically sound and clinically relevant

write an enhanced abstract of the chosen articles and provide a commentary on the value of the article for clinical practice

No controlled vocabulary

Page 10: Finding the Best Evidence Literature for Evidence Based Health Care

Cochrane Central Register of Controlled Trials Bibliographic database of definitive controlled

trials Intent: systematically search the international

health care literature and create an unbiased source of data for those preparing systematic reviews

Utilizes MeSH and natural language

Page 11: Finding the Best Evidence Literature for Evidence Based Health Care

Cochrane Database of Systematic Reviews Produced by the Cochrane Collaboration - an

international network of individuals and institutions

Includes two types of reviews: Complete Reviews – full text systematic

reviews, updated and maintained by designated groups

Protocols – background, objectives, methods, and expected date of completion for reviews currently being prepared

No controlled vocabulary

Page 12: Finding the Best Evidence Literature for Evidence Based Health Care

Database of Abstracts of Reviews of Effects (DARE)

Produced by the expert reviewers and information staff of the National Health Services' Centre for Reviews and Dissemination (NHS CRD) at the University of York, England

Full text database containing critical assessments of systematic reviews from a variety of medical journals

No controlled vocabulary

Page 13: Finding the Best Evidence Literature for Evidence Based Health Care

DynaMed

A clinical reference tool created by a physicians for physicians and other health care professionals

For use primarily at the point-of-care With clinically-organized summaries for nearly

2,000 topics Updated daily and monitors the content of

over 500 medical journals and systematic evidence review databases directly and indirectly by using many journal review services

Page 14: Finding the Best Evidence Literature for Evidence Based Health Care

Ovid Demo – Search Questions

Prostate cancer and Prostatectomy.

Low back pain treatment (drug)

Page 15: Finding the Best Evidence Literature for Evidence Based Health Care

Additional Resources

ACP Pier National Guideline Clearinghouse Evidence Based Medicine Tool Kit Netting the Evidence Evidence-Based Medicine: How to

Teach and Practice EBM

Page 16: Finding the Best Evidence Literature for Evidence Based Health Care

ACP Pier (Physician's Information and Education Resource) Developed by the American College of

Physicians Medical knowledge and guidance resource

based on evidence Covers 360 disease modules Mirrors the way a physician thinks –

information flows from diagnosis through management

Available at BHS Library E-Resources STATRef

Page 17: Finding the Best Evidence Literature for Evidence Based Health Care

National Guideline Clearinghouse

http://www.guideline.gov/

Developed and maintained by the Agency for Healthcare Research and Quality (AHRQ)

Resource to identify clinical practice guidelines

Includes links to additional resources, a guideline compare tool, and full-text if available

Page 18: Finding the Best Evidence Literature for Evidence Based Health Care

Evidence Based Medicine Tool Kit

Collection of tools for identifying, assessing and applying relevant evidence

Originally published in JAMA as a result Evidence Based Medicine Working Group

http://www.med.ualberta.ca/ebm/ebm.htm

Page 19: Finding the Best Evidence Literature for Evidence Based Health Care

Netting the Evidence

Intended to facilitate evidence-based healthcare by providing support and access to helpful organizations and useful learning resources

Resources can be browsed by type Search engine available http://www.shef.ac.uk/scharr/ir/netting/

Page 20: Finding the Best Evidence Literature for Evidence Based Health Care

Evidence-Based Medicine: How to Teach and Practice EBM

Tells how to integrate best available evidence into clinical expertise

Available BHS Library WB 102 F933 2005 (copy on reserve and one circulating copy)

Page 21: Finding the Best Evidence Literature for Evidence Based Health Care

Things to Keep in Mind…

All of these resources are: Keyword searchable Under development thus limited in scope Excellent for identifying other sources of

evidence based practice materials that may not be included in more traditional databases

Page 22: Finding the Best Evidence Literature for Evidence Based Health Care

Questions About This Presentation?

Contact: Robert M. Bird Health Sciences Library

(405) 271-2285 x48752 (405) 800 522 0222 x 48752

[email protected]