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2. Acquiring the evidence
Resources:
- EBM Page Generator from Dartmouth & Yale
Using the EBM Page Generator, you can select the resources that you want on your page from our Resource Database (complete with descriptions and definitions). You can also add your own resources - or edit ours. After you've completed your selections, you can preview the page that you've created, edit it if necessary, and finally copy the code to your own page that you will then post to your web site.
- EBM Resources Dartmouth College
Includes a resource pyramid and hierarchical listings of select resources.
- Finding Evidence-Based Answers to Clinical Questions - Quickly and Effectively From the Dartmouth Biomedical Libraries
In this interactive narrated tutorial, you will learn how to effectively search for evidence-based medicine literature that will help in your clinical decision making. Turn your computer speakers on before you begin.Learning Objectives: After completing this learning module, you should be able to:Formulate a well-built clinical question; Describe the levels of best evidence in scientific literature;Identify how PubMed defines the search terms you enter into a search; Formulate a search in the MeSH Database and run the search in PubMed;Find the highest levels of evidence using PubMed Clinical Queries; Find Randomized Controlled Trials in PubMed; Create filter tabs using PubMed's My NCBI;Find systematic reviews using the Cochrane Library database
- EBM Search Process - From the Boston University Medical Center Library
provides information about EBM resources. from Duke EBM Workshop
EBM resources arranged by 5s (systems, summaries, synopses, syntheses, and studies)Searching Tips:
Medical Subject Headings (MeSH) recommended for evidence-based medicine research. Tufts University
Articles:
- Of studies, syntheses, synopses, summaries, and systems: the “5S” evolution of information services for evidence-based health care decisions. ACP Journal Club. 2006 Nov-Dec;145:A8.
Dr. Haynes has revised his levels of evidence to include summaries. In his editorial, he provides advise on where to look for current best evidence: "How can this model guide decision makers to find the evidence they need, with speed and confidence? Begin the search for evidence to guide clinical decisions at the highest possible level in the 5S pyramid of evidence. If you have a computerized decision support system integrated into your electronic medical record system that reliably links your patient's characteristics with current evidence-based guidelines for care, you don't need to look any further. If you do not work in such an environment (or if you do but the system does not provide support for your patient's problems), then the next place to look is for integrated evidence in a summary service, such as Clinical Evidence or PIER. If the topic isn't covered there, look for a synopsis in one of the evidence-based journals suited to your practice, such as ACP Journal Club , Evidence-Based Medicine , and Evidence-Based Nursing . If you have no success there, look for a systematic review in BMJUpdates+ , the Cochrane Library , or PubMed Clinical Queries . Failing that, you could look up original studies via BMJUpdates+ first, then Clinical Queries if needed. If you are not familiar with which evidence-based resource is best for a particular clinical problem—or you know that the resources you usually use don't cover the problem at hand—then “federated search engines,” such as TRIP and SUMsearch , provide means to search many resources, with the retrieval being organized according to the source of evidence. But if you use such services, you will need to keep your critical appraisal filters on alert: The quality of the retrieval depends on the source, and many sources do not provide critical appraisal of evidence."
- Efficient literature searching: a core skill for the practice of evidence-based medicine. Doig GS. Intensive Care Med. 2003 Dec;29(12):2119-27. This review presents a simple, easy-to-follow, three-step searching strategy that emphasises the use of powerful new PubMed features that allow clinicians to retrieve high-quality systematic reviews, clinical practice guidelines and primary studies with a single mouse click. The overall effectiveness of the process is further improved by highlighting the major features of successful and unsuccessful literature searches. At the end of this tutorial the reader should be able to conduct efficient and effective literature searches that support clinical decision making in under 10 minutes.
- How to answer your clinical questions more efficiently. Weinfeld JM et al. Fam Pract Manag. 2005 Jul-Aug;12(7):37-41.
- Evidence-based Practice. Ann McKibbon. Bull Med Libr Assoc. 1998 July; 86(3): 396–401
This article gives an overview of how to search for therapy, diagnosis, etiology, and prognosis both for original studies and secondary publications such as systematic reviews, meta-analyses, and clinical practice guidelines. Understanding how this research is done, how it is indexed, and how to retrieve the clinical evidence are an important set of skills that librarians can provide for clinicians interested in EBP.
Latest page update: made by schardt
, Jun 4 2008, 3:58 PM EDT
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